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Client ID C000021631 Full name ນາງ ບັນທົມ ພົມມະນີຈັນ
Full name(EN) Ms.
Type P Gender F Married M National ລາວ
Citizen card 02023422826 Education Birth Date Birth place
Occupation VIP No Active Yes
Company name
House No Unit Village ພູຫົວຊ້າງ
District ອານຸວົງ / Anouvong Province ແຂວງ ໄຊສົມບູນ / Xaysomboun P.O.Box
Telephone No Mobile No 23422826 Fax No E-Mail
Driver License Category Driver License No Date of Issue Date of Expiry