Address: Land Lot No: 771-773, Prah Monivong Blvd, Sangkat Boeung Trabek, Khan Chamkarmon, Phnom Penh,
Tel/Fax: (855) 23215660/23 215 277, Homepage: www.mlmupc.gov.kh, Email: mlmupc.cabinet@gmail.com

KINGDOM OF CAMBODIA
NATION RELIGION KING
Ministry of Land Management, Urban Planning and Construction
No.: 033 D.N.S./Br.K
PRAKAS ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING LICENSE, GRANTING A NEW COPY
OF, TERMINATING AND RENEWING CONSTRUCTION CERTIFIER LICENSE
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction- Having seen the Constitution of Kingdom of Cambodia;- Having seen the Royal Decree No NS/RKT/0918/925 dated 6 September 2018 on the appointmentof the Royal Government of the Kingdom of Cambodia;- Having seen the Royal Decree No NS/RKT/0320/421 dated 30 March 2020 on the appointment
and modification of the composition of the Royal Government of the Kingdom of Cambodia;- Having seen the Royal Kram No NS/RKM/0618/12 dated 28 June 2018 promulgating the Law on
the Organization and Functioning of the Council of Ministers;- Having seen the Royal Kram No NS/RKM/0699/09 dated 23 June 1999 promulgating the Law on
the Establishment of the Ministry of Land Management, Urban Planning and Construction;- Having seen the Royal Kram No NS/RKM/1119/019 dated 2 November 2019 promulgating theLaw on Construction;- Having seen Sub-decree No 62 ANKr.BK dated 20 July 1999 on the Organization and Functioningof the Ministry of Land Management, Urban Planning, and Construction;- Having seen Sub-decree No 42 ANKr.BK dated 3 April 2015 on the Urbanization of the Capital,
Municipalities and Urban Areas;- Having seen Sub-decree No 76 ANKr.BK dated 9 June 2015 on the Modification of Article 30,
Article 34, Article 38, Article 50, Article 66, Article 74 and Article 82 of Sub-decree No 42 ANKr.BK
dated 3 April 2015 on the Urbanization of the Capital, Municipalities and Urban areas;- Having seen Sub-decree No 224 ANKr.BK dated 30 December 2020 on Building Permits;- Having seen Sub-decree No 225 ANKr.BK dated 30 December 2020 on the Conditions andProcedures for Construction Certification;- Having seen Sub-decree No 226 ANKr.BK dated 30 December 2020 on the Conditions andProcedures for Granting, Suspending and Revoking Certificate of Occupancy; and- Referring to the needs of the Ministry of Land Management, Urban Planning and Construction,
HEREBY DECIDES
CHAPTER 1
General Provisions
Article 1
This Prakas determines the formalities and time frames for granting, granting a new copy of,terminating and renewing the construction certifier license with the intention to enforce Sub-decree
No 225 ANKr.BK dated 30 December 2020 on the Conditions and Procedures for Construction
Certification.
Article 2
Key terms used in this Prakas are defined as follows:
1. One Window Service refers to the One Window Service of the Ministry of Land Management,
Urban Planning and Construction.
Page 1 of 42

2. A legal representative of a company refers to a company’s Director General, Director, Presidentof the Board of Directors or Governor whose surname and name are written in the company’s
statute.
3. Insurance certificate refers to a letter issued by an insurance company operating in theKingdom of Cambodia to assure liability for professional or business practice in construction
certification.
4. Certificate of occupancy refers to a permit granted by the competent authority to a
construction owner to use, lease or conduct business with the construction.
5. Certificate of registration at a professional board refers to a Certificate of Registered Architect,
Certificate of B.A.C Architect, Certificate of Registration as ASEAN ARCHITECT, Certificate ofRegistration for Foreign Architect, Certificate of Registered Engineer, Certificate of Professional
Engineer, Certificate of Registration for Foreign Engineer and Certificate of Registration for
Foreign Professional Engineer.
6. License refers to a construction certifier license.
7. Licensee refers to a professional or company who/which receives the rights granted by a license
and whose surname and name or name are/is written on the license.
8. Construction certifier refers to a team of the Ministry of Land Management, Urban Planningand Construction, a professional or company who/which has a construction certifier license
granted by the Minister of Land Management, Urban Planning and Construction to carry out
construction certification work.
9. Professional refers to an architect and engineer who applies for the license and the technicaldirector or technician of a company which applies for the license.
10. Work experience document refers to a job contract, a letter or another document which
provides information on the work that a professional has carried out in the past, such as field ofspecialization, duration, location, and employer’s identity.
11. Long-term residence document refers to a visa of at least 12 months stay for non- immigrantforeign business persons, i.e., E1EX, E2EX, E3EX, EB visas, for non- immigrant foreign specialized
technicians, i.e., ET visas, and for non-immigrant foreign students, i.e., ES visas.
CHAPTER 2
Formality and Time Frame for Granting a License

Article 3
The license application documents for a professional are as follows:
1. License application
1 copy2. Khmer Identity Card or passport and visa (duplicated copy)
1 copy3. Degree(s) certificate (duplicated copy)
1 copy4. Work experience document (duplicated copy)
1 copy5. Certificate of registration at a relevant professional board (duplicated copy)
1 copy6. Insurance certificate or document verifying a deposit at the National Bank of Cambodia(duplicated copy)
1 copy7. Letter of assurance of the applicant
1 copyA professional who holds a design license may apply for a construction certifier license in the casewhere he/she fulfils the conditions required for granting a construction certifier license.
The template for the license application for a professional is in the Annex 1 of this Prakas.
The template for the letter of assurance of a professional applicant is in the Annex 2 of this Prakas.
Article 4
The license application documents for a company are as follows:
A. Company-related documents
1. License application
1 copy2. Company statute (duplicated copy)
1 copy3. Certificate of commercial registration (duplicated copy)
1 copy4. List of the technical director and technicians
1 copyPage 2 of 42

