| Street | 111 Sritapee1 Road, T. Talad, A.Muang, Surat Thani | ||
| City/Town | สุราษฎร์ธานี | ||
| State/Province/Region | จังหวัดสุราษฎร์ธานี | ||
| Zip/Postal Code | 84000 | ||
| Phone Number | 085 654 0500 | ||
| Country | Thailand |
| Full Name | Miss Eleanora Gislason | ||
| Gender | female | ||
| Birthday | 1989-12-20 | ||
| Social Security Number |
| Credit card brand | JCB | ||
| Credit card number | 3554763657754369 | ||
| Expire | 2027/8 | ||
| CVV | 031 |