| Street | Flobamora Mall, Jl. W. J Lalamentik Oebufu |
| City/Town | Kupang |
| State/Province/Region | Nusa Tenggara Timur |
| Zip/Postal Code | 8500 |
| Phone Number | (0388) 40301 |
| Country | Indonesia |
| Latitude | -10.171759 |
| Longitude | 123.610344 |
| Full Name | Lalita Fujiati |
| Gender | female |
| Birthday | 1991-02-26 |
| Social Security Number |
| Credit card brand | Unionpay |
| Credit card number | 6264757000192222 |
| Expire | 2027/6 |
| CVV | 295 |