外國(guó)人來華工作許可申請(qǐng)表

個(gè)人資料整理，僅供個(gè)人學(xué)習(xí)使用外國(guó)人來華工作許可申請(qǐng)表APPLICATIONFORMFORFOREIGNER'SWORKPERMIT外國(guó)人工作許可證號(hào)CURRENTWORKPERMITNUMBER姓(如護(hù)照所示)SURNAME (As inPassport)名(如護(hù)照所示)FIRSTANDMIDDLENAMES(AsinPassport)照片PHOTO其他曾用姓氏（英文）OTHERSURNAMEUSED其他曾用名字(英文)OTHERFIRSTANDMIDDLENAMESUSED中文姓名CHINESENAMEf生另ljGENDER出生日期DATEOFBIRTH(yyyy-mm-dd)婚姻狀況MARITALSTATUS國(guó)籍NATIONALITY出生地PLACEOFBIRTH(country)護(hù)照類型PASSPORTTYPE護(hù)照號(hào)碼PASSPORTNUMBER護(hù)照簽發(fā)日期ISSUANCEDATE護(hù)照有效期至EXPIRATIONDATE(yyyy-mm-dd)最高學(xué)位HIGHESTACADEMICDEGREE漢語(yǔ)水平CHINESEPROFICIENCY是否掌握其他語(yǔ)言PROFICIENCYOFOTHERLANGUAGE是否持有境外職業(yè)資格證書HAVEYOUEVEROBTAINED ANYPROFESSIONALQUALIFICATIONCERTIFICATEABROAD?職業(yè)資格證書名稱和編號(hào)NAMEANDNUMBEROF PROFESSIONALQUALIFICATIONCERTIFICATES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LISTALLCOUNTRIESTHATEVERISSUEDYOUAPASSPORT列出所有曾使用過的護(hù)照號(hào)碼LISTALLPASSPORTNUMBERSTHATYOUEVERHAVEUSED與任職相關(guān)工作經(jīng)驗(yàn)RELATED WORKINGEXPERIENCEANDLENGTHOFWORKINGTIME聘用合同/任職證明在華工作起始時(shí)間INTENTEDWORKINGTIMEINCHINA申請(qǐng)?jiān)谥袊?guó)工作職務(wù)INTENTEDJOBTITLEINCHINA工作崗位（職業(yè)）OCCUPATION聘用方式EMPLOYMENTMETHOD所屬行業(yè)INDUSTRYCATEGORY薪酬SALARY(monthly)1/11

個(gè)人資料整理，僅供個(gè)人學(xué)習(xí)使用申請(qǐng)?jiān)谌A工作時(shí)間INTENTEDWORKINGTIMEINCHINA每年在華工作時(shí)間(月)WORKINGTIMEINCHINA PERYEAR(months)是否畢業(yè)于世界知名大學(xué)IFYOUAREGRADUATEDFROMWORLDRENOWNEDUNIVERSITIES是否需要行業(yè)主管部門批準(zhǔn)HAVEYOUOBTAINEDAPPROVALFROMRELATEDCHINESEINDUSTRYAUTHORITY?行業(yè)主管部門名稱NAMEOFINDUSTRYAUTHORITY行業(yè)主管部門批準(zhǔn)證書文號(hào)APPROVALDOCUMENTNUMBER是否持有中國(guó)職業(yè)資格證書(準(zhǔn)入類)HAVEYOUEVEROBTAINEDANYCHINESEPROFESSIONALQUALIFICATIONCERTIFICATE(forindustryaccess)?職業(yè)資格證書(準(zhǔn)入類)名稱NAMEOFCHINESEPROFESSIONALQUALIFICATIONCERTIFICATES(forindustryaccess)職業(yè)資格證書號(hào)碼NUMBEROFCHINESEPROFESSIONALQUALIFICATIONCERTIFICATESOBTAINED(forindustryaccess)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DOYOUHAVEANYEXPERIENCEINWORLDTOP 500COMPANIES,WELL-KNOWN FINANCIALINSTITUTIONS ORLAWFIRMS?在上述單位曾擔(dān)任最高職務(wù)HIGHESTPOSITIONYOUHAVEEVERHELDINAFOREMENTIONEDORGANIZATIONS是否入選中國(guó)國(guó)內(nèi)相關(guān)人才計(jì)劃IFYOUARESELECTEDASACANDIDATEOFANYCHINA'STALENTPLAN公認(rèn)職業(yè)成就RECOGNIZEDPROFESSIONALACHIEVEMENT境外派遣單位名稱NAMEOFDISPATCHINGINSTITUTIONABROAD派遣單位所在國(guó)家LOCATION OFDISPATCHINGINSTITUTIONABROAD在中國(guó)工作電話BUSINESSTELEPHONENUMBERINCHINA在中國(guó)工作傳真BUSINESSFAXNUMBERINCHINA在中國(guó)工作任務(wù)JOBDESCRIPTIONINCHINA列出曾就讀的高等教育學(xué)校（含職業(yè)教育學(xué)校）2/11

