| País | Ciudad | Provincia | Calle | Código Postal | |
|---|---|---|---|---|---|
| CN - China | Xingtai | Hebei | No. 67, Guangming Street 6th Village |
| Nacionalidad | |
|---|---|
| CN - China |
| País Emisor | Tipo | Número | |
|---|---|---|---|
| CN - China | Identificación Nacional | 130502197706161537 |
| Fecha |
|---|
| 16 Jun 1977 |
| Programa |
|---|
| ILLICIT-DRUGS-EO14059 |