外國人來華工作許可申請表

1、外國人來華工作許可申請表APPLICATION FORM FOR FOREIGNER'S WORK PERMIT外國人工作許可證號CURRENT WORK PERMIT NUMBER姓(如護照所示)SURNAME (As in Passport)名(如護照所示)FIRSTAND MIDDLE NAMES(As in Passport)照片PHOTO其他曾用姓氏（英文）OTHER SURNAME USED其他曾用名字(英文)OTHER FIRST AND MIDDLE NAMES USED中文姓名CHINESE NAME性另 GENDER出生日期DATE OF BIRTH(yyyy-mm

2、-dd )婚姻狀況marital STATUS國籍 NATIONALITY出生地PLACE OF BIRTH(country)護照類型PASSPORT TYPE護照號碼PASSPORT NUMBER護照簽發(fā)日期ISSUANCE DATE護照有效期至EXPIRATION DATE(yyyy-mm-dd)最高學位HIGHEST ACADEMIC DEGREE漢語水平CHINESE PROFICIENCY是否掌握其他語言PROFICIENCY OF OTHERLANGUAGE是否持有境外職業(yè)資格證書 HAVE YOU EVER OBTAINED ANY PROFESSIONAL QUALIFICAT

3、ION CERTIFICATE ABROAD?職業(yè)資格證書名稱和編號 NAME AND NUMBEROF PROFESSIONAL QUALIFICATION CERTIFICATES申請人電子郵箱 e-mailADDRESS列出所有曾授予你護照的國家LIST ALL COUNTRIES THAT EVER ISSUED YOU A PASSPORT列出所有曾使用過的護照號碼LIST ALL PASSPORT NUMBERSTHAT YOU EVER HAVE USED與任職相關(guān)工作經(jīng)驗RELATED WORKING EXPERIENCE AND LENGTH OF WORKING TIME聘

4、用合同/任職證明在華 工作起始時間intentedWORKING TIME IN CHINA申請在中國工作職務INTENTED JOB TITLE IN CHINA工作崗位（職業(yè)）OCCUPATION聘用方式EMPLOYMENT METHOD所屬行業(yè)INDUSTRY CATEGORY薪酬 SALARY(monthly)申請在華工作時間INTENTED WORKING TIME IN CHINA每年在華工作時間(月)WORKING TIME IN CHINA PER YEAR(mo nths)是否畢業(yè)于世界知名大學IF YOU ARE GRADUATED FROM WORLD RENOWNE U

5、NIVERSITIES) D是否需要行業(yè)主管部門 批準 HAVE YOUOBTAINED APPROVAL FROM RELATED CHINESE INDUSTRY AUTHORITY?行業(yè)主管部門名稱NAME OF INDUSTRYAUTHORITY行業(yè)主管部門批準證書文 號 APPROVAL DOCUMENTNUMBER是否持有中國職業(yè)資格 證書(準入類)HAVE YOUEVER OBTAINED ANY CHINESE PROFESSIONAL QUALIFICATION CERTIFICATE (for industry access)?職業(yè)資格證書(準入類)名稱 NAME OF C

6、HINESE PROFESSIONAL QUALIFICATION CERTIFICATES(for industry access)職業(yè)資格證書號碼NUMBER OF CHINESE PROFESSIONAL QUALIFICATION CERTIFICATESOBTAINED (for industry access)是否曾在世界500強企在上述單位曾擔任最高是否入選中國國內(nèi)相關(guān)人業(yè)、知名金融機構(gòu)或律師 事務所等任職DO YOU HAVE ANY EXPERIENCEIN WORLD TOP 500 COMPANIES,WELL-KNOW N FINANCIAL INSTITUTIONS

7、OR LAWFIRMS?職務 HIGHEST POSITION YOU HAVE EVER HELD IN AFOREMENTIONED ORGANIZATIONS才計劃IF YOU ARE SELECTED AS A CANDIDA OF ANY CHINA'S TALENT PLANTE公認職業(yè)成就RECOGNIZED PROFESSIONAL ACHIEVEMENT境外派遣單位名稱 NAME OF DISPATCHING INSTITUTION ABROAD派遣單位所在國家LOCATION OF DISPATCHING INSTITUTION ABROAD在中國工作電話BUSIN

