| Type | ID# | Country | Issue Date | Expire Date |
| National ID No. | 10103925626 | Iran | | |
| Registration Number | 341695 | Iran | | |
| Additional Sanctions Information - | Subject to Secondary Sanctions | | | |
| Secondary sanctions risk: | See Section 2 of E.O. 13902 | | | |
| Organization Established Date | 13 Apr 2009 | | | |