Home
About Us
Program
Youth Organizing and Empowerment
Research and Advocacy Program
Get Involved
Become Member
Internship
Volunteer
emploment
media & publication
News and Update
CYN in News
Statement / Press Release
Blog
Report & Publication
Video
Gallery
CYN-Policy
Contact Us
Donation
Search for:
Home
About Us
Program
Youth Organizing and Empowerment
Research and Advocacy Program
Get Involved
Become Member
Internship
Volunteer
emploment
media & publication
News and Update
CYN in News
Statement / Press Release
Blog
Report & Publication
Video
Gallery
CYN-Policy
Contact Us
Donation
Membership Application
Personal Information
Already a member?
Login
Full Name
Khmer Name
English Name
Nationality
Gender
Gender
Male
Female
Male
Female
Male
Female
Date of Birth
Place of Birth
Capital/Province
Capital/Province
Banteay Meanchey
Battambang
Kampong Cham
Kampong Chhnang
Kampong Speu
Kampong Thom
Kampot
Kandal
Koh Kong
Kratie
Mondul Kiri
Phnom Penh
Preah Vihear
Prey Veng
Pursat
Ratanak Kiri
Siemreap
Preah Sihanouk
Stung Treng
Svay Rieng
Takeo
Oddar Meanchey
Kep
Pailin
Tboung Khmum
District/Khan
District/Khan
Commune/Sangkat
Commune/Sangkat
Village
Village
Current Address
Capital/Province
Capital/Province
Banteay Meanchey
Battambang
Kampong Cham
Kampong Chhnang
Kampong Speu
Kampong Thom
Kampot
Kandal
Koh Kong
Kratie
Mondul Kiri
Phnom Penh
Preah Vihear
Prey Veng
Pursat
Ratanak Kiri
Siemreap
Preah Sihanouk
Stung Treng
Svay Rieng
Takeo
Oddar Meanchey
Kep
Pailin
Tboung Khmum
Banteay Meanchey
Battambang
Kampong Cham
Kampong Chhnang
Kampong Speu
Kampong Thom
Kampot
Kandal
Koh Kong
Kratie
Mondul Kiri
Phnom Penh
Preah Vihear
Prey Veng
Pursat
Ratanak Kiri
Siemreap
Preah Sihanouk
Stung Treng
Svay Rieng
Takeo
Oddar Meanchey
Kep
Pailin
Tboung Khmum
Banteay Meanchey
Battambang
Kampong Cham
Kampong Chhnang
Kampong Speu
Kampong Thom
Kampot
Kandal
Koh Kong
Kratie
Mondul Kiri
Phnom Penh
Preah Vihear
Prey Veng
Pursat
Ratanak Kiri
Siemreap
Preah Sihanouk
Stung Treng
Svay Rieng
Takeo
Oddar Meanchey
Kep
Pailin
Tboung Khmum
District/Khan
District/Khan
Commune/Sangkat
Commune/Sangkat
Village
Village
Home No
Street No
Personal Contact
Contact Number
Relative Contact Number
Guardianship Contact
Email
Facebook
Khmer ID
Family Status
Single
Married
Education Information
University/institute (I)
Education Level
Skill
University/institute
Study schedule
Morning
Afternoon
Night
Weeekend
University/institute (II)
Education level
Skill
University/institute
Study schedule
Morning
Afternoon
Night
Weeekend
Rest day from study
Rest day
Rest day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Rest time
Rest time
Full Day
Morning
Afternoon
7:00-8:00 am
8:00-9:00 am
9:00-10:00 am
10:00-11:00 am
11:00-12:00 am
12:00-1:00 pm
1:00-2:00 pm
2:00-3:00 pm
3:00-4:00 pm
4:00-5:00 pm
5:00-6:00 pm
6:00-7:00 pm
7:00-8:00 pm
Employment Information
Current Employment
Organization/institution
Rest day from work
Rest day from work
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Rest time from work
Rest time from work
Full Day
Morning
Afternoon
7:00-8:00 am
8:00-9:00 am
9:00-10:00 am
10:00-11:00 am
11:00-12:00 am
12:00-1:00 pm
1:00-2:00 pm
2:00-3:00 pm
3:00-4:00 pm
4:00-5:00 pm
5:00-6:00 pm
6:00-7:00 pm
7:00-8:00 pm
Membership Information
Type of Membership*
Reserve member
Yearly Contribution*
20,000 Riels or 5 USD
User Account To Access
Create Username
Please Add Username / Email / Phone number
Create Password
Please Create Password
Confirm Password
Password must at less have 6 characters and number with special character
Drop photo or click to upload.
File Drag/Drop is not supported for this browser.
W: 500px & H: 500px
Commenting for Cambodian Youth Network
Submit
MMMMMMM