8、ESS TELEPHONENUMBER IN CHINA在中國工作傳真BUSINESS FAX NUMBER IN CHINA在中國工作任務 JOBDESCRIPTION IN CHINA列出曾就讀的高等教育學校(含職業(yè)教育學校)LIST ALL HIGHER EDUCATIONAL INSTITUTIONS YOU HAVE ATTENTED (INCLUDING VOCATIONAL INSTITUTIONS)名稱NAME所在國家LOCATION就讀時間DATES OF ATTENDANCE專業(yè)SPECIALITY教育類型EDUCATIONAL TYPE學位ACADEMIC QUALIFI

9、CATION列出曾工作的單位LIST ALL EMPLOYERS YOU HAVE WORKED FOR名稱NAME工作所在國 家 LOCATION起止時間DATES工作崗位OCCUPATION職務JOB TITLE工作任務JOB DESRIPTION隨行家屬情況 ACCOMPANYING FAMILY MEMBERS是否有家屬隨行DO YOU HAVE ANY ACCOMPANYING MEMBER?人數(shù)NUMBER OF THE ACCOMPANYIN G MEMBERS隨行家屬姓名NAME (As inPassport)出生日期DATE OF BIRTH(yyyy- mm-dd)性別GE

10、NDER國籍NATIONALITY與申請人關(guān)系RELATIONSHIP TO THE APPLICANT護照號碼PASSPORT NUMBER2在華緊急聯(lián)系人EMERGENCYCONTACT PERSONIN CHINA聯(lián)系電話EMERGENCYCONTACTTELEPHONENUMBER與申請人關(guān)系 RELATIONSHIP TO THE APPLICANT電子郵箱E-MAILADDRESS申領(lǐng)外國人工作許可證是否已入境AREYOU CURRENTLYIN CHINA?持有簽證種類TYPE OF VISAHELD入境時間DATE OFENTRYAPPLICATION FOR FOREIGNE

11、R'S WORK PERMIT簽證號碼VISANUMBER是 YES否 NO是 yes否 NO您是否由于犯有任何罪行而曾經(jīng)被逮捕或被判有罪，即使后來得到了赦免或收回等其他類似措施？HAVE you ever been arrested or convicted for anyOFFENSE OR CRIME, EVEN THOUGH SUBJECT OF A PARDON, AMNESTY OR OTHERSIMILAR LEGAL ACTION?您是否曾感染過對公共健康有影響的傳染病或患過可造成危險的身體疾病或精神 病? HAVE YOU EVER BEEN AFFLICTED WI

12、TH A COMMUNICABLE DISEASE OF PUBLIC HEALTH SIGNIFICANCE OR A DANGEROUS PHYSICAL OR MENTAL DISORDER?是 YES否 NO您是否曾違反中國法律，被中國政府遞解出境？HAVE YOU EVER VIOLATED THE LAW OF CHINA, AND DEPORTED FROM CHINA?本人鄭重承諾，在本國及境外無犯罪記錄，來華工作后，將嚴格遵守中國法律法規(guī)，自覺服從聘請單位 各項管理制度。本申請表上所做之回答均屬事實且詳盡，所附材料真實、有效，若所提交的內(nèi)容被發(fā)現(xiàn) 不實或不詳，本人愿意承擔法律

13、責任。對所提交的全部申請信息和附件授權(quán)可以調(diào)查，包括我的雇傭情 況、工作表現(xiàn)、工作能力、教育、個人經(jīng)歷和無犯罪記錄。如果我已超過60周歲，確保在中國工作期間有相應的醫(yī)療保險。BEY THESOLEMNLYPROMISETHAT I HAVE NO CRIMINAL RECORDBOTH AT MY HOME COUNTRYAND ABROAD. WHEN I ARRIVEIN CHINA AND START TO WORK, I WILL STRICTLY ABIDE BY THE CHINESE LAWS AND REGULATIONS, AND CONSCIOUSLY C MANAGEME

