| Full Name | 山口 智也 |
| Gender | male |
| Birthday | 1974-12-02 |
| Social Security Number |
| Street | Otsu-1940-2 Otsu |
| City/Town | 高知市 |
| State/Province/Region | 高知県 |
| Zip/Postal Code | 780-8571 |
| Phone Number | 088-866-5775 |
| Country | Japan |
| Latitude | 33.571081 |
| Longitude | 133.591659 |
| Credit card brand | Visa |
| Credit card number | 4716578721189647 |
| Expire | 2030/10 |
| CVV | 961 |