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AHC Friends Membership Subscription Report

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ID Start Date Title Family Name in Khmer Name in Khmer Family Name Name DOB Gender Nationality Occupation Comapany Phone 1 Phone 2 Email Address City Province Country Currency Amount Period PayMethod Reminding Comment
1 2018-06-20 Mr វ៉ែន ហុក Ven Hok 1975-12-13 M Cambodian National Police Immigration Siem Reap International Airport ( +855 )089 459 999 ( +855 )012 725 745 [email protected] Krous Village, Sangkat Svay Dangkum Siem Reap Siem Reap Cambodia USD 10 Monthly Wing QR Code Yes Since my children are usually sent to AHC for medical care and treatment, so I want to register and be a member of AHC Friends starting from 1st July 2018.
2 2018-06-20 Mrs សំ ស៊ូឡា Sam Soula 1977-01-05 F Cambodian VC Manager AHC ( +855 )99 739474 ( +855 )99 944636 [email protected] Kna village Siem Reap Siem Reap Cambodia USD 5 Monthly Direct Bank Deposit-ACLEDA Bank Yes None
3 2018-06-20 Mrs ហ៊ាន សោភា Hean Sorphea 1991-05-05 F Cambodian NGO Staff Angkor Hospital for Children ( +855 )017 912 618 ( +855 )012 48 98 64 [email protected] Siem Reap Siem Reap Siem Reap Cambodia USD 3 Monthly Direct Bank Deposit-ACLEDA Bank Yes None
4 2018-06-20 Mr ឈុំ ឆេងហេង Chhom Chhengheng 1986-02-01 M Cambodian Cambodia Fund Raising Manager Angkor Hospital for Children ( +855 )078364436 ( +855 )888364436 [email protected] Protuth village Puok commune Puok district Siem Reap Siem Reap Cambodia USD 2.5 Monthly ACLEDA Debit Card Machine Yes None
5 2018-06-21 Ms ដន ចាន់ ចាន់ថូ Darn Chantho 1987-08-10 F Cambodian Executive Secretary Angkor Hospital for Children ( +855 )12479099 ( +855 )87373750 [email protected] Siem Reap Siem Reap Siem Reap Cambodia USD 3 Monthly ACLEDA Debit Card Machine Yes None