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Client ID C000015165 Full name ທ່ານ ຈິດຕະກອນ ພູເຂົາທອງ
Full name(EN) Mr.
Type P Gender M Married National
Citizen card 120040829 Education Birth Date Birth place
Occupation VIP No Active Yes
Company name
House No Unit Village ສຸກສະຫວັນ
District ທ່າແຂກ / Thakheak Province ແຂວງ ຄຳມ່ວນ / Khammuane P.O.Box
Telephone No Mobile No Fax No E-Mail
Driver License Category Driver License No Date of Issue 05-03-2024 Date of Expiry