Are you sure you want to delete this?
Client ID
C000019296
Full name
ທ່ານ ພູສິດ ວິໄລສົມ
Full name(EN)
Mr.
Type
P
Gender
M
Married
M
National
ລາວ
Citizen card
02097977765
Education
Birth Date
Birth place
Occupation
VIP
Yes
Active
Yes
Company name
House No
Unit
Village
ຈັດສັນ
District
ປາກເຊ / Pakse
Province
ແຂວງ ຈຳປາສັກ / Champasak
P.O.Box
Telephone No
Mobile No
97977765
Fax No
E-Mail
Driver License Category
Driver License No
Date of Issue
Date of Expiry