License ID

Attached license

Application form ទាញយកគំរូ

Old certificate (Extend)

Contract ទាញយកគំរូ

Hotel Name ( Khmer )

Hotel Name ( Latin )

Number of Room

Number of Employee

Address (Khmer)

Address (Latin)

City (Khmer)

City (Latin)

Full name (Khmer)

Full name (Latin)

Gender

Mobile

Email

Password

Confirm password