5. Insurance certificate or document verifying a depositat the National Bank of Cambodia (duplicated copy)

B. Governor-related documents

Khmer Identity Card or passport and visa (duplicated copy)

C. Technical director-related documents
1. Khmer Identity Card or passport and visa (duplicated copy)
2. Degree(s) certificate (duplicated copy)
3. Work experience document (duplicated copy)
4. Certificate of registration at a professional board (duplicated copy)
5. Technical director’s letter of assurance
D. Technician-related documents
1. Khmer Identity Card or passport and visa (duplicated copy)
2. Degree(s) certificate (duplicated copy)
3. Work experience document (duplicated copy)
4. Certificate of registration at a professional board (duplicated copy)
5. Technician’s letter of assurance

1 copy1 copy1 copy1 copy1 copy1 copy1 copy1 copy1 copy1 copy1 copy1 copyThe template for the license application for a company is in the Annex 3 of this Prakas.
The template for the letter of assurance of a company representative is in the Annex 4 of this Prakas.
The template for the letter of assurance of the technical director is in the Annex 5 of this Prakas.
The template for the letter of assurance of a technician is in the Annex 6 of this Prakas.
The template for the list of the technical director and technicians is in the Annex 7 of this Prakas.
Article 5
Work experience document of a professional shall indicate work experience as the technical directorof a design or building company, a designer, project director, project manager, construction sitemanager or head of a construction site.
In the application documents for General Construction Certifier License Level 1 and Construction
Certifier License for Structure Level 1, work experience document of the technical director in the fieldof structural engineering shall indicate work experience in at least 1 tall building project for thetechnical director holding a doctoral degree, at least 3 such projects for the technical director holding
a master’s degree or at least 7 such projects for the technical director holding a bachelor’s degree.
In the application documents for General Construction Certifier License Level 1 and Construction
Certifier License for Structure Level 1, work experience document of a technician in the field ofgeology shall indicate work experience in at least 1 construction project whose underground floor’s
depth is more than 10 meters for the technician holding a doctoral degree, at least 3 such projects forthe technician holding a master’s degree or at least 7 such projects for the technician director holding
a bachelor’s degree.
Article 6
The calculation of work experience duration of a professional shall be done as follows:- 7 years of work experience as a professional holding a doctoral degree and 12 years of work
experience as a professional holding a master’s degree are equivalent to 20 years of work
experience as a professional holding a bachelor’s degree;- 3 years of work experience as a professional holding a doctoral degree and 7 years of work
experience as a professional holding a master’s degree are equivalent to 15 years of work
experience as a professional holding a bachelor’s degree;- 2 years of work experience as a professional holding a doctoral degree and 5 years of work
experience as a professional holding a master’s degree are equivalent to 10 years of work
experience as a professional holding a bachelor’s degree;- 1 year of work experience as a professional holding a doctoral degree and 3 years of work
experience as a professional holding a master’s degree are equivalent to 7 years of work
experience as a professional holding a bachelor’s degree.
Any work done by a professional before the issuance date of his/her bachelor’s degree shall not be
included in the calculation of the work experience duration.
The work experience duration of a professional shall be the sum of the durations stated in all work
Page 3 of 42

experience documents.
In the case where a professional has held a full-time job, the work experience duration shall becalculated as years as indicated in the work experience document.
In the case where a professional has held a part-time job, the work experience duration shall becalculated as years in which 1 year is equivalent to at least 2000 hours of work done by theprofessional.
Article 7
A company’s legal representative and a professional who applies for a license shall directly sign thelicense application.
Every document in the application documents shall be made in the Khmer language. Any document in
a foreign language shall be translated into the Khmer language and certified by a notary.
Every duplicated document shall be legalized by the Capital, provincial, municipal, district or Khanadministration or by a notary.
A degree issued by a foreign higher education institution shall be certified by the Ministry of Education,
Youth and Sport of the Kingdom of Cambodia.
Article 8
The license application documents shall be filed at the One Window Service.
The One Window Service shall review the license application documents on the same day that they are
filed.
Article 9In the case where the license application documents are sufficient and correct in form, the One
Window Service shall carry out the following:
1. Write the entry number and date in the entry number log book of the One Window Service andtranscribe the number and date on the license application;
2. Produce an application receipt with the entry number and date and the signature of the
responsible official;
3. Hand over the original copy of the application receipt with the entry number and date to theapplicant within the same day that the application documents are reviewed; and4. Make 2 duplicated copies of the license application documents.
Article 10
In the case where it is found that the license application documents are insufficient or incorrect inform, the One Window Service official shall carry out the following:
1. Clearly fill in the application document checklist to indicate the insufficiency or incorrectness ofthe documents;
2. Write the date, signature and name of the official responsible for reviewing the documents on
the filled-in application document checklist; and3. Hand over the filled-in application document checklist with the date, signature, and name of theofficial responsible for reviewing the application documents to the applicant within the same daythat the application documents are reviewed.
The template for the license application document checklist for a professional is in the Annex 8 of thisPrakas.
The template for the license application document checklist for a company is in the Annex 9 of thisPrakas.
Article 11
Reviewing and approving the license application documents shall take at most 20 working days, fromthe day of issuing the application receipt, according to the following time frames:
1. The One Window Service shall send the application documents to the General Department ofConstruction within 2 working days, at the latest, from the day of issuing the application receipt;
2. The General Department of Construction having the Department of Construction TechnicalResearch as the operating body shall produce a written note on the license application
documents attached with a draft license within 10 working days, at the latest, from the day ofreceiving the application documents from the One Window Service;
3. The written note on the license application shall be submitted for approval in hierarchical order
Page 4 of 42

