Client - Details
Client ID C000004551 Full name ທ່ານ ມິດບັນຊາ ສີວົງສາ
Full name(EN) Mr.
Type P Gender M Married National ລາວ
Citizen card 3942 Education Birth Date Birth place
Occupation VIP No Active Yes
Company name
House No Unit Village ເຊກອງ
District ສາມັກຄີໄຊ / Samakhixay Province ແຂວງ ອັດຕະປື / Attapue P.O.Box
Telephone No Mobile No 22292229 Fax No E-Mail
Driver License Category Driver License No Date of Issue Date of Expiry