| Street | Grunwaldzka 4 | ||
| City/Town | Jelenia Gora | ||
| State/Province/Region | Jelenia Gora | ||
| Zip/Postal Code | 58-508 | ||
| Phone Number | 75 753 37 86 | ||
| Country | Poland |
| Full Name | doc. inż. Klara Urbańska | ||
| Gender | female | ||
| Birthday | 1997-06-28 | ||
| Social Security Number | 80022395609 |
| Credit card brand | JCB | ||
| Credit card number | 3597466194889032 | ||
| Expire | 2028/6 | ||
| CVV | 268 |