to receive comments and decision of the Ministry within 6 working days, at the latest, from theday of receiving the application documents from the General Department of Construction; and4. The One Window Service shall number, date and stamp the draft license to hand over to theapplicant within 2 working days, at the latest, from the day of receiving the decision of the
Ministry of Land Management, Urban Planning and Construction.
Article 12
In the case where the General Department of Construction finds that the license application
documents are incorrect, the General Department of Construction shall carry out the following:
1. The General Department of Construction having the Department of Construction TechnicalResearch as the operating body shall produce a notification letter for the applicant to makemodification or addition and send it to the One Window Service within 5 working days, at thelatest, from the day of receiving the application documents from the One Window Service; and2. The One Window Service shall invite the applicant to take the notification letter on therequirement to make modification or addition to the license application documents within 1
working day, at the latest, from the day of receiving the letter from the General Department ofConstruction.
The period of modifying or supplementing documents to the application documents shall not be
included in the time frames for reviewing and approving the license application. The time frames forreviewing and approving the license application in the case of modifying or supplementing documents
to the application documents shall be restarted, starting from the day that the One Window Service
issues the receipt for the modified or added application documents.
Article 13
The types and levels of the license that can be granted to a professional are as follows:
1. Construction Certifier License for Architecture Level 3;
2. Construction Certifier License for Structure Level 3;
3. Construction Certifier License for Mechanics, Electricity and Plumbing Level 3 in the specializationof mechanics;
4. Construction Certifier License for Mechanics, Electricity and Plumbing Level 3 in the specializationof electricity; and5. Construction Certifier License for Mechanics, Electricity and Plumbing Level 3 in the specializationof plumbing;The sample license for a professional is in the Annex 10 of this Prakas.
The types and levels of the license that can be granted to a company are as follows:
1. General Construction Certifier License Level 1;
2. General Construction Certifier License Level 2;
3. Construction Certifier License for Architecture Level 1;
4. Construction Certifier License for Architecture Level 2;
5. Construction Certifier License for Structure Level 1;
6. Construction Certifier License for Structure Level 2;
7. Construction Certifier License for Mechanics, Electricity and Plumbing Level 1; and8. Construction Certifier License for Mechanics, Electricity and Plumbing Level 2.
The sample license for a company is in the Annex 11 of this Prakas.
CHAPTER 3
Formality and Time Frame for Notification

Article 14
A professional licensee shall notify in writing the Ministry of Land Management, Urban Planning andConstruction in the case of any change of status in the construction certifier license application.
The template for the letter of notification on the change of status of a professional licensee is in the
Annex 12 of this Prakas.
Article 15
A company licensee shall notify in writing the Ministry of Land Management, Urban Planning andConstruction in the following cases:
Page 5 of 42

1. Replacing the governor;
2. Amending the statute;
3. Relocating the business head office;
4. Changing the contact telephone number and email address;
5. Changing the insurance certificate; or
6. Changing the amount of deposit at the National Bank of Cambodia.

In the case of replacing the governor, amending the statute, changing the insurance certificate andchanging the amount of deposit at the National Bank of Cambodia, the letter of notification on thechange of status of the company shall be attached with relevant documents.
The template for the letter of notification on the change of status of a company licensee is in the
Annex 13 of this Prakas.
CHAPTER 4
Formality and Time Frame for Replacing a Company’s Technical Director and Technician
Article 16
The application documents for a company’s technical director and/or a technician replacement are as
follows:
1. Application for the technical director and/or a technician replacement
1 copy2. New technical director’s and/or new technician’s Khmer Identity Card or passport and visa
(duplicated copy)
1 copy3. New technical director’s and/or new technician’s degree(s) (duplicated copy)
1 copy4. New technical director’s and/or new technician’s work experience document
1 copy5. New technical director’s and/or new technician’s certificate of registration at a professional board(duplicated copy)
1 copy6. New technical director’s and/or new technician’s letter of assurance
1 copy7. The old license (in the case of applying for the technical director replacement)
1 copyThe template for the application for a company’s technical director and/or technician replacement isin the Annex 14 of this Prakas.
Article 17
The Ministry of Land Management, Urban Planning and Construction issues a notification letterattached with a new copy of the license to the licensee in the case where the company’s newtechnical director has fulfilled all the specified requirements.
The Ministry of Land Management, Urban Planning and Construction issues a notification letter to thelicensee in the case where the company’s new technician has fulfilled all the specified requirements.
A new copy of the license shall specify the expiry date of the old license that has been replaced.
An old license that has been replaced shall be nullified with a stamp.
The forms of the documents in the license application documents and the procedure for reviewing
and approving a license application shall also apply to those of an application for a company’s
technical director and/or a technician replacement.
CHAPTER 5
Formality and Time Frame for Granting a New Copy of the License

Article 18
A professional licensee may apply for a new copy of the license at the Ministry of Land Management,
Urban Planning and Construction in the following cases:
1. The license is lost, torn or damaged;
2. The professional’s surname and name are changed; or
3. The office is relocated.
Article 19
A company licensee may apply for a new copy of the license at the Ministry of Land Management, Urban
Planning and Construction in the following cases:
1. The license is lost, torn or damaged;
2. The company’s name is changed;
Page 6 of 42

3. The company’s head office is relocated; or
4. The president of the company is replaced.

Article 20
The application documents for a new copy of the license are as follows:
1. Application for a new copy of the license
1 copy2. Report of the license loss (duplicated copy) or the torn or damaged license or document(s) verifying
the change of status of the licensee as specified in the license
1 copyA report of the license loss shall be certified by a commune/Sangkat police post as having received thereport.
The template for the application for a new copy of the license for a professional is in the Annex 15 ofthis Prakas.
The template for the application for a new copy of the license for a company is in the Annex 16 of thisPrakas.
Article 21
A new copy of the license shall specify the expiry date of the old license that has been replaced.
A licensee shall bring the old license to exchange for a new copy of the license, except for the case oflicense loss.
An old license that has been replaced shall be nullified with a stamp.
The procedure for reviewing and approving a license application shall also apply to that of an
application for a new copy of the license.
CHAPTER 6
Formality and Time Frame for Terminating a License

