外國(guó)人來(lái)華工作許可表-電子表單

1、單位注冊(cè)信息表單位注冊(cè)號(hào)單位名稱（中文）*單位名稱（英義）*所在行政區(qū)域* （國(guó)標(biāo)）所在行業(yè)*法定代表人/首席代表*法定代表人/首席代表身份 證號(hào)/護(hù)照號(hào)碼*業(yè)務(wù)經(jīng)辦部門負(fù)責(zé)人*業(yè)務(wù)經(jīng)辦部門負(fù)責(zé)人身份 證號(hào)/護(hù)照號(hào)碼*業(yè)務(wù)經(jīng)辦部門負(fù)責(zé)人移動(dòng)電話*業(yè)務(wù)經(jīng)辦部門負(fù)責(zé)人固定 電話*組織機(jī)構(gòu)代碼/統(tǒng)一社會(huì)信用代 碼/批準(zhǔn)證書號(hào)*組織機(jī)構(gòu)類型*登記機(jī)關(guān)*經(jīng)濟(jì)類型注冊(cè)資本投資國(guó)別單位成立日期營(yíng)業(yè)執(zhí)照或批準(zhǔn)文書有效 期限至*登記辦公地址*實(shí)際辦公地址*單位固定電話*單位傳真號(hào)碼承諾如實(shí)向行政機(jī)關(guān)提交有關(guān)材料和反映真實(shí)情況， 并對(duì)申請(qǐng) 材料實(shí)質(zhì)內(nèi)容真實(shí)性負(fù)責(zé)， 承擔(dān) 相關(guān)法律責(zé)任，同意許可決定機(jī) 構(gòu)根據(jù)需要進(jìn)

2、行補(bǔ)充調(diào)查。單位蓋章授權(quán)單位人事或外事部門公章辦理外國(guó)人來(lái)華工作許可相關(guān)業(yè)務(wù)。（可另附紙授權(quán)）人事或外事部門蓋章備注：?jiǎn)挝粵](méi)有專門英文名稱的，請(qǐng)用拼音代替外國(guó)人來(lái)華工作許可申請(qǐng)表APPLICATION FORM FOR FOREIGNER'S WORK PERMIT外國(guó)人工作許可證號(hào)CURRENWORPERMITNUMBER姓(如護(hù)照所示)SURNAM (As in Passport)IE名(如護(hù)照所不)FIRST AND MIDDLE NAMES (As inPassport)其他曾用姓氏（英文）OTHER SURNAME USED具他冒用各子(英乂)OTHER FIRST AND

3、MIDDLE NAMES USED照片PHOTO中文姓名 CHINESE NAME性另 IJ GENDER出生日期DATE OF BIRTH(yyyy-mm-dd)婚姻狀況MARITALSTATUS國(guó)籍 NATIONALITY出生地PLACE OF BIRTH(country)護(hù)照類型PASSPORT TYPE護(hù)照號(hào)碼PASSPORT NUMBER護(hù)照簽發(fā)日期ISSUANCE DATE護(hù)照有效期至EXPIRATION DATE(yyyy-mm-dd)最高學(xué)位HIGHEST ACADEMIC DEGREE漢語(yǔ)水平CHINESE PROFICIENCY是否掌握其他語(yǔ)言PROFICIENCY OF

4、OTHER LANGUAGE是否持有境外職業(yè)資格證書 HAVE YOU EVER OBTAINED ANY PROFESSION QUALIFICATION CERTIFICAT ABROAD?IAL職業(yè)資格證書名稱和編 號(hào) NAME AND NUMBER C PROFESSIONAL QUALIFICATION CERTIFICATESF申請(qǐng)人電子郵箱 e-mailADDRESS列出所有曾授予你護(hù)照的國(guó)家 LIST ALL COUNTRIE THAT EVER ISSUED YOU A PASSPORTS列出所有曾使用過(guò)的護(hù) 照號(hào)碼 LIST ALL PASSPOF NUMBERS THAT

