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(hù)照所示)SURNAME (As in Passport)名(如護(hù)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 IJ GENDER出生日期DATE OF BIRTH(yyy

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

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

4、ING TIME聘用合同/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(wù)INTENTED JOB TITLE IN CHINA工作崗位（職業(yè)）OCCUPATION聘用方式EMPLOYMENTMETHOD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 PERYEAR(m on ths)是否畢業(yè)于世界知名大學(xué)IF YOU ARE GRADUATED FROM WORLD R

5、ENOWNE UNIVERSITIESD是否需要行業(yè)主管部門 批準(zhǔn) HAVE YOUOBTAINED APPROV AL FROM RELATED CHINESE INDUSTRY AUTHORITY?行業(yè)主管部門名稱NAME OF INDUSTRY AUTHORITY行業(yè)主管部門批準(zhǔn)證書文 號 APPROVAL DOCUMENTNUMBER是否持有中國職業(yè)資格 證書(準(zhǔn)入類)have you EVER OBTAINED ANY CHINESE PROFESSIONAL QUALIFICATION CERTIFICATE (for industry access)?職業(yè)資格證書(準(zhǔn)入類)名稱

6、NAME OF CHINESE 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(qiáng)企 業(yè)、知名金融機(jī)構(gòu)或律師在上述單位曾擔(dān)任最高 職務(wù) HIGHEST POSITION是否入選中國國內(nèi)相關(guān)人 才計劃 IF YOU ARE事務(wù)所等任職DO YOU HAVE ANY EXPERIENCE IN WORLD TOP 500

7、COMPANIES,WELL-KNOW N FINANCIAL INSTITUTIONS OR LAWFIRMS?YOU HA VE EVER HELD IN AFOREMENTIONED ORGANIZATIONSSELECTED AS A CANDIDA OF ANY CHINA'S TALENT PLANTE-公認(rèn)職業(yè)成就RECOGNIZED PROFESSIONAL ACHIEVEMENT境外派遣單位名稱NAME OF DISPA TCHING INSTITUTION ABROAD派遣單位所在國家LOCATION OF DISPATCHING INSTITUTIONABROAD

8、在中國工作電話BUSINESS TELEPHONENUMBER IN CHINA在中國工作傳真BUSINESS FAX NUMBER IN CHINA在中國工作任務(wù) JOBDESCRIPTION IN CHINA列出曾就讀的高等教育學(xué)校(含職業(yè)教育學(xué)校)LIST ALL HIGHER EDUCATIONAL INSTITUTIONS YOU HAVE ATTENTED (INCLUDING VOCA TIONALINSTITUTIONS)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(xué)位ACAD

9、EMIC QUALIFICATION列出曾工作的單位l IST ALL EMPLOYERS YOU HA VE WORKED FOR名稱NAME工作所在國家 LOCATION起止時間DATES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是否有家屬隨行DO YOU HA VE ANYACCOMPANYING MEMBER?人數(shù)NUMBER OF THE ACCOMPANYIN G MEMBERS隨行家屬姓名NAME (As in Passport)出生日期DATE OF BIRTH(yy

10、yy- mm-dd)性別GENDER國籍NATIONALITY與申請人關(guān)系RELATIONSHIP TO THE APPLICANT護(hù)照號碼PASSPORT NUMBER在華緊急聯(lián)系人EMERGENCY CONTACT PERSON IN CHINA與申請人關(guān)系RELATIONSHIP TO THE APPLICANT電子郵箱E-MAILADDRESSEMERGENCYCONTACTTELEPHONENUMBER申領(lǐng)外國人丄作許可證APPLICATION FOR FOREIGNER'S WORK PERMIT是否已入境ARE YOU CURRENTLY IN CHINA?持有簽證種類T

11、YPE OF VISA HELD入境時間DATE OF ENTRY簽證號碼VISA NUMBER您是否由于犯有任何罪 等其他類似措施？卜 OFFENSE OR CRIME, ESIMILAR LEGAL ACTIO社行而曾經(jīng)被逮捕或被判有罪，即使后來得到了赦免或收回1AVE YOU EVER BEEN ARRESTED OR CONVICTED FOR ANYEVEN THOUGH SUBJECT OF A PARDON, AMNESTY OR OTHER N?是 YES否 NO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

12、AFFLICTED WITH A COMMUNICABLE DISEASE OF PUBLICHEALTH 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?是 YES否 NO本人鄭重承諾，在本國及境外無犯罪記錄，來華工作后，將嚴(yán)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(shí)且詳盡，所附材料真實(shí)、有效，若所提交的

13、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IN CHINA有相應(yīng)的醫(yī)療保險。MPLETED, IT)NVICTIONE NEEDEDI SOLEMNLY PROMISE THAT I HAVE NO CRIMINAL RECORD BOTH AT MY HOME COUNTRY AND ABROAD. WHEN I ARRIVE AND STARTTO WORK, I WILL STRICTLYXBIDE BY THE CHINESELAWS

14、 AND REGULATIONSAND CONSCIOUSL9BEY THE MANAGEMENT SYSTEMOF THE EMPLOYINGINSTITUTION. I CERTIFYTHAT ALL THE ANSWERSTO THIS APPLICATIONAND RELEVANT ATTACHMENTS TO IT ARE TRUE AND COMPLETED. IF THE INFORMATION IS FOUND TO BE UNTRUE OR UNCC AM AWARE THAT I NEED TO UNDERTAKECORRESPONDING_EGAL RESPONSIBIL

15、ITIESNDERSTANDTHAT ALL OF THE INFORMATIONIN THIS APP LI CATIONAND DOCUMENTSSUBMITTEDWITHTHIS APPLICATIONMAY BE CHECKEDBY RELEVANPARTIES, INCLUDINGMY EMPLOYMENT, WORK PERFORMANCE,ABILITIES,EDUCATION,PERSONAL EXPERIENCES AND C( RECORDSCONFIRM THAT, IF I AM OVER SIXTY YEARS OLD,I WILL APPLY FOR MEDICAL INSURANCE COVERAGE AS AR DURING MY WORK PERIOD IN CHINA.申請人簽名 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，并對申請材料實(shí)質(zhì)內(nèi)容的真實(shí)性負(fù)責(zé)，承擔(dān)相關(guān)法律責(zé)任。THE EMPLOYER