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Client ID C000016187 Full name ທ່ານ ນາງ ສົມສັກ ພູມີທອນ
Full name(EN) Mrs
Type P Gender F Married M National ລາວ
Citizen card 08-22003686 Education Birth Date Birth place
Occupation VIP No Active Yes
Company name
House No Unit Village
District ປາກລາຍ / Paklai Province ແຂວງ ໄຊຍະບູລີ / Xaiyabouly P.O.Box
Telephone No Mobile No 020 Fax No E-Mail
Driver License Category Driver License No Date of Issue Date of Expiry