Cambodia-Japan Association for Business & Investment (CJBI)
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Please answer the following questions:

I am a business owner.
Yes     No    

I am one of the top management representative of a company.
Yes     No    

My company registered in:
Cambodia     Japan    

Membership Application Form


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Download Application Form

Download Application Form
Please complete and return this form to [email protected]
OR
RUPP-CJCC, Russian Confederation Blvd., Tuol Kork, Phnom Penh, Cambodia. P.O. Box: 1290 Tel: 012 771 676 / 098 998 908
 
Register Online

Membership Application Form

Your Photo:  * File: jpg, gif, or png (up to 3MB)
ATTACH DOCUMENTS
1. Applicant's CV (Bio Profile):  Download Download * File: pdf, doc or docx (up to 3MB)
2. Valid certification of a company/an organization:
  • 2-A: Company's registration with the Ministry of Commerce.
  • 2-B: Valid patent.
* If your company is not registered in the Ministry of Commerce, please submit only 2-B. * File: pdf, doc or docx (up to 3MB)
  • 2-A Company number or equivalent number ( 法人番号、もしくはそれに準じる登録番号 ). * File: pdf, doc or docx (up to 3MB)
3. Company Logo:  * File: jpg, gif, or png (up to 3MB)
PERSONAL INFORMATION
In English
ローマ字
Family Name: Given Name:
In Khmer/Japanese/Others
日本語
Family Name: Given Name:
Gender Male    Female   
Date of Birth
Nationality
Mobile Phone
Personal E-mail
Home Address
Job Title
COMPANY INFORMATION FOR CJBI REGISTRATION
Company Name (in English)
Years of Establishment
Type of Business
Company Phone
Company E-mail
Company Address
Company Website
I confirm the above information is complete and correct and I will give a pledge to abide by the laws and regulations of the Kingdom of Cambodia and Japan as well as CJBI’s statute, internal regulation and decisions.
You are required to pay an annual membership fee of USD 100 and inform any changes the above mentioned information and the valid patent if your application form is approved.
Membership Approval Process
Your application will be checked and approved by our membership committee. It takes eight working days for this process.
Only enter blue characters
Please verify your information and then click submit.
   
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