| Street | 1-17 Masuokacho | ||
| City/Town | 白石市 | ||
| State/Province/Region | 宮城県 | ||
| Zip/Postal Code | 989-0257 | ||
| Phone Number | 0224-25-1180 | ||
| Country | Japan |
| Full Name | 喜嶋 聡太郎 | ||
| Gender | male | ||
| Birthday | 1986-04-29 | ||
| Social Security Number |
| Credit card brand | Discover | ||
| Credit card number | 6011589786835229 | ||
| Expire | 2027/8 | ||
| CVV | 322 |