14、NT SYSTEMOF THE EMPLOYINGINSTITUTION. I CERTIFYTHAT ALL THE ANSWERSTO THIS APPLICATIONA NDNFORMATION IN THIS APPLICATIONAND DOCUMENTSSUBMITTEDWITHTHIS APP LICATIONMAY BE CHECKEDBY RELEVAN PARTIES, INCLUDINGMY EMPLOYMENT, WORK PERFORMANCE,ABILITIES,EDUCATION,PERSONAL EXPERIENCES AND C RECORDSCONFIRM

15、THAT, IF I AM OVER SIXTY YEARS OLD,I WILL APPLY FOR MEDICAL INSURANCE COVERAGE AS AR DURING MY WORK PERIOD IN CHINA.RELEVANT ATTACHMENTS TO IT ARE TRUE AND COMPLETED. IF THE INFORMATION IS FOUND TO BE UNTRUE OR UNCOMPLETED, AM AWARE THAT I NEED TO UNDERTAKECORRESPONDINdEGAL RESPONSIBILITIESNDERSTAND

16、THAT ALL OF THE T CNVICTION E NEEDED申請人簽名 SIGNATURE OF APPLICANT日期 DATE(yyyy-mm-dd)用人單位承諾如實向行政機關(guān)提交有關(guān)材料和反映真實情況，并對申請材料實質(zhì)內(nèi)容的真實性負責擔相關(guān)法律責任。THE EMPLOYER HEREBY DECLARES THAT ALL THE DOCUMENTS AND INFORMATIONS SUBMITTED TO THE AUTHORITY ARE TRUE,AND SHALL BE RESPONSIBLE TO THE AUTHENTICITY OF THE DOCUMENTS

17、 AND UNDERTAKE CORRESPONDING LEGAL RESPONSIBILITIES.用人單位公章 (Seal of Employer)年月 日YYYYMMDD外國人來華工作許可延期申請表APPLICATION FORM FOR EXTENTION OF FOREIGNER'S WORK PERMIT外國人工作許可證號 WORK PERMNUMBERIT輸入外國人工作證號，基本信息自動導入，可修改姓(如護照所示)SURNAME (As inPassport)名(如護照所示)FIRST AND MIDDLENAMES (As inPassport)照片PHOTO其他曾用

18、姓氏（英文） OTHERSURNAME USED其他曾用名字(英文) OTHER FIRSTAND MIDDLENAMES USED中文姓名CHINESE NAME性另 IJ GENDER出生日期DATE OF BIRTH(yyyy-mm-dd)國籍 NATIONALITY中國聘用單位名稱 NAME OFEMPLOYER INCHINA組織機構(gòu)代碼或批準 證書號ORGANIZATIONAL CODE (RegistrationCertificate) NUMBER在中國工作電話BUSINESSTELEPHONENUMBER IN CHINA在中國工作傳真BUSINESS FAXNUMBER I

19、NCHINA電子郵箱E-MAIL ADDRESS持有簽證種類TYPE OFVISAHELD簽證號碼VISANUMBER有效期限至EXPIRATIONDATE(yyyy-mm-dd)持有居留許可種 類 RESIDENCEPERMIT TYPE居留許可號碼RESIDENCEPERMIT NUMBER有效期限至EXPIRATIONDATE(yyyy-mm-dd)工作崗位OCCUPATION薪酬SALARY(mo nthly)工作職位JOBDESCRIPTION行業(yè)主管部門批 準證書文號APPROVED DOCUMENT NUMBER有效期限至EXPIRATIONDATE(yyyy-mm-dd)聘用方

20、式EMPLOYMEN' METHOD申請延長工作許可時間INTENTED EXTENSION OF WORK PERMIT起始時間STARTDATE終止時間ENDDATE用人單位承諾如實向行政機關(guān)提交有關(guān)材料和反 映真實情況，并對申請材料實質(zhì)內(nèi)容的真實性負責， 承擔相關(guān)法律責任，同意許可決定機構(gòu)根據(jù)需要進行 補充調(diào)查。Reference revision: The employer hereby declares that all :he documents and information submitted to the authority are :rue, and shall b

