Basic Information

Member Id

PO

Name

Ann Gatewood

Date of Birth

1989-10-19

Spouse Name

MU

Spouse Date of Birth

2004-06-04

Date of Marriage

1962-05-06

Profession

IG

Company

DV

Company Address

BU

Phone No.

FT

Fax

CJ

Mobile

DD

Hobbies

BM

Residence Address

HU

Pin Code

QF

Residence Phone

UR

Children & Date of Birth

VY

Preferred Mailing Address

FA

Remarks

KZ