Article 22
The application documents for a license termination are as follows:
1. Application for a license termination
1 copy2. License or complaint of the license loss or a torn or damaged license
1 copyA report of the license loss shall be certified by a commune/Sangkat police post as having received thecomplaint.
The template for the application for a license termination for a professional is in the Annex 17 of thisPrakas.
The template for the application for a license termination for a company is in the Annex 18 of thisPrakas.
Article 23
The Ministry of Land Management, Urban Planning and Construction decides to terminate a license by aPrakas. The terminated license shall be nullified with a stamp.
The procedure for reviewing and approving a license application shall also apply to that of an
application for a license termination.
CHAPTER 7
Formality and Time Frame for Renewing a License

Article 24
The application documents for a license renewal are as follows:
1. Application for a license renewal
2. Latest annual patent title (duplicated copy)
3. Latest annual review report (duplicated copy)

Page 7 of 42

1 copy1 copy1 copyIn the case where any document in the application documents for the first license and/or in thesubsequent license renewal application documents is modified, the application documents for alicense renewal shall include the new document(s) in accordance with the modification.
The template for the application for a license renewal for a professional is in the Annex 19 of thisPrakas.
The template for the application for a license renewal for a company is in the Annex 20 of this Prakas.
The template for the annual review report of a professional licensee is in the Annex 21 of this Prakas.
The template for the annual review report of a company licensee is in the Annex 22 of this Prakas.
Article 25
An application for a license renewal shall be filed at the One Window Service within 30 days, at thelatest, before the expiry date of the license.
The Ministry of Land Management, Urban Planning and Construction decides to renew a license by aPrakas attached with a new copy of the license. A new copy of the license shall keep the old license
number and the date of granting the first license and specify a new expiry date.
The procedure for reviewing and approving a license application shall also apply to that of an
application for a license renewal.
CHAPTER 8
Formality for Foreign Professionals and Companies

Article 26
The license application documents for foreign professionals shall also include work permit and longterm residence document in the Kingdom of Cambodia.
Article 27
A foreign company established under the laws of another country applying for a license in theKingdom of Cambodia shall have a letter of authorization as the representative agency signed by thecompany’s president.
For a foreign technical director and technician, the license application documents for a company shallalso include work permit and long-term residence document in the Kingdom of Cambodia of theforeign technical director and technician.
Article 28
Work experience documents of foreign professionals shall be certified by the relevant embassy or
consulate in the Kingdom of Cambodia.
CHAPTER 9
Complaints

Article 29
An individual who has a vested interest in the decision of the Minister of Land Management, Urban
Planning and Construction in granting the license, granting a new copy of the license, replacing atechnical director and/or technician, terminating the license and renewing the license has the right tofile a complaint to the Minister of Land Management, Urban Planning and Construction or to the court
according to the existing procedure.
CHAPTER 10
Transitional Provision

Article 30
The technical director or technician of a company which holds a certificate for design or certificate forbusiness practice can function as the technical director or technician of the company in order to fulfil
the role of a construction certifier in the case that the concerned technical director or technician fulfils
the requirements for granting a construction certifier license.
CHAPTER 11
Final Provisions

Article 31
Any provision which contradicts this Prakas shall be abrogated.
Page 8 of 42

Article 32
The Cabinet Director, Directors General, Inspectors General, Department Heads and unit chiefs under
the Ministry of Land Management, Urban Planning and Construction shall take charge of carrying out
this Prakas, according to their respective duties, starting from the day of signature.
Phnom Penh, 21 January 2021
Deputy Prime Minister
Minister of Land Management, Urban Planning and Construction
CHEA SOPHARA
To be distributed to:- Office of Council of Ministers- All ministries and institutions- Cabinet of Samdech Akka Moha Sena Padei Techo Prime Minister- Cabinets of Samdech, Excellencies, Lok Chum Teav, Deputy Prime Ministers“For information”- As in Article 32 “For implementation”- Royal Gazette- Archive

Page 9 of 42

ANNEX 1 OFPRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Construction Certifier License Application for a Professional****************************
Kingdom of Cambodia Nation Religion King
Application for Construction Certifier License
I, the undersigned, Sex:, Age:, Nationality:, holding Khmer Identity Card/Passport No.
with the Date of
Expiry:, having the office at #, St.
, Village:,
Commune/Sangkat:, Municipality/District/Khan:,
Capital/Province:, Email:, Phone Number: ;To
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction
Subject:

Application for Construction Certifier License

Level

;

Ref:

Prakas No.
_ DNS/Br.K dated_ January 2021 on the Formalities
and Time Frames for Granting, Granting a New Copy of, Terminating and Renewing
Construction Certifier License;

With regard to the abovementioned subject and reference, I would like to respectfully inform Your
Excellency Deputy Prime Minister that I have fulfilled the legally specified requirements to conduct
professional practice in construction certification forlevel.
I hereby declare that I shall practice in accordance with the laws and other legal norms as well as othertechnical standards and guidelines of the Ministry of Land Management, Urban Planning and Construction.
Please find the relevant documents in the attachments.
Please, Your Excellency Deputy Prime Minister, kindly review and approve my application.
Please accept, Your Excellency Deputy Prime Minister, the assurances of my highest consideration.
Done in, Date:Signature and Name

Page 10 of 42

ANNEX 2 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Letter of Assurance of a Professional Applicant****************************
Kingdom of Cambodia Nation Religion King
Letter of Assurance
I, the undersigned, Sex:, Age:, Nationality:, with permanent residence at #, St.
, Village:,
Commune/Sangkat:, Municipality/District/Khan: , Capital/Province:,
holding Khmer Identity Card/Passport No.
with the Date of Expiry:,
hereby assure that while performing the role of a construction certifier, I shall:
1. abide by the laws and relevant legal norms;
2. follow existing technical regulations;
3. practice independently and in accordance with the professional code of conduct in theconstruction sector and the code of conduct for construction certifiers;
4. not fulfil the role of the technical director or technician of any company; and5. follow the guidelines of and participate in the training sessions on work practice organized by
the Ministry of Land Management, Urban Planning and Construction.
Done in, Date:Signature and Name

