MEMBERSHIP APPLICATION FORM

Cambodia Entities

Company Name


Name is required!
Name is required!

Contact


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Email is required!
Address is required!
Address is required!

Business Types (select all that applies)


ICT Regulation & Policies
Education
Hardware & Infrastructure
Software
IT Consultant and Services
Data Centers, Internet & Telephone
IT & Cyber Security
Other

Company Products and Services


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About Company


About company is required!
Upload
PATENT
of Tax Department

Representatives


Upload PHOTO
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User Account


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Interests


I approve our membership application and agree to pay the dues.