5、 YOU EVEHAVE USEDTR與任職相關(guān)工作經(jīng)驗(yàn)RELATED WORKING EXPERIE AND LENGTH OF WORKING TINCE ME聘用合同/任職證明在華 工作起始時(shí)間INTENTEDWORKING TIME IN CHINA申請(qǐng)?jiān)谥袊?guó)工作職務(wù)INTENTED JOB TITLE IN CHINA工作崗位（職業(yè)）OCCUPATKON聘用 7 EMPLOYMENT METHOD所屬行業(yè)INDUSTRY CATEGORY薪酬 SALARY(monthly)申請(qǐng)?jiān)谌A工作時(shí)間INTENTED WORKING TIME IN CHINA每年在華工作時(shí)間(月)WORKING

6、 TIME IN CHINA PER YEAR(months)是否畢業(yè)于世界知名大學(xué)IF YOU ARE GRADUATED FROM WORLD RENOWNED UNIVERSITIES是否需要行業(yè)主管部門 批準(zhǔn) HAVE YOU OBTAINED APPROVAL FROM RELATE CHINESE INDUSTRY AUTHORITY?D行業(yè)主管部門名稱 NAMOF INDUSTRY AUTHORITY行業(yè)主管部門批準(zhǔn)證書文號(hào) APPROVAILOCUMENTJMBEER是否持有中國(guó)職業(yè)資格 證書(準(zhǔn)入類)HAVE YOI EVER OBTAINED ANY CHINE!PROFE

7、SSIONALQUALIFICATION CERTIFICAT (for industry access)?USE職業(yè)資格證書(準(zhǔn)入類) 名稱 NAME OF CHINESEPROFESSIONALQUALIFICATION CERTIFICATES(for industry access)職業(yè)資格證書號(hào)碼 NUMBEOF CHINESE PROFESSIONA QUALIFICATIONCERTIFICATESOBTAINED (for industry access)R是否曾在世界500強(qiáng)企 業(yè)、知名金融機(jī)構(gòu)或律師 事務(wù)所等任職 DOYOUHAVEANY EXPERIENCE IN WOR

8、L TOP 500COMPANIES,WELL-KNOW FINANCIAL INSTITUTIONS ORLAWFIRMS?DN在上述單位曾擔(dān)任最高職務(wù) HIGHEST POSITIONYOU HAVE EVER HELD INAFOREMENTIONEDORGANIZATIONS是否入選中國(guó)國(guó)內(nèi)相關(guān)人 才計(jì)戈U IF YOU ARESELECTED AS A CANDIDATE OF ANY CHINA'S TALENT PLAN公認(rèn)職業(yè)成就 RECOGNIZEDPROFESSIONAL ACHIEVEMENT境外派遣單位名稱NAMEOF DISPATCHING INSTITUTI

9、ON ABROAD派遣單位所在國(guó)家LOCATION OF DISPATCHIN INSTITUTION ABROADG在中國(guó)，作電詁BUSINESS TELEPHONENUM IN CHINABER在中國(guó)，作傳真BUSINESS FAX NUMBER I CHINAN在中國(guó)工作任務(wù) JOBDESCRIPTION IN CHINA列出曾就讀的圖等教育學(xué)校(含職業(yè)教育學(xué)校)LIST ALL HIGHER EDUCATIONAL INSTITUTIONS YOU HAVE ATTENTED (INCLUDING VOCATIONAL INSTITUTIONS)名稱NAME所在國(guó)家LOCATION就讀

10、時(shí)間DATES OF ATTENDANCE專業(yè)SPECIALITY教育類型EDUCATIONAL TYPE學(xué)位ACADEMIC QUALIFICATION列出曾工作的單位LIST ALL EMPLOYERS YOU HAVE WORKED FOR名稱NAME工作所在國(guó)家 LOCATION起止時(shí)間JDATES工作崗位OCCUPATION職務(wù)JOB TITLE工作任務(wù)JOB DESRIPTION隨行家屬情況 ACCOMPANYING FAMILY MEMBERS是否后家屬隨行DCYOU HAVE ANYACCOMPANYINGMEMBER?人數(shù) NUMBER O THEACCOMPANYIN( M

