CATA BUSINESS COOPERATIVE HYBRID

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Section A: Applicant Category

Section B: Applicant / Business Information

Full Legal Name of Applicant / Entity

Trading Name / Brand

Business Registration / License No.

Date of Establishment

Primary Business Activity / Industry

Capital Investment Range

Company / Entity Logo

Upload company logo (PNG, JPG, SVG, WebP up to 4MB).

Business Address

City / Province

Country

Section C: Contact and Authorized Representative

Representative Full Name

Designation / Job Title

Contact Number (Mobile)

Official Email Address

Website (if any)

Representative Photo

Upload representative photo (PNG, JPG, WebP up to 4MB).

Representative Profile / Bio

Section D: Shariah-Compliance Declaration

Our business operations do not involve interest-based (Riba) financial services as a primary activity.

Our business does not deal with prohibited (Haram) goods or services (e.g. pork, alcohol, gambling, pornography, conventional insurance).

We are committed to conducting all business within the CBC ecosystem in a transparent, ethical, and Shariah-compliant manner.

Section E: Membership Fee & Payment Option

Partnership Tier

Local For businesses, NGOs and institutions registered in Cambodia. $150/year · 600,000 KHR International For overseas businesses and institutional partners based outside Cambodia. $250/year · 1,000,000 KHR

Select Settlement Currency

USD ($) US Dollar · $150.00

KHR (៛) Khmer Riel · 600,000 ៛

Section F: Board Nomination Interest

Subject to a minimum of 6 months active membership and good standing (Policy Article 8).

Yes, consider me for future Board elections Not at this time

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