Membership Application Form
We would like
NGO Type:
Date registered in Cambodia:
With Ministry:
Name of all current Donor/Supporter:
Total Current Annual Budget:
About your NGO Profile
Full organization’s name (Khmer Language)
Full organization’s name (Foreign Language)
Acronym (Khmer and/or Foreign Language)
Vision
Mission
Value
Goal/aim/purpose
Organization’s history
Main sector (s)
Number of Staff
Total Staff
Female
Total Local Staff
Female
Total Expat Staff
Female
Project/Program (list down the title of your program or/and project)
Location Covered
Location#ProjectsLocation#ProjectsLocation#Projects
Beneficiaries number (approximate number at the time apply for CCC membership)
Total Direct
Female
Total Indirect
Female
Types of Beneficiaries:
Organization Contact
1) Office Contact
Address
Tel
H/P
PO Box
Fax
Email
Website
2) Executive Director/Country representative
Name
Position
Email
H/P
3) Primary contact for program
Name
Position
Email
H/P
4) Focal Person for Engage with CCC meetings
Name
Position
Email
H/P
5) Contact Person for Receiving Email of Grant/Funding Opportunity
Name
Position
Email
H/P
Expert Staff Contact
1) Human Resource
Name
Position
Email
H/P
2) Financial
Name
Position
Email
H/P
3) M&E
Name
Position
Email
H/P
4) ICT
Name
Position
Email
H/P
Membership’s pledge​​​​

I have read the CCC By-laws. I have fully understood principles, terms and conditions as stated in the By-laws and I and my organization commit to follow and comply with them.
Attachment File
Event Calendar
14 Sep 2025, IVCO 2025
16 Sep 2025, Tax Working Group meeting
30 Sep 2025, Environmental, Social, and Governance (ESG)
30 Sep 2025, HR learning forum
10 Oct 2025, ICT Learning Forum