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3. CONTACTPERSON:

3.1 NAME : ................ ...... POSITION : ..........

3.2 NAME:.. . . . . . . . . . . . . . . . . . . . . POSITION: . . . . . . . . . .

4. BUSINESS TYPE:

O MANUFACTURER O EXPORTER OINTERTRADER O TRADINGFIRM

O OTHERS (PLEASE SPECIF9

5, THE COMPATIY'S OWN BRAND NAMES : ...............

6. SHARE HOLDER:

7. MAIN PRODUCT (S)

THAI . . . . . . . . . . . . . . . . . . .o FOREIGNER . . . . , . . . . . . . . . , . . . . .o

Consumer Goods Capital and Intermedlate Goods

El Cnna""n Products, Games & Toys

El rooo Products & Beverages

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E Garment, Textite & Fashion Accesrorles

E Cit & Decorative Items &Stationery Products

E Heatth & Beauty & Pharmaceutical &Sanitary Products

E Household Products and Kitchenware

E lu"tn". Products & Footwear

E oropProducts

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E Agricuttural Products & Equipment

E Constructlon Material & Hardware

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E f"o."ging & Printing

Services Others

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LJ Spa and Beauty Service

E Otn"" Services (pleare specig).......

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E-mail : tte@depthai.go.th

Office of Commercial Affairs, Royal Thai Embassy

196, M.V. Preah Norodom Boulevard, Sangkat Tonle Bassac, Khan Chamkar Mon Phnom Penh, CAMBODIA

Tel : (001 oretc.X855-23)726304,994314 Fax:(001 oretc. ) (855-23)726305

E-mail : thaicompnh(@.ronline.com.kh.,thaitcphnonpenh(gdepthai.go.th

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