Pre - Register for Lucky Draw of Wedding Fair 5th (ពិព័រណ៍អាពាហ៍ពិពាហ៍លើកទី៥)
Event: Wedding Fair 5th
Date: 14-15-16 February 2020
Time: 10am - 9pm
Venue: Olympia Mall

*** ANUSSA reserves the rights to make change on this form.
Full Name (ឈ្មោះពេញ) *
Your answer
Age​ (អាយុ) *
Your answer
Sex (ភេទ) *
Name of Your Company / Institute (ឈ្មោះក្រុមហ៊ុន ឬ វិទ្យាស្ថាន) *
Your answer
Current Title & Department (មុខតំណែង និង អង្គភាព) *
(Current Title: Business Owner, Manager, Executive,... and Department: Sales, Marketing, Finance, HR,...)
Your answer
Contact Number​​​ (លេខទំនាក់ទំនង) *
Your answer
Email Address (អ៊ីម៉ែល) *
Your answer
Are you married yet? (តើអ្នករៀបការហើយឬនៅ?) *
If Yes, Please Skip below questions (ប្រសិនចម្លើយអ្នក បាទ/ចាស សូមរំលងសំណួរខាងក្រោម)
When will you get married? (តើអ្នកមានគំរោងរៀបអាពាហ៍ពិពាហ៍នៅពេលណា?) *
Example : In 1 or 3 months, in 1-2 years or exact date of your wedding (ក្នុងរយៈពេល១ទៅ៣ខែទៀត ឬ១ទៅ២ឆ្នាំ ឬសូមបញ្ជាក់ថ្ងៃកំណត់ច្បាស់លាស់នៃអាពាហ៍ពិពាហ៍របស់អ្នក)
Your answer
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