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past Ose hal UNITED ARAS EMIRATES. Employment No. | MOHO _TAIUDBIN BIN MoO TATUODIN __ ke0an MALAYSIAN (Scam Ishak Surame: Place of Birth Present Nationality: Religion Date of Entry: Sponéor's Name on Entry: Current Sponsor Office Telephone: Salary Passport & Visa Detalis A 253 46089 02 NOVEMBER 201) Passport No. Date of Issue: Residence No. Date of tasue: Education DIPLOMA IN MARINE’ ENGINEEQIN Degree Date: Langueges: ENGLISH Marital Status NOR HAFIZA BINT. AHMAD keoAW Name of Spouse: Place of Bit Employer MINISTRY OF HEALTH MALAYSIA Chiidren 3 pa ee 2) a 5) D; 8). ‘ather’s Name SHAK BIN PALL Place of Birth: ....KEQAH, Employer: cine oe Mothers Namo... AMZAH BINT! 8ARO Place o! Birth a Keon Employer: yo Bunt dade gs gb gl pb ylowiuas 2 Statement Wo. [ (Other Names ever Used een Date of Birth: 17 SEPTEMBER 1938 Previous Nationality = Sect 3 Port of Entry see Work Location: = ‘Occupation: 3 Banc 1) Li Pass otfasue: ..OR_ OBTAR Expiry Date! O2 MAY 201F Place of Issue: : Expiry Date Fojiageunivorsiy:... MALAYSIAN mani Time Aca - Country: MALAYSIA, bEMY Nationality: ... MALAYSIAN ; Dato of Bian: 02 SEPTEMBER Aq FH Occupation... MEDICAL OFFICER cei it 35 6).ou f ayo) teers Nationality: ..... RALAYSIAN Date of Birth: ... 24, NOVEMBER 14 a5, Ocoupation:.... SELF EMPLOYED. 5 Nationality: ..... MALAY SIAN. Date of Binh _.06 SEPTEMBER 195% Occupation: ..... HOUSE WEF E

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