Cambodia Cashew Federation
Membership Application
English
ភាសាខ្មែរ
1. Personal Information
Name
Sex
Select
Male
Female
Other
Year Born
Current Address
Passport / National ID
Expire Date
Phone Number
2. Business Information
Name of Business
Office Address
Established Date
Phone
Email
3. Type of Business
Cashew Community
Processor
Process and Export
Export only
Import only
Service Provider
Input Supplier
Others
4. Production Capacity
RCN per day
RCN per month
RCN per year
Kernels per day
Kernels per month
Kernels per year
5. Processing Equipment
RCN Calibrator
Boiler
Steaming Tank
Deshell Machines
Dryer
Re-humidity
Peeling Machines
Color & Size Sorter
Fumigate Room
X-ray
Packing Machine
Metal Detector
Other Equipment (Specify)
6. Certifications
GMP / GHP
HACCP
ISO22000
HALAL
Kosher
Vegan
Organic (USDA/NOP/JAS)
BRCGs
FSCC22000
Fair Trade
Sedex
SA8000
Others
7. Service Provider / Input Supplier Details
Type of Business
Capacity of Service / Supply
8. Declaration
Date
Signature
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Electronic Signature
Type your full legal name
I agree this typed name represents my legal electronic signature.
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