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1. PERSONAL DETAILS

Name

SIVABALAN

Member ID

OM2289

Email

sivabalanphysio0107@gmail.com

Ic/Passport

930928106293

Gender

MALE

Nationality

Malaysia

Contact No

0149108567

Address

No 1304 Taman sentosa

State

NEGERI SEMBILAN

Postcode

73400

Country

Malaysia

Highest Education

2. WORK DETAILS

Empoyment Status

Employed

Job Sector

Private

Organization

Company Name

Chiropractic Specialty Centre

Address

No 11, Jln Medan Pusat 2D, Bandar Baru Bangi

State

Selangor

Postcode

43650

Country

Malaysia

Office No

0320931000

3. MEMBERSHIP

Membership Type

Ordinary Member

Active Until

2018-12-31

Status

Expired

Last Login

Approved On

Approved by

4. ATTACHMENTS
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