Page 11 of 42

ANNEX 3 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Construction Certifier License Application for a Company****************************
Kingdom of Cambodia Nation Religion King
Application for Construction Certifier License
I, the undersigned, Sex:, Age:, Nationality:, holding Khmer Identity Card/Passport No.
with the Date of Expiry:, as the representative of the company:, withthe head office at #_, St.
, Commune/Sangkat: , Municipality/District/Khan:,
Capital/Province:, Email:,
Phone Number: _;To
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction
Subject:

Application forConstruction Certifier License
Level
;
Ref:
Prakas No.
_ DNS/Br.K dated_ January 2021 on the Formalities
and Time Frames for Granting, Granting a New Copy of, Terminating and Renewing Construction
Certifier License;
With regard to the abovementioned subject and reference, I would like to respectfully inform Your
Excellency Deputy Prime Minister that my company has fulfilled the legally specified requirements and canconduct business practice incertification level . construction
I hereby declare to practice in accordance with the laws and other legal norms as well as other technicalstandards and guidelines of the Ministry of Land Management, Urban Planning and Construction.
Please find the relevant documents in the attachments.
Please, Your Excellency Deputy Prime Minister, kindly review and approve my application.
Please accept, Your Excellency Deputy Prime Minister, the assurances of my highest consideration.
Done in, Date:Signature and Name of Representative andStamp of the Company

Page 12 of 42

ANNEX 4OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Letter of Assurance of the Company Representative****************************
Kingdom of Cambodia Nation Religion King
Letter of Assurance
I, the undersigned, Sex:, Age:, Nationality:, with permanent residence at #, St.
, Village:,
Commune/Sangkat:, Municipality/District/Khan: , Capital/Province:,
holding Khmer Identity Card/Passport No.
with the Date of Expiry:,as the representative of the company:, hereby assure that while performing the role of aconstruction certifier, my company shall:
1. abide by the laws and relevant legal norms;
2. follow existing technical regulations;
3. practice independently and in accordance with the code of conduct for construction
certifiers; and4. follow the guidelines of and assign the technical director and/or technician(s) to participate in the
training sessions on work practice organized by the Ministry of Land Management, Urban Planningand Construction.
Done in, Date:Signature and Name of Representative andStamp of the Company

Page 13 of 42

ANNEX 5 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Letter of Assurance of the Technical Director****************************
Kingdom of Cambodia Nation Religion King
Letter of Assurance
I, the undersigned, Sex:, Age:, Nationality:, with permanent residence at #, St.
, Village:,
Commune/Sangkat:, Municipality/District/Khan: , Capital/Province:,
holding Khmer Identity Card/Passport No.
with the Date of Expiry:,
hereby assure that I have agreed to perform the role of the technical director of the company:, starting from (date).
While performing the role of the technical director, I shall:
1. abide by the laws and relevant legal norms;
2. follow existing technical regulations;
3. practice independently and in accordance with the professional code of conduct in the construction
sector and the code of conduct for construction certifiers;
4. not fulfil the role of the technical director or technician of another company; and5. follow the guidelines of and participate in the training sessions on work practice organized by the
Ministry of Land Management, Urban Planning and Construction.
Done in, Date:Signature and Name

Done inHaving seen and approved, Date:Signature and Name of Representativeand Stamp of the Company

Page 14 of 42

ANNEX 6 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Letter of Assurance of a Technician****************************
Kingdom of Cambodia Nation Religion King
Letter of Assurance
I, the undersigned, Sex:, Age:, Nationality:, with permanent residence at #, St.
, Village:,
Commune/Sangkat:, Municipality/District/Khan:,
Capital/Province:, holding Khmer Identity Card/Passport No.
withthe Date of Expiry:, hereby assure that I have agreed to perform the role of atechnician of the company:, startingfrom (date).
While performing the role of a technician, I shall:
1. abide by the laws and relevant legal norms;
2. follow existing technical regulations;
3. practice independently and in accordance with the professional code of conduct in theconstruction sector and the code of conduct for construction certifiers;
4. not fulfil the role of the technical director or technician of another company; and5. follow the guidelines of and participate in the training sessions on work practice organized by
the Ministry of Land Management, Urban Planning and Construction.
Done in, Date:Signature and Name

Done inHaving seen and approved, Date:Signature and Name of Representative and Stamp of the Company

Page 15 of 42

ANNEX 7OFPRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the List of the Technical Director and Technicians****************************
Kingdom of Cambodia Nation Religion King
Name of company:
Commercial registration number:
Applying for:Construction Certifier License

dated

Level:

List of the Technical Director and Technicians of the Company
No. Surname and name Sex
Position/Role
Degree(s) Specialization
1
2
3
4
5
6
7
8
9

Technical Director
Technician
Technician
Technician
Technician
Technician
Technician
Technician
Technician

years
years
years
years
years
years
years
years
years

I hereby declare before the law that the above information is true and correct.
Done in

Experience, Date:Signature and Name of Representative andStamp of the Company

Page 16 of 42

ANNEX 8 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the License Application Document Checklist for a Professional****************************
Kingdom of Cambodia Nation Religion King
Ministry of Land Management, Urban Planning and Construction
General Department of Administration One Window Service
Checklist for Construction Certifier License Application Documents for a ProfessionalNo.
List of documents
Copy
Copy
requiredreceived
1
2
3
4
5

6
7
8

9

License application
Khmer Identity Card or passport and visa (duplicatedcopy)
Degree(s) certificate (duplicated copy)
Work experience document (duplicated copy)
Certificate of registration at a relevant professionalboard (duplicated copy)
Insurance certificate or document verifying adeposit at the
National Bank of Cambodia (duplicated copy)
Letter of assurance of the professional applicant
Work permit (in the case of foreign
professional; duplicated copy)Long-term residence document in the Kingdom of
Cambodia (in the case of foreign professional;
duplicated copy)

