Client - Details
Client ID C000004777 Full name ທ່ານ ພິດສະໄໝ ພູມພິທັກ
Full name(EN) Mr.
Type P Gender M Married National ລາວ
Citizen card 6121 Education Birth Date Birth place
Occupation VIP No Active Yes
Company name
House No Unit Village ສົມສະໜຸກ
District ທ່າແຂກ / Thakheak Province ແຂວງ ຄຳມ່ວນ / Khammuane P.O.Box
Telephone No Mobile No 95800147 Fax No E-Mail
Driver License Category Driver License No Date of Issue Date of Expiry