| Name | Reguraganata Tampubolon |
|---|---|
| Sex | male |
| Birth Date | July 8, 1967 |
| Death Date | June 11, 1991 |
| Age at Death | 23 years, 11 months, 3 days old |
| Birth Place | Other Country |
| Death Place | San Bernardino County, California |
| Mother's Maiden Name | Manurung |
| Social Security Number | 562-93-4286 |