| ‘è–¼ | “Ç‘”õ–YƒJ[ƒh | 
| “Ç‚Ý | ƒhƒNƒVƒ‡ƒrƒ{ƒEƒJ[ƒh | 
| ‚g‚s‚l‚k | 98021 | 
| Œ´‘è^‰ü‘è^•›‘è^”õl | @ | 
| –{‚̑薼 | @ | 
| o”ÅŽÐ | @ | 
| –{‚̃TƒCƒY | @ | 
| ‰”Å•w“ü”ÅD”NŒŽ“ú | @ | 
| ‰¿Ši | –¢w“ü | 
| ”•\ŽGŽ^”•\êŠ | w•Êû•¶åYtH‚P‚V‚Ox | 
| ì•i”•\@”NŒŽ“ú | ‚P‚X‚W‚S”N‚PŒŽ | 
| ƒR[ƒhNo | 19840100-00000000 | 
| ‘‚«o‚µ | @ | 
| ì•i•ª—Þ | @ | 
| ŒŸõƒL[ƒ[ƒh | @ |