First name

Here you can enter the customer's first name.

Last name

Customer's last name.

Company

Customer's company name (optional).

Country/state

From this drop-down you can select customer's country and state.

Date field

Date of customer's account creation.

Enabled

If you uncheck the box, the customer profile will not be listed in the customer list, while still being stored in the database for your records and to keep customer's purchase history.