Form Code / SEC/CRC/01
Reference No.

NEW COMPANY REGISTRATION CHECKLIST

- CAMBODIA PRIVATE LIMITED COMPANY

*compulsory field to fill in

You may provide information on a separate sheet if space provided is insufficient.
PROPOSED NAME OF COMPANY *
1.
2.
3.
NATURE OF BUSINESS*
1.
2.
3.
DIRECTOR 1*
Name (as per I/C or Passport)
I/C or Passport No.
Date of birth
Address (residential)



Contact numbers / (off) / (h/p)
Email address
Particulars of other directorships in
Public Company and/or its subsidiary (if any)
DIRECTOR 2
Name (as per I/C or Passport)
I/C or Passport No.
Date of birth
Address (residential)



Contact numbers / (off) / (h/p)
Email address
Particulars of other directorships in
Public Company and/or its subsidiary (if any)
SHARE CAPITAL*
Registered Capital

Note: The minimum requirement for registered capital for incorporation is: 1,000 shares of par value of not less than 4,000 Riels per share (4,000 Riels = USD1).

SHAREHOLDER 1*
Name (as per I/C or Passport or F9/F13)
I/C or Passport No. or Company No.
Date of birth/ Date of incorporation
Address (residential/ registered office)



Business occupation
No. of shares held & %
SHAREHOLDER 2*
Name (as per I/C or Passport or F9/F13)
I/C or Passport No. or Company No.
Date of birth/ Date of incorporation
Address (residential/ registered office)



Business occupation
No. of shares held & %
BANK ACCOUNT*
Name
Branch
Cheque signatory(ies)
Signing condition
REGISTERED OFFICE*
Address


CONTACTS*
Business Operation Address/
Correspondence Address



Tel No.
Fax No.
Email address
Website address
Person-in-charge

Note: Kindly provide us one clear copy of I.C or Passport for each director and shareholder. For corporate shareholder, please provide one copy of Certificate of Incorporation (Form 9) and Notice of Situation of Registered Office (Form 44) or its equivalent for companies incorporated outside Malaysia.