| Street | Jalan Piere Tendean Boulevard | ||
| City/Town | Manado | ||
| State/Province/Region | Sulawesi Utara | ||
| Zip/Postal Code | 95111 | ||
| Phone Number | (0431) 855555 | ||
| Country | Indonesia |
| Full Name | Latika Suartini | ||
| Gender | female | ||
| Birthday | 1974-08-29 | ||
| Social Security Number |
| Credit card brand | JCB | ||
| Credit card number | 3505789526794377 | ||
| Expire | 2027/3 | ||
| CVV | 740 |