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Employer & Quota Registration All required fields are marked with an asterisk (*)

A. Detail Information As In Certificate Of Incorporation

(Ministry of Commerce)

Company Name In Khmer *

(As in Certificate of Incorporation)

Company Name In English *

(As in Certificate of Incorporation)

Registration Number *

Incorporation Date*

Is Acknowledge As *

Company Name Abbreviate *

Certificate of Incorporation *

(Image or PDF file not over 1MB.)

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B. Detail Information As In Patent Tax

(General Department of Taxation)

Owner Name In Khmer *

(As in Patent Tax)

Owner Name In English *

(As in Patent Tax)

Gender*

Nationality *

Main Business Activity *

Tax Identification Number (TIN)

Company Address*

(As in Patent Tax)

Same as Company Address

Business Address*

E-mail *

Confirm Email *

Password*

Confirm Password*

Mobile Phone *

Ex.Cambodia - 855

Ex.12XXXXXX

Other Phone

Ex.Cambodia - 855

Ex.12XXXXXX

Patent Tax *

(Image or PDF file not over 1MB.)

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C. Detail Information As In Employee Declaration and Declaration of In and Out Personnal Movement

(Department of Employment and Manpower, Ministry of Labour and Vocational Training)

Employee Declaration Registration Number *

Employee Declaration Registration Date*

Cambodian Employee *

Foreign Employee *

Employee Declaration and Declaration of In and Out Personnal Movement *

(Image or PDF file not over 1MB.)

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D. Quota

Please fill out the current number of staffs and additional requirements for the following year

No	Type of Work	Cambodian Employee			Foreign Employee			Permit %	Permitted Quota
No	Type of Work	Current	Addition	Total	Current	Addition	Total	Permit %	Permitted Quota
1	Office Employee	Please fill out the field.	Please fill out the field.	0	Please fill out the field.	Please fill out the field.	0	3%	0
2	Skilled Employee	Please fill out the field.	Please fill out the field.	0	Please fill out the field.	Please fill out the field.	0	6%	0
3	Unskilled Employee	Please fill out the field.	Please fill out the field.	0	Please fill out the field.	Please fill out the field.	0	1%	0
Total		0	0	0	0	0	0	10%	0

Total Request Amount

Reason (Type in Englis/Khmer)*

I hereby declare that the information in this application and any attachments is true and completed. Providing false or misleading information may result in the Ministry of Labour and Vocational Training taking action to strike the applicant off the enrollment and to be faced with the law.

Certificate of Incorporation

Patent Tax

Employee Declaration and Declaration of In and Out Personnal Movement

Quota

Duplicate Company Name

Duplicate Company Name