Personal Particulars

Membership Category

Free

Full Name

Egenz

Date of Birth (day/month/year)

February 2, 1989

Citizenship

Malaysian

IC/Passport No

121212

Place of Issue

Malaysia 

Email (Required)

egenzagency@gmail.com

Residential Address (Required)

 
Wilayah Persekutuan,

1-3,

Jalan Solaris 2,

Solaris Mont Kiara,

Correspondence Address

Kuala Lumpur,

Federal Territory of Kuala Lumpur,

Malaysia