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1. PERSONAL DETAILS

Name

Agnes Pang Jia Yi

Member ID

OM4196

Email

agnespang19@gmail.com

Ic/Passport

980319-14-5946

Gender

Female

Nationality

Malaysia

Contact No

018-9637900

Address

19, Jalan Denai Selatan 7, Southlake Terraces, Desa Parkcity, 52200, Kuala Lumpur

State

Kuala Lumpur

Postcode

52200

Country

Malaysia

Highest Education

Degree

2. WORK DETAILS

Empoyment Status

Employed

Job Sector

Private

Organization

Centres

Company Name

Kiara Medical Centre

Address

8, Jalan 31/70A, Desa Sri Hartamas

State

Kuala Lumpur

Postcode

50480

Country

Malaysia

Office No

03-23008030

3. MEMBERSHIP

Membership Type

Ordinary Member

Active Until

2024-11-10

Status

Inactive

Last Login

2023-01-05 17:58:26

Approved On

2022-11-10

Approved by

Membership

4. ATTACHMENTS