| Type | ID# | Country | Issue Date | Expire Date |
| National ID No. | 10102948981 | Iran | | |
| Registration Number | 254529 | Iran | | |
| Organization Established Date | 07 Sep 2005 | | | |
| Secondary sanctions risk: | See Section 2 of E.O. 13902 | | | |
| Additional Sanctions Information - | Subject to Secondary Sanctions | | | |