Mr. Lee Geok Ai began his career in January 1983 as an engineer on a contractual basis with the Department of Irrigation and Drainage of Terengganu between January 1983 to January 1985. In February 1985, he joined Ooi Bok Khoon & Co. as a civil engineer in building construction and was subsequently transferred to OBK Sdn Bhd upon its incorporation whereupon he stayed until December 1986. In January 1987, he left OBK Sdn Bhd to focus on his own business, Regal Construction Engineering, to undertake house renovation and construction projects. This business was subsequently terminated in June 1998.  

In April 1988, he joined Ahmad Zaki Sdn Bhd as Site Engineer. He was promoted to Regional Manager in 1990 and later to Technical General Manager in 1994. He left Ahmad Zaki Sdn Bhd in 1996 to join Tiaraview Management Sdn Bhd as General Manager. He continued to serve as the General Manager of Tiaraview Management Sdn Bhd until August 2009 to oversee property development and construction management.

He joined the Engtex Group in September 2009 as the General Manager of Engtex Project Management Sdn Bhd to oversee property development, project and construction management till he reached the retirement age of 60. Subsequently, he has continued to serve the Engtex Group in the same capacity albeit under a yearly renewed contract since 2016.

At present, he is a director of Ivory Progression Sdn Bhd and the General Manager of EPCM Sdn Bhd, both of which are subsidiaries of Engtex Group Berhad, a company listed on the Main Market of Bursa Securities.

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He hold 1,700,000 or 0.66% shares directly and 2,434,000 or 0.95% shares indirectly through his spouse in Topvision Eye Specialist Berhad.