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Pantai Hospital Ampang
Pantai Malaysia
Pantai Hospital Ampang
Pantai Hospital Ayer Keroh
Pantai Hospital Batu Pahat
Pantai Hospital Cheras
Pantai Hospital Ipoh
Pantai Hospital Klang
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By providing the information set out in this form, I consent to Pantai Holdings Sdn Bhd (PANTAI) and their representatives and/or agents collecting, using and disclosing my personal data to provide me with medical treatment and other reasonably related purposes. Such purposes are set out in the PANTAI Data Privacy Policy, accessible at
https://www.pantai.com.my/Privacy-Policy
or available on request. I further confirm that all personal data that I have provided are all true, up-to-date and accurate. Should there be any changes to any of my personal data, I shall notify PANTAI immediately.
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