Incorrectness
in form

1
1
1
1
1

1
1
1

1

Conclusion on the construction certifier license application documents: Sufficient □Insufficient □Incorrect in form □Instructions from the One Window Service in the case of insufficient documents and/or incorrectness inform:

Done in Phnom Penh, Date:
Signature and Name of Reviewing Official

Page 17 of 42

ANNEX 9OFPRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the License Application Document Checklist for a Company****************************
Kingdom of Cambodia Nation Religion King
Ministry of Land Management, Urban Planning and Construction
General Department of Administration One Window Service
Checklist for Construction Certifier License Application Documents for a Company
List of documents
Copy
Copy
Incorrectness
required received in form
A. Company-related documents
1
License application
1
2
Company statute (duplicated copy)
1
3
Certificate of commercial registration (duplicated copy)
1
4
List of the technical director and technicians1
Insurance certificate (duplicated copy) or document5
verifying a deposit at the National Bank of Cambodia
1(duplicated copy)
Letter of authorization verifying the legality of the
6
representative agency if the company is established1
under the law of another country
B. Governor-related documents
1
Khmer Identity Card or passport and visa (duplicated1copy)
C. Technical director-related documents
1
Khmer Identity Card or passport and visa (duplicated
1
copy)
2
Degree(s) certificate (duplicated copy)
13Work experience document (duplicated copy)
1
4
Certificate of registration at a professional board
1(duplicated copy)
5
Technical director’s letter of assurance
1
6Work permit (in the case of foreign professional;
1
duplicated copy)Long-term residence document in the Kingdom of
7
Cambodia (in the case of foreign professional; duplicated
1
copy)
No.

Page 18 of 42

D. Technician-related documents
1
Khmer Identity Card or passport and visa (duplicatedcopy)
2
Degree(s) certificate (duplicated copy)
3
Work experience document (duplicated copy)
4
Certificate of registration at a professional board(duplicated copy)
5
Technician’s letter of assurance
6
Work permit (in the case of foreign professional;
duplicated copy)Long-term residence document in the Kingdom of
7
Cambodia (in the case of foreign professional;
duplicated copy)

1
1
1
1
1
1

1

Conclusion on the construction certifier license application documents:
Sufficient □Insufficient □Incorrect in form □Instructions from the One Window Service in the case of insufficient documents and/or incorrectness
in form:

Done in Phnom Penh, Date:
Signature and Name of Reviewing Official

Page 19 of 42

ANNEX 10 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING
AND RENEWING CONSTRUCTION CERTIFIER LICENSE
Sample License for a Professional
Kingdom of Cambodia
Ministry of Land Management, Urban Planning, and Construction
Nation Religion King
No:…………………………………….
CONSTRUCTION CERTIFIER LICENSE
Name and Surname…………………… Sex……
Construction Certifier License No:…………….
Date of Birth…………….…, Nationality:………
Class:…………………………Level:………….
ID/Passport No:………………… Dated…………. First Issue Date:………………..
Permanent Residence.……………………………………
Valid until:………………….
Professional ID No:…………………, Dated…………
The licesee shall observe and comply with
relevant laws and regulations of the Kingdomof Cambodia.
Phnom Penh,……………………….
Minister[Bar code]

Page 20 of 42

ANNEX 11 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSE
Sample License for a Company
Kingdom of Cambodia
Ministry of Land Management, Urban Planning, and Construction
Nation Religion King
No:…………………………………….
CONSTRUCTION CERTIFIER LICENSE
Company Name.………………………………………
Construction Certifier License No:…………….
Company Registration No …..…………Dated………… Class…….………Level:………….
Head Office…..…………………………………............. First Issue Date:………………..
President/CEO……………………………………
Valid until:………………….
Professional ID No…………………, Dated…………
Technical Director…………………………………….
The licesee shall observe and comply with relevant laws and regulations of the Kingdom of
Cambodia.
Phnom Penh,……………………….
Minister[Bar code]

Page 21 of 42

ANNEX 12 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Letter of Notification on the Change of Status of a Professional Licensee****************************
Kingdom of Cambodia Nation Religion King
Letter of Notification on the Change of Status of a Professional Licensee
I, the undersigned
License, holding Construction Certifier
Level ;

No.

To
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction
Subject:
Ref:

Notification of the change of status of a professional licensee;
Prakas No.
_ DNS/Br.K dated_ January 2021 on theFormalities and Time Frames for Granting, Granting a New Copy of, Terminating andRenewing Construction Certifier License;

With regard to the abovementioned subject and reference, I would like to respectfully inform Your
Excellency Deputy Prime Minister of the change of my status as follows:□ New office address: #, St.
, Village
Commune/Sangkat, Municipality/District/Khan
Capital/Province;□ New Email address:; New phone number:□ Others:
Please, Your Excellency Deputy Prime Minister, kindly be informed.
Please accept, Your Excellency Deputy Prime Minister, the assurances of my highest consideration.
Done in, Date:Signature and Name

Page 22 of 42,;;

ANNEX 13 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING
AND RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Letter of Notification on the Change of Status of a Company Licensee****************************
Kingdom of Cambodia Nation Religion King
Letter of Notification on the Change of Status of a Company Licensee
I, the undersigned, the representative of the company:, holdingConstruction Certifier
License
No.
Level
;
To
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction
Subject:
Ref:

Notification of the change of status of a company licensee;
Prakas No.
_ DNS/Br.K dated_ January 2021 on theFormalities and Time Frames for Granting, Granting a New Copy of, Terminating andRenewing Construction Certifier License;

With regard to the abovementioned subject and reference, I would like to respectfully inform Your
Excellency Deputy Prime Minister of the change of my company’s status as follows:□ Name of company’s new governor:, Sex:;□ New or modified statute dated;□ New head office address: #, St. , Village
Commune/Sangkat, Municipality/District/Khan, Capital/Province;□ New Email address:; New phone number:;□ Changed insurance certificate:;□ Changed amount of deposit at the National Bank of Cambodia;
Please find the relevant documents in the attachments.
Please, Your Excellency Deputy Prime Minister, kindly be informed.
Please accept, Your Excellency Deputy Prime Minister, the assurances of my highest
consideration.
Done in, Date:Signature and Name of Representative andStamp of the Company

