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1. PERSONAL DETAILS

Name

KHAIRIYAH AZMAH BINTI ISMAIL

Member ID

OM2772

Email

azmah90@yahoo.com

Ic/Passport

900521146122

Gender

FEMALE

Nationality

Malaysia

Contact No

0145199477

Address

454 JALAN SELAMAT,KG SG TAPAH

State

PERAK

Postcode

30020

Country

Malaysia

Highest Education

2. WORK DETAILS

Empoyment Status

Employed

Job Sector

Private

Organization

Company Name

Pantai Integrated Rehab

Address

3rd floor,Pantai Hospital Ipoh

State

Perak

Postcode

31400

Country

Malaysia

Office No

3. MEMBERSHIP

Membership Type

Ordinary Member

Active Until

2023-12-31

Status

Inactive

Last Login

2023-01-15 13:28:42

Approved On

Approved by

4. ATTACHMENTS
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