個(gè)人資料整理，僅供個(gè)人學(xué)習(xí)使用LISTALLHIGHEREDUCATIONALINSTITUTIONSYOUHAVEATTENTED(INCLUDINGVOCATIONALINSTITUTIONS)名 稱NAME所在國(guó)家LOCATION就讀時(shí)間DATES OFATTENDANCE專 業(yè)SPECIALITY1教育類型EDUCATIONALTYPE學(xué)位ACADEMICQUALIFICATION列出曾工作的單位LISTALLEMPLOYERSYOUHAVEWORKEDFOR名AME稱工作所在國(guó)家LOCATION起止時(shí)間DATES工作崗位OCCUPATION.職務(wù)JOBTITLE工作任務(wù)JOBDESRIPTION隨行家屬情況ACCOMPANYINGFAMILYMEMBERS是否有家屬隨行DOYOUHAVEANYACCOMPANYINGMEMBER?人數(shù)NUMBEROF THEACCOMPANYINGMEMBERS隨行家屬姓名NAME(AsinPassport)出生日期DATEOFBIRTH(yyyy-mm-dd)性別GENDER國(guó)籍NATIONALITY_與申請(qǐng)人關(guān)系RELATIONSHIPTO「HEAPPLICANT護(hù)照號(hào)碼PASSPORTNUMBER在華緊急聯(lián)系人EMERGENCYCONTACTPERSONINCHINA與申請(qǐng)人關(guān)系RELATIONSHIPTOTHEAPPLICANT3/11個(gè)人資料整理，僅供個(gè)人學(xué)習(xí)使用EMERGENCYCONTACTTELEPHONENUMBERSS電話電子郵箱E-MAILADDREEMERGENCYCONTACTTELEPHONENUMBERSS電話電子郵箱E-MAILADDRECHINA?HELD持有簽證種類TYPEOFVISA入境時(shí)間DATEOFENTRY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？HAVEYOUEVERBEENARRESTEDORCONVICTEDFORANYOFFENSEORCRIME,EVENTHOUGHSUBJECTOFAPARDON,AMNESTYOROTHERSIMILARLEGALACTION?□是CHINA?HELD持有簽證種類TYPEOFVISA入境時(shí)間DATEOFENTRY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？HAVEYOUEVERBEENARRESTEDORCONVICTEDFORANYOFFENSEORCRIME,EVENTHOUGHSUBJECTOFAPARDON,AMNESTYOROTHERSIMILARLEGALACTION?□是YES□否NO您是否曾感染過對(duì)公共健康有影響的傳染病或患過可造成危險(xiǎn)的身體疾病或精神?。縃AVEYOUEVERBEENAFFLICTEDWITHACOMMUNICABLEDISEASEOFPUBLICHEALTHSIGNIFICANCEORADANGEROUSPHYSICALORMENTALDISORDER?□是YES□否NO您是否曾違反中國(guó)法律，被中國(guó)政府遞解出境？HAVEYOUEVERVIOLATEDTHELAWOFCHINA,ANDDEPORTEDFROMCHINA?□是YES□否NO簽證號(hào)碼VISANUMBER本人鄭重承諾，在本國(guó)及境外無犯罪記錄，來華工作后，將嚴(yán)格遵守中國(guó)法律法規(guī)，自覺服從聘請(qǐng)單位各項(xiàng)管理制度。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，包括我的雇傭情況、工作表現(xiàn)、工作能力、教育、個(gè)人經(jīng)歷和無犯罪記錄。如果我已超誣0周歲，確保在中國(guó)工作期間有相應(yīng)的醫(yī)療保險(xiǎn)。ISOLEMNLYPROMISETHATIHAVENOCRIMINALRECORDBOTHATMYHOMECOUNTRYANDABROAD.WHEN申領(lǐng)外國(guó)人工作許可證APPLICATIONFORFOREIGNER'SWORKPERMIT是否已入境AREYOUCURRENTLYINIARRIVEINCHINAANDSTARTTOWORK,IWILLSTRICTLYABIDEBYTHECHINESELAWSANDREGULATIONS,ANDCONSCIOUSLYOBEYTHEMANAGEMENTSYSTEMOFTHEEMPLOYINGINSTITUTION.ICERTIFYTHATALLTHEANSWERSTOTHISAPPLICATIONANDRELEVANTATTACHMENTSTOITARETRUEANDCOMPLETED.IFTHEINFORMATIONISFOUNDTOBEUNTRUEORUNCOMPLETED,IAMAWARETHATINEEDTOUNDERTAKECORRESPONDINGLEGALRESPONSIBILITIES.IUNDERSTANDTHATALLOFTHEINFORMATIONINTHISAPPLICATIONANDDOCUMENTSSUBMITTEDWITHTHISAPPLICATIONMAYBECHECKEDBYRELEVANTPARTIES,INCLUDINGMYEMPLOYMENT,WORKPERFORMANCE,ABILITIES,EDUCATION,PERSONALEXPERIENCESANDCONVICTIONRECORDS.ICONFIRMTHAT,IFIAMOVERSIXTYYEARSOLD,IWILLAPPLYFORMEDICALINSURANCECOVERAGEASARENEEDEDDURINGMYWORKPERIODINCHINA.申請(qǐng)人簽名SIGNATUREOFAPPLICANT日期DATE(yyyy-mm-dd)4/11個(gè)人資料整理，僅供個(gè)人學(xué)習(xí)使用用人單位承諾如實(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)申請(qǐng)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。THEEMPLOYERHEREBYDECLARESTHATALLTHEDOCUMENTSANDINFORMATIONSSUBMITTEDTOTHEAUTHORITYARETRUE,ANDSHALLBERESPONSIBLETOTHEAUTHENTICITYOFTHEDOCUMENTSANDUNDERTAKECORRESPONDINGLEGALRESPONSIBILITIES.用人單位公章(SealofEmployer)年月日YYYYMMDD外國(guó)人來華工作許可延期申請(qǐng)表APPLICATIONFORMFOREXTENTIONOFFOREIGNER'SWORKPERMIT外國(guó)人工作許可證號(hào)WORKPERMITNUMBER輸入外國(guó)人工作證號(hào)，基本信息自動(dòng)導(dǎo)入，可修改姓(如護(hù)照所示)SURNAME(AsinPassport)名(如護(hù)照所示)FIRSTANDMIDDLENAMES(AsinPassport)照片PHOTO其他曾用姓氏（英文）OTHERSURNAMEUSED其他曾用名字(英文)OTHERFIRSTAND MIDDLENAMESUSED中文姓名CHINESENAME，性另ljGENDER出生日期DATEOFBIRTH(yyyy-mm-dd)國(guó)籍NATIONALITY中國(guó)聘用單位名稱NAMEOFEMPLOYER INCHINA組織機(jī)構(gòu)代碼或批準(zhǔn)證 書 號(hào)ORGANIZATIONALCODE (RegistrationCertificate)NUMBER在中國(guó)工作電話BUSINESSTELEPHONENUMBERINCHINA在中國(guó)工作傳真BUSINESS FAXNUMBER INCHINA電子郵箱E-MAILADDRESS持有簽證種類TYPEOFVISAHELD簽證號(hào)碼VISANUMBER有效期限至EXPIRATION5/11

