Identity card

Pascal CUBIZOLLES

Date of birth: 25 th March 1975 in Brioude (Haute-Loire) in France (26 years)

Nationality: French

Marital statut: Single

Driving licence: Car and motorbike

Main adress	Temporary adress
Domarget 43230 DOMEYRAT Phone/Fax:  04 71 76 67 19	Chez Mr CUBIZOLLES David 88 rue Dessous des Berges 75012 Paris Phone: 01 45 86 95 25 or 06 63 81 93 75