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Client ID C000004465 Full name ນາງ ພຸດສີດາ ແສນອາມາດມົນຕີ
Full name(EN) Ms.
Type P Gender F Married National ລາວ
Citizen card 17-0004711 Education Birth Date Birth place
Occupation VIP No Active Yes
Company name
House No Unit Village ຫຼັກສານ
District ສາມັກຄີໄຊ / Samakhixay Province ແຂວງ ອັດຕະປື / Attapue P.O.Box
Telephone No Mobile No 55202679 Fax No E-Mail
Driver License Category Driver License No Date of Issue Date of Expiry