EFTA00163190.pdf

Google Confidential & Proprietary CUSTOMER PROFILE DETAILS Payments Profile ID: 3416-4215-3331 Root Entity Status: ACTIVE_ENTITY Enterprise Type: PERSONAL Language Preference: en-US Approved For Credit Terms: false Cdp Profile Id: 900261775436 Payments Profile Type: INDIVIDUAL Google Property: false Guest: false Carrier Profile: false Loi Sapin Applies: false Customer Category: REUSABLE Website: N/A Cancellation Type: CANCELLATION_TYPE_UNKNOWN Customer Creation Context Client Type: WEB Product: BILLABLE_SERVICE_IDENTITY_AGE_VERIFICATION Flow Context: UNKNOWN FLOW CONTEXT Currency: N/A Customer Creation Context Web Context User Agent: Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/109.0.0.0 Safari/537.36,gzip(gfe) Browser Url: https://payments.google.com/gp/w/u/0/_/- PaymentsWebAppPlatform2Ui/data/batchexecute?rpcids=XRvBxf&source-pathqgp/w/- u/0/- identityverification&f.sid=-1120737856687839209&bl=boq_paymentswebserver_202- 30212.09_po&hl=en&soc-app=l&soc-platform=l&soc-device=1&_reqid=143205&rt=c Browser Referer: https://payments.google.com/ Date of Birth: 1991-07-01 Structured Name First Name: N/A Last Name: N/A Middle Name: N/A Prefix: N/A Suffix: N/A US Tax Id Validation State Number of Attempts Made: 0 Max Allowed Attempts: 0 ADDRESSES CONTACT EFTA00163190 Notification Preference: ACCOUNT_AND_CUSTOMER Verification Status: CONTACT VERIFICATION STATUS ACCEPTED Phone Number Verification Status: N/A Name: N/A Normalized Phone Number: N/A Gaia ID: 900261775436 Email Address: Postal Address External Address ID: N/A Country Name Code: NL Country Name: N/A Language Code: N/A Administrative Area Name: N/A Sub Administrative Area Name: N/A Financial Context: N/A Locality Name: Woerden Dependent Locality Name: N/A Thoroughfare Name: N/A Thoroughfare Number: N/A Dependent Thoroughfare Name: N/A Postal Code Number: 3446 ZB Postal Code Number Extension: N/A Sorting Code: N/A Post Box Number: N/A Premise Name: N/A Sub Premise Name: N/A Address Line: Firm Name: N/A Recipient Name: Tarik Address is in Disputed Area: false Phone Number Saved to Address: N/A Postal Address External Address ID: N/A Country Name Code: NL Country Name: N/A Language Code: N/A Administrative Area Name: N/A Sub Administrative Area Name: N/A Financial Context: N/A Locality Name: WOERDEN Dependent Locality Name: N/A Thoroughfare Name: N/A Thoroughfare Number: N/A Dependent Thoroughfare Name: N/A Postal Code Number: 3446ZB Postal Code Number Extension: N/A Sorting Code: N/A Post Box Number: N/A Premise Name: N/A EFTA00163191 Sub Premise Name: N/A Address Line: Selma Lagerlofweg Address Line: N/A Firm Name: N/A Recipient Name: M.A. Salah Address is in Disputed Area: false Phone Number Saved to Address: Google Confidential & Proprietary EFTA00163192