Page 23 of 42

ANNEX 14 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Application for a Company’s Technical Director and/or Technician
Replacement****************************
Kingdom of Cambodia Nation Religion King
Application for a Company’s Technical Director and/or Technician Replacement
I, the undersigned, the representative of the company:, holdingConstruction Certifier
License
No.
Level
;
To
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction
Subject:
Ref:

Application for the replacement of the company’s technical director and/or
technician(s);Prakas No.
_ DNS/Br.K dated_ January 2021 on theFormalities and Time Frames for Granting, Granting a New Copy of, Terminating andRenewing Construction Certifier License;

With regard to the abovementioned subject and reference, I would like to respectfully inform Your
Excellency Deputy Prime Minister that my company has recruited new technical director and/or
technician(s) as follows:
1. Mr./Ms.
, as the new technical director replacing
Mr./Ms
;2. Mr./Ms.
, as a new technician replacing
Mr./Ms
;3. Mr./Ms.
, as a new technician replacing
Mr./Ms
;4. Mr./Ms.
, as a new technician replacing
Mr./Ms
;5. Mr./Ms.
, as a new technician replacing
Mr./Ms
6. Mr./Ms.
, as a new technician replacing
Mr./Ms
;7. Mr./Ms.
, as a new technician replacing
Mr./Ms
;8. Mr./Ms.
, as a new technician replacing
Mr./Ms
;9. Mr./Ms.
, as a new technician replacing
Mr./Ms;Please find the relevant documents in the attachments.
Please, Your Excellency Deputy Prime Minister, kindly approve my application.
Please accept, Your Excellency Deputy Prime Minister, the assurances of my highest consideration.
Done in, Date:Signature and Name of Representative andStamp of the Company

Page 24 of 42

ANNEX 15 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Application for a New Copy of the License for a Professional****************************
Kingdom of Cambodia Nation Religion King
Application for a New Copy of the License
I, the undersigned
License, holding Construction Certifier
Level ;

No.

To
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction
Subject:
Ref:

Application for a new copy of the construction certifier license;
Prakas No.
_ DNS/Br.K dated_ January 2021 on theFormalities and Time Frames for Granting, Granting a New Copy of, Terminating andRenewing Construction Certifier License;
With regard to the abovementioned subject and reference, I would like to respectfully inform Your
Excellency Deputy Prime Minister that I would like to apply for a new copy of the license because of
the following reason:□ The license has been lost, torn or damaged;□ The status written in the old copy of the license has been changed:- Surname and name of the professional:;- New office address: #, St. , Village, Commune/Sangkat,
Municipality/District/Khan, Capital/Province;
Others:;Please find the relevant documents in the attachments.
Please, Your Excellency Deputy Prime Minister, kindly approve my application.
Please accept, Your Excellency Deputy Prime Minister, the assurances of my highest consideration.
Done in, Date:Signature and Name

Page 25 of 42

ANNEX 16 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Application for a New Copy of the License for a Company****************************
Kingdom of Cambodia Nation Religion King
Application for a New Copy of the License
I, the undersigned, the representative of the company:, holdingConstruction Certifier
License
No.
Level
;
To
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction
Subject:

Application for a new copy of the construction certifier license;

Ref:

Prakas No.
_ DNS/Br.K dated_ January 2021 on theFormalities and Time Frames for Granting, Granting a New Copy of, Terminating andRenewing Construction Certifier License;
With regard to the abovementioned subject and reference, I would like to respectfully inform Your
Excellency Deputy Prime Minister that my company would like to apply for a new copy of the license
because of the following reason:□ The license has been lost, torn or damaged;□ The status written in the old copy of the license has been changed:- Company name:;- New head office address: #, St.
, Village,
Commune/Sangkat, Municipality/District/Khan,
Capital/Province;- Company’s president:;
Others:;Please find the relevant documents in the attachments.
Please, Your Excellency Deputy Prime Minister, kindly approve my application.
Please accept, Your Excellency Deputy Prime Minister, the assurances of my highest consideration.
Done in, Date:Signature and Name of Representative andStamp of the Company

Page 26 of 42

ANNEX 17 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Application for a License Termination for a Professional****************************
Kingdom of Cambodia Nation Religion King
Application for the Termination of a Construction Certifier License
I, the undersigned
License, holding Construction Certifier
;

No.

Level
To
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction
Subject:

Application for the termination of a construction certifier license;

Ref:

Prakas No.
_ DNS/Br.K dated_ January 2021 on theFormalities and Time Frames for Granting, Granting a New Copy of, Terminating andRenewing Construction Certifier License;

With regard to the abovementioned subject and reference, I would like to respectfully inform Your
Excellency Deputy Prime Minister that because,
I would like to apply for the termination of my construction certifier license.
I hereby declare that I have fulfilled all the obligations created by the contracts to provide myconstruction certification service, construction quality and safety control work and construction
assessment work.
I hereby promise to be responsible for any damage caused by my construction certification work,
construction quality and safety control work and construction assessment work.
Please find the relevant documents in the attachments.
Please, Your Excellency Deputy Prime Minister, kindly approve my application.
Please accept, Your Excellency Deputy Prime Minister, the assurances of my highest consideration.
Done in, Date:Signature and Name

Page 27 of 42

ANNEX 18 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Application for a License Termination for a Company****************************
Kingdom of Cambodia Nation Religion King
Application for the Termination of a Construction Certifier License
I, the undersigned, the representative of the company:, holdingConstruction Certifier
License
No.
Level
;
To
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction
Subject:

Application for the termination of a construction certifier license;

Ref:

