CIM 2025 – Investor Registration Form

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1. Investor & Company Information

Full Name *

Designation *

Name & Checklist

Company Name *

Country of Registration *

Company Registration Number *

Company Website

Contact Number *

Email *

Authorized Representative (if different)

2. Investment Focus Areas (Please tick all that apply) *

Tourism
Agri-Tourism
Real Estate Tourism
Green/ESG Investments
Infrastructure
Startups/SMEs
Other (please specify)

Other investment focus areas

3. Preferred Investment Model (Tick one or more) *

Equity Investment
Joint Venture
Direct Funding
Convertible Loan
Blended Finance / Grant-Match

4. Typical Investment Size *

Under $100,000
$100,000 – $500,000
$500,000 – $1,000,000
Over $1,000,000

5. Compliance Documents Checklist (Please tick) *

Valid Government-Issued ID
Company Registration Certificate
Company Profile (PDF or Link)
Investment Track Record (optional but preferred)
ESG/Sustainability Statement (if applicable)

THE PAYMENT

– Name : Tang Sochetra & Thourn Sinan (Operation Account)

– Account number : 012 564 838

– Bank name: Advanced Bank of Asia Limited

OR QR PAYMENT

The Pacific Asia Travel Association (PATA) Cambodia Chapter is a non-profit organization dedicated to promoting and developing the travel and tourism industry in Cambodia. Our mission is to foster sustainable growth, enhance professionalism, and facilitate collaboration within the travel and tourism sector. With a diverse membership base comprising industry professionals, businesses, and government agencies, we strive to position Cambodia as a premier travel destination in the Asia-Pacific region.

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