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Client ID C000012586 Full name ນາງ ທິບພະພອນ ວິໄລສານ
Full name(EN) Ms.
Type P Gender F Married National ລາວ
Citizen card 00003003 Education Birth Date Birth place
Occupation VIP No Active Yes
Company name
House No Unit Village ເມືອງເກົ່າ
District ວຽງຄຳ / Viengkham Province ແຂວງ ວຽງຈັນ / Vientiane P.O.Box
Telephone No Mobile No 55557433 Fax No E-Mail
Driver License Category Driver License No Date of Issue Date of Expiry