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Foreign Work Permit Registration All required fields are marked with an asterisk (*)

A. Detail Information As In Passport

First Name *

Middle Name

Last Name *

Gender *

Date of Birth *

Height *

Nationality *

Country of Origin *

Passport No *

Issued At *

Passport Issued Date *

Passport Expired Date *

Passport File *

(Image or PDF file not over 1MB.)

B. Detail Information As In Visa

Visa Part

Visa No *

Visa Issue At *

Visa Issue Date *

Visa Expiry Date *

Visa Entry Date *

Visa Remark

Visa and Arrival Immigration Stamp *

(Image or PDF file not over 1MB.)

Stay Permit Part

Stay Permit Type *

Stay Permit No *

Stay Permit Issue At *

Stay Pemit Issue Date *

Stay Permit Expiry Date *

Stay Permit Remark

Stay Permit *

(Image or PDF file not over 1MB.)

C. Business and Education

Business Name *

Main Business Activity *

Start Business Date *

Business Address *

Position *

Salary

Education Background *

Business Certificate (If Any)

(Image or PDF file not over 1MB.)

Patent Tax (If Any)

(Image or PDF file not over 1MB.)

D. Physical Aptitude Certificate

Issued At *

Name of Other Clinic / Hospital *

Physical Aptitude Certificate *

(Image or PDF file not over 1MB.)

E. Contact

Mobile Phone *

Ex.Cambodia - 855

Ex.12XXXXXX

Other Phone

Ex.Cambodia - 855

Ex.12XXXXXX

Current Address *

E-mail *

Confirm Email *

Password *

Confirm Password *

Photo *

(Image file not over 1MB.)

Residencial Certificate or Letter

(Image or PDF file not over 1MB.)

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.

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