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1. PERSONAL DETAILS

Name

Dominic Tan

Member ID

OM2695

Email

dominic-96@hotmail.com

Ic/Passport

960802015035

Gender

MALE

Nationality

Malaysia

Contact No

0177981135

Address

TL15, JPI21, Jalan Penghulu Ismail,, Batu 4, Parit Bunga,

State

Johor

Postcode

84000

Country

Malaysia

Highest Education

2. WORK DETAILS

Empoyment Status

Employed

Job Sector

Private

Organization

Company Name

ICare Rehabilitation Center

Address

No. 14, Ground floor, Lorong Hj. Wan Ibrahim, Pusat Perniagaan Abd. Rahman

State

Johor

Postcode

84000

Country

Malaysia

Office No

069594286

3. MEMBERSHIP

Membership Type

Ordinary Member

Active Until

2025-12-31

Status

Inactive

Last Login

2025-05-05 14:26:22

Approved On

Approved by

4. ATTACHMENTS