| 1. | Full name | : | Ng Wie Chin | |
| 2. | Date of Birth Place of Birth |
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4 December 1973 Medan, North Sumatra, Indonesia |
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| 3. | Full Mailing Address | : |
Current Residence 913 Jurong West St 91 #13-224 Singapore 640913 Phone (M) +65 9488 9817 Office ASP Centre Unit 216 NTU Innovation Centre 16 Nanyang Drive Singapore 637722 Phone (O) +65 790 4481 Page www.aspcentre.org Institution Nanyang Technological University www.ntu.edu.sg CCNP Cisco Academy Training Centre (CATC) Singapore Native Residence Jl Kapuk Pulo No 31 RT 15/10 Jakarta 11720 Indonesia Phone (H) +62 21 545 2722 (M) +62 812 935 8555 Email wisinss@yahoo.com Page www.oocities.org/wisinss |
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| 4. | Photograph | : |  |
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| 5. | Signature | : |
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