個(gè)人資料整理，僅供個(gè)人學(xué)習(xí)使用DATE(yyyy-mm-dd)持有居留許可種類 RESIDENCEPERMITTYPE居留許可號(hào)碼RESIDENCEPERMITNUMBER有效期限至EXPIRATIONDATE(yyyy-mm-dd)工作崗位OCCUPATION薪 酬SALARY(monthly)工作職位JOBDESCRIPTION行業(yè)主管部門批準(zhǔn)證書文號(hào)APPROVEDDOCUMENTNUMBER有效期限至EXPIRATIONDATE(yyyy-mm-dd)聘用方式EMPLOYMENTMETHOD申請(qǐng)延長(zhǎng)工作許可時(shí)間INTENTEDEXTENSION OFWORKPERMIT起始時(shí)間STARTDATE終止時(shí)間ENDDATE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)申請(qǐng)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，同意許可決定機(jī)構(gòu)根據(jù)需要進(jìn)行補(bǔ)充調(diào)查。Referencerevision:Theemployerherebydeclaresthatallthedocumentsandinformationsubmittedtotheauthorityaretrue,andshallberesponsiblefortheauthenticityofthedocumentsandundertakecorrespondinglegalresponsibilities.Theemployershouldgivetheconsenttotheauthority'ssupplementaryinvestigationasnecessary.用人單位公章(SealofEmployer)年月日YYYY MMDD申請(qǐng)人簽名：SIGNATUREOFAPPLICANT年月日YYYY MMDD6/11

個(gè)人資料整理，僅供個(gè)人學(xué)習(xí)使用外國(guó)人來華工作許可變更申請(qǐng)表APPLICATIONFORMFORCHANGEOFFOREIGNER'SWORKPERMIT外國(guó)人工作許可證號(hào) WORK輸入外國(guó)人工作證號(hào)，基本信息自動(dòng)導(dǎo)入，不可修改PERMITNUMBER姓(如護(hù)照所示)SURNAME(AsinPassport)名(如護(hù)照所示)FIRSTANDMIDDLENAMES(AsinPassport)照片PHOTO其他曾用姓氏（英文）OTHERSURNAMEUSED其他曾用名字(英文)OTHERFIRSTANDMIDDLE NAMESUSED中文姓名CHINESENAME，性另ljGENDER出生日期DATEOFBIRTH(yyyy-mm-dd)國(guó)籍NATIONALITY變更項(xiàng)CHANGEDOBJECTS變更前BEFORECHANGE變更后AFTERCHANGE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)申請(qǐng)材料實(shí)質(zhì)內(nèi)容的真實(shí)性負(fù)責(zé)，并承擔(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)行補(bǔ)充調(diào)查。Referencerevision:Theemployerherebydeclaresthatallthedocumentsandinformationsubmittedtotheauthorityaretrue,andshallberesponsiblefortheauthenticityofthedocumentsandundertakecorrespondinglegalresponsibilities.Theemployershouldgivet