| Street | 1 Chome-14-15 Chuo |
| City/Town | 米沢市 |
| State/Province/Region | 山形県 |
| Zip/Postal Code | 992-0039 |
| Phone Number | 0238-23-0605 |
| Country | Japan |
| Latitude | 37.912741 |
| Longitude | 140.10955 |
| Full Name | 工藤 涼平 |
| Gender | male |
| Birthday | 1998-04-16 |
| Social Security Number |
| Credit card brand | Visa |
| Credit card number | 4485089685912999 |
| Expire | 2031/3 |
| CVV | 730 |