| Full Name | 青田 あすか |
| Gender | female |
| Birthday | 1985-02-04 |
| Social Security Number |
| Street | 212-1 Kamojimacho Kamojima |
| City/Town | 吉野川市 |
| State/Province/Region | 徳島県 |
| Zip/Postal Code | 776-8799 |
| Phone Number | 0883-22-1129 |
| Country | Japan |
| Latitude | 34.068316 |
| Longitude | 134.355926 |
| Credit card brand | Voyager |
| Credit card number | 8699531631275776 |
| Expire | 2029/11 |
| CVV | 395 |