21、e responsible for the authenticity of the documents and undertake corresponding legal responsibilities. The employer should give the consent to the authority supplementary investigation as necessary.用人單位公章(Seal of Employer)年月日YYYYMMDD's申請人簽名：SIGNATURE OF APPLICANT年月日YYYYMMDD5外國人來華工作許可注銷申請表APPLIC

22、ATION FORM FOR CANCELLATION OF FOREIGNER'S WORK PERMIT外國人工作許可 證號 WORKPERMIT NUMBER輸入外國人工作證號，基本信息自動導入，不可修改姓(如護照所示)SURNAME (As inPassport)名(如護照所示)FIRST AND MIDDLENAMES (As in Passport)照片 PHOTO其他曾用姓氏（英 文） OTHERSURNAME USED其他曾用名字(英文) OTHER FIRSTAND MIDDLE NAMESUSED中文姓名CHINESE NAME性另 GENDER出生日期DATE O

23、F BIRTH(yyyy-mm-dd)國籍 NATIONALITY變更項CHANGEDOBJECTS變更前 BEFORECHANGE變更后after CHANGE用人單位承諾如實向行政機關(guān)提交有關(guān)材料和反映真 實情況，并對申請材料實質(zhì)內(nèi)容的真實性負責，并承 擔相關(guān)法律責任，同意許可決定機構(gòu)根據(jù)需要進行補 充調(diào)查。Reference revision: The employer hereby declares that all the documents and information submitted to the authority are true, and shall be respo

24、nsible for the authenticity of the documents and undertake corresponding legal responsibilities. The employer should give the consent to the authority supplementary investigation as necessary.用人單位公章(Seal of Employer)年月日YYYYMMDD,申請人簽名：'Signature of applicant年月日YYYYMMDD外國人工作許可證號WORK PERMIT NUMBER輸

25、入外國人工作證號，基本信息自動導入，不可修改姓(如護照所示)SURNAME (As in Passport)名(如護照所示)FIRST ANDMIDDLE NAMES (As in Passport)其他曾用姓氏（英文）OTHER SURNAME USED其他曾用名字(英文) OTHER FIRSTAND MIDDLENAMES USED照片PHOTO中文姓名 CHINESENAME性另 IJ GENDER出生日期DATE OF BIRTH(yyyy-mm-dd)婚姻狀況MARITAL STATUS國籍 NATIONALITY出生地PLACE OFBIRTH(country)中國聘用單位名稱N

26、AME OF EMPLOYER INCHINA組織機構(gòu)代 碼或批準證 書號ORGANIZATIO NAL CODE (Registration Certificate) NUMBER注銷原因REASON FOR CANCELLATION聘用合同解除CONTRACTTERMINATED聘用合同終止CONTRACTENDED其他OTHER REASONS用人單位承諾如實向行政機關(guān)提交有關(guān)材料和反映 真實情況，并對申請材料實質(zhì)內(nèi)容的真實性負責， 承擔相關(guān)法律責任，同意許可決定機構(gòu)根據(jù)需要進 行補充調(diào)查。Reference revision: The employer hereby declares

27、that all the documents and information submitted to the authority are true, and shall be responsible for the authenticity of the documents and undertake corresponding legal responsibilities. The employer should give the consent to the authority ' s supplementary investigation as necessary.(Seal

28、ofEmployer)用人單位公章申請人簽名：SIGNATURE OF APPLICANT本人已與用人單位解除(終止)工作關(guān)系。I, the undersigned, declare that the labor contract between theemployer and me has been terminated (has ended).年YYYY月 日MM DD年YYYY月MM DD外國人工作許可證補辦申請表APPLICATION FORM FOR RENEWAL OF FOREIGNER'S WORK PERMIT CARD外國人工作許可證號 WORK PERMITNUMBER姓（如護照所示）名（如護照所示）SURNAME (As inFIRST AND MIDDLEPassport)NAMES (As in Passport)其他曾用姓氏（英其他曾用名字（英文）文) OTHER SURNAMEOTHER FIRST ANDUSEDMIDDLE NAMES USED中文姓名 CHI