| Street | Jalan Sumatera No. 44 A | ||
| City/Town | Kupang | ||
| State/Province/Region | Nusa Tenggara Timur | ||
| Zip/Postal Code | 85229 | ||
| Phone Number | 0812-3770-533 | ||
| Country | Indonesia |
| Full Name | Sadina Suartini | ||
| Gender | female | ||
| Birthday | 1988-07-20 | ||
| Social Security Number |
| Credit card brand | JCB | ||
| Credit card number | 3528465371077811 | ||
| Expire | 2028/11 | ||
| CVV | 833 |