| Street | Jednosci Narodowej 6 | ||
| City/Town | Szklarska Poreba | ||
| State/Province/Region | Szklarska Poreba | ||
| Zip/Postal Code | 58-580 | ||
| Phone Number | 75 717 33 23 | ||
| Country | Poland |
| Full Name | Adam Wieczorek | ||
| Gender | male | ||
| Birthday | 1990-08-17 | ||
| Social Security Number | 14292630858 |
| Credit card brand | JCB | ||
| Credit card number | 3556266217653640 | ||
| Expire | 2027/11 | ||
| CVV | 806 |