Prakas No.
_ DNS/Br.K dated_ January 2021 on theFormalities and Time Frames for Granting, Granting a New Copy of, Terminating andRenewing Construction Certifier License;

With regard to the abovementioned subject and reference, I would like to respectfully inform Your
Excellency Deputy Prime Minister that because,
my company would like to apply for the termination of its construction certifier license.
I hereby declare that my company has fulfilled all the obligations created by the contracts to provide its
construction certification service, construction quality and safety control work and construction
assessment work.
My company hereby promise to be responsible for any damage caused by its construction certification
work, construction quality and safety control work and construction assessment work.
Please find the relevant documents in the attachments.
Please, Your Excellency Deputy Prime Minister, kindly approve my application.
Please accept, Your Excellency Deputy Prime Minister, the assurances of my highest consideration.
Done in, Date:Signature and Name of Representative andStamp of the Company

Page 28 of 42

ANNEX 19 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Application for a License Renewal for a Professional****************************
Kingdom of Cambodia Nation Religion King
Application for the Renewal of a Construction Certifier License
I, the undersigned
License, holding Construction Certifier
;

Level
To
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction
Subject:
Ref:

No.

Application for a renewal of the Construction Certifier License
Level;
Prakas No.
_ DNS/Br.K dated_ January 2021 on theFormalities and Time Frames for Granting, Granting a New Copy of, Terminating andRenewing Construction Certifier License;

With regard to the abovementioned subject and reference, I would like to respectfully inform Your
Excellency Deputy Prime Minister that my construction certifier license will expire on . I would liketo apply for a renewal of the construction certifier license.
Please find the relevant documents in the attachments.
Please, Your Excellency Deputy Prime Minister, kindly approve my application.
Please accept, Your Excellency Deputy Prime Minister, the assurances of my highest consideration.
Done in, Date:Signature and Name

Page 29 of 42

ANNEX 20 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Application for a License Renewal for a Company****************************
Kingdom of Cambodia Nation Religion King
Application for the Renewal of a Construction Certifier License
I, the undersigned, the representative of the company:, holdingConstruction Certifier
License
No.
Level
;
To
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction
Subject:

Application for a renewal of the construction certifier license;

Ref:

Prakas No.
_ DNS/Br.K dated_ January 2021 on theFormalities and Time Frames for Granting, Granting a New Copy of, Terminating andRenewing Construction Certifier License;

With regard to the abovementioned subject and reference, I would like to respectfully inform Your
Excellency Deputy Prime Minister that my company’s construction certifier license will expire on. I would like to apply for a renewal of theconstruction certifier license.
Please find the relevant documents in the attachments.
Please, Your Excellency Deputy Prime Minister, kindly approve my application.
Please accept, Your Excellency Deputy Prime Minister, the assurances of my highest consideration.
Done in, Date:Signature and Name of Representative andStamp of the Company

Page 30 of 42

ANNEX 21 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Annual Review Report of a Professional****************************
Kingdom of Cambodia Nation Religion King
Annual Review Report of (year)
I, the undersigned
License, holding Construction Certifier
;

No.

Level
To
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction
Subject:

Annual review report of (year)

;

Ref:

Prakas No.
_ DNS/Br.K dated_ January 2021 on theFormalities and Time Frames for Granting, Granting a New Copy of, Terminating andRenewing Construction Certifier License;

With regard to the abovementioned subject and reference, I would like to respectfully inform Your
Excellency Deputy Prime Minister of the annual achievements of my professional practice inconstruction certification as follows:
1. Construction certification work:- Design document
project(s)- Building work
project(s)2. Construction quality and safety control work:- Residential construction
project(s)- Construction for business purpose
project(s)- Construction and construction equipment
project(s)- Construction with risk
project(s)3. Construction assessment work:- Residential construction
project(s)- Construction for business purpose
project(s)Challenges
1.
2.
Requests
1.
2.
I hereby declare that the above report is true and correct.
Please, Your Excellency Deputy Prime Minister, kindly be informed.
Please accept, Your Excellency Deputy Prime Minister, the assurances of my highest consideration.
Done in, Date:Signature and Name

Page 31 of 42

ANNEX 22 OF
PRAKAS NO. 033 D.N.S./BR.K DATED 21 JANUARY 2021 ON
THE FORMALITIES AND TIME FRAMES FOR GRANTING, GRANTING A NEW COPY OF, TERMINATING AND
RENEWING CONSTRUCTION CERTIFIER LICENSEThe Template for the Annual Review Report of a Company****************************
Kingdom of Cambodia Nation Religion KingI, the undersigned

Annual Review Report of (year), the representative of the company:, holdingConstruction Certifier
License
No.
Level
;
To
Deputy Prime Minister, Minister of Land Management, Urban Planning and Construction
Subject:
Annual review report of (year);
Ref:
Prakas No.
_ DNS/Br.K dated_ January 2021 on theFormalities and Time Frames for Granting, Granting a New Copy of, Terminating andRenewing Construction Certifier License;
With regard to the abovementioned subject and reference, I would like to respectfully inform Your
Excellency Deputy Prime Minister of the annual achievements of my company’s business practice inconstruction certification as follows:
1. Construction certification work:- Design document
project(s)- Building work
project(s)2. Construction quality and safety control work:- Residential construction
project(s)- Construction for business purpose
project(s)- Construction and construction equipment
project(s)- Construction with risk
project(s)3. Construction assessment work:- Residential construction
project(s)- Construction for business purpose
project(s)Challenges
1.
2.
Requests
1.
2.
I hereby declare that the above report is true and correct.
Please, Your Excellency Deputy Prime Minister, kindly be informed.
Please accept, Your Excellency Deputy Prime Minister, the assurances of my highest consideration.
Done inDone in, Date:Having reviewed as correct, Date:Signature and Name of the Report Writer

Signature and Name of the Technical Director
Having seen and approved
Done in, Date:Signature and Name of Representative and Stamp of the Company
Page 32 of 42