| Full Name | 佐々木 篤司 |
| Gender | male |
| Birthday | 1976-10-01 |
| Social Security Number |
| Street | 2-5 Amase |
| City/Town | 岡山市 |
| State/Province/Region | 岡山県 |
| Zip/Postal Code | 700-0835 |
| Phone Number | 086-225-7957 |
| Country | Japan |
| Latitude | 34.65609 |
| Longitude | 133.928681 |
| Credit card brand | Mastercard |
| Credit card number | 5553984806036674 |
| Expire | 2027/12 |
| CVV | 679 |