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1. PERSONAL DETAILS

Name

Dervan A/L V.R.Ramachandran

Member ID

OM2769

Email

Dervan_stylo8@yahoo.com

Ic/Passport

900502045043

Gender

MALE

Nationality

Malaysia

Contact No

0169136916

Address

No.14, jalan pulau gadong 6, taman pulau gadong, 75250 melaka

State

Melaka

Postcode

75250

Country

Malaysia

Highest Education

2. WORK DETAILS

Empoyment Status

Employed

Job Sector

Private

Organization

Company Name

Pj City Football Club

Address

State

Petaling jaya, selangor

Postcode

Country

Malaysia

Office No

3. MEMBERSHIP

Membership Type

Ordinary Member

Active Until

2025-12-31

Status

Inactive

Last Login

2025-01-20 19:36:10

Approved On

Approved by

4. ATTACHMENTS