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1. PERSONAL DETAILS

Name

R.EDRIN ADIKA BIN R.ROSLI

Member ID

OM2118

Email

edrin_adika89@yahoo.com

Ic/Passport

890731105787

Gender

MALE

Nationality

Malaysia

Contact No

01116682150

Address

4568 KG TERSUSUN SG BURUNG

State

SELANGOR

Postcode

45300

Country

Malaysia

Highest Education

2. WORK DETAILS

Empoyment Status

Employed

Job Sector

Private

Organization

Company Name

AN NUSRAH HEALTHCARE SDN. BHD. (1199367-H)

Address

29-1 WANGSA DELIMA 2A, SEKSYEN 5 53300 WANGSA MAJU

State

WILAYAH PERSEKUTUAN KUALA LUMPUR

Postcode

53300

Country

Malaysia

Office No

+60 3-4107 3566

3. MEMBERSHIP

Membership Type

Ordinary Member

Active Until

2016-12-31

Status

Expired

Last Login

Approved On

Approved by

4. ATTACHMENTS
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