11、EMBERS5隨行家屬姓名NAME (As in Passport)出生日期DATE OF BIRTH(yyyy-m m-dd)性別GENDER國(guó)籍NATIONALITY與申請(qǐng)人關(guān)系RELATIONSHIP TO THE APPLICANT護(hù)照號(hào)碼PASSPORT NUMBER在華緊急聯(lián)系人EMERGENCY CONTA PERSON IN CHINACT與申請(qǐng)人關(guān)系 RELATIONSHIPTO THE APPLICANT聯(lián)系電話EMERGEN CONTACT TELEPHO卜 NUMBERCYIE電子郵箱E-MAILADDRESS申領(lǐng)外國(guó)人工作許可證APPLICATION FOR FORE

12、IGNER'S WORK PERMIT是日入境ARE yoi CURRENTLY IN CHINA?持有簽證種類TYPE OF VISAHELD入境日間 date of entrY簽證號(hào)碼VISA NUMBER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(lái)得到了赦免或收回現(xiàn)YES等其他類似措施? HAVE YOU EVER BEEN ARRESTED OR CONVICTED FOR ANY OFFENSE O EVEN THOUGH SUBJECT OF A PARDON, AMNESTY OR OTHER SIMILAR LEGAL ACTION?現(xiàn)YES事NOYES您是否

13、曾感染過(guò)對(duì)公共健康有影響的傳染病或患過(guò)可造成危險(xiǎn)的身體疾病或精神??？ HAVE YOU EVER BEEN AFFLICTED WITH A COMMUNICABLE DISEASE OF PUBLIC HEALTH SIGNIFICANCE OR A DANGEROUS PHYSICAL OR MENTAL DISORDER?您是否曾違反中國(guó)法律，被中國(guó)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(guó)及境外無(wú)犯罪記錄，來(lái)華工作后，將嚴(yán)格遵守中國(guó)法律法規(guī)，自覺(jué)服從聘請(qǐng)單位 各項(xiàng)管

14、理制度。本申請(qǐng)表上所做之回答均屬事實(shí)且詳盡，所附材料真實(shí)、有效，若所提交的內(nèi)容被發(fā)現(xiàn) 不實(shí)或不詳，本人愿意承擔(dān)法律責(zé)任。對(duì)所提交的全部申請(qǐng)信息和附件授權(quán)可以調(diào)查，包括我的雇傭情60周歲，確保在中國(guó)工作期間況、工作表現(xiàn)、工作能力、教育、個(gè)人經(jīng)歷和無(wú)犯罪記錄。如果我已超過(guò) 有相應(yīng)的醫(yī)療保險(xiǎn)。I SOLEMNLY PROMISE THAT I HAVE NO CRIMINAL RECORD BOTH AT MY HOME COUNTRY AND ABROAD. WHEN I ARRIVE IN CHINA AND START TO WORK, I WILL STRICTLY ABIDE BY THE

15、 CHINESE LAWS AND REGULATIONS, AND CONSCIOUSLY OBEY THE MANAGEMENT SYSTEM OF THE EMPLOYING INSTITUTION. I CERTIFY THAT ALL THE ANSWERS TO THIS APPLICATION AND RELEVANT ATTACHMENTS TO IT ARE TRUEAND COMPLETED. IF THE INFORMATION IS FOUNDTO BE UNTRUE OR UNCOMPLETED, IAM AWARE THAT INEED TO UNDERTAKEIN

16、FORMATION IN THISCHECKED BYCORRESPONDING LEGAL RESPONSIBILITIES.I UNDERSTAND THAT ALL APPLICATION AND DOCUMENTS SUBMITTEDWITH THIS APPLICATIONRELEVANTPARTIES, INCLUDINGMYEMPLOYMENT,PERFORMANCE,ABILITIES,EDUCATION,PERSONALEXPERIENCES AND CONVICTION RECORDS.IOF THEMAY BEWORK CONFIRMTHAT, IF I AM OVER SIXTY YEARS OLD,I WILL APPLY FOR MEDICAL INSURANCE COVERAGE AS ARE NEEDED DURING MY WORK PERIOD IN CHINA.，承擔(dān)申請(qǐng)人簽名 SIGNATURE OF APPLICANT 日期 DATE(yyyy-mm-dd)用人單位承諾如實(shí)向行政機(jī)關(guān)提交有關(guān)材料和反映真實(shí)情況，并對(duì)