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 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)護照類型PASSPORT TYPE護照號碼PASSPORT NUMBER護照簽發日期ISSUANCE DA TE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 OTHER LANGUAGE是否持有境外職業資格證書 HAVE YOU EVER OBTAINED ANY PROFESSIONAL QUAL

3、IFICATION CERTIFICATE ABROAD?職業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 NUMBERS THAT YOU EVER HA VE USED與任職相關工作經驗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INTENTED JOB TITLE IN CHINA工作崗位（職業）OCCUPATION聘用方式EMPLOYMENTMETHOD所屬行業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)是否畢業于世界知名大學IF YOU ARE GRADUATED FROM WORLD R

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

6、NAME OF CHINESE PROFESSIONAL QUALIFICATION CERTIFICATES(for industry access)職業資格證書號碼NUMBER OF CHINESE PROFESSIONAL QUALIFICATION CERTIFICATESOBTAINED (for industry access)是否曾在世界500強企 業、知名金融機構或律師在上述單位曾擔任最高 職務 HIGHEST POSITION是否入選中國國內相關人 才計劃 IF YOU ARE事務所等任職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-公認職業成就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 JOBDESCRIPTION IN CHINA列出曾就讀的高等教育學校(含職業教育學校)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SPECIALITY教育類型EDUCATIONAL TYPE學位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 HA VE ANYACCOMPANYING MEMBER?人數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與申請人關系RELATIONSHIP TO THE APPLICANT護照號碼PASSPORT NUMBER在華緊急聯系人EMERGENCY CONTACT PERSON IN CHINA與申請人關系RELATIONSHIP TO THE APPLICANT電子郵箱E-MAILADDRESSEMERGENCYCONTACTTELEPHONENUMBER申領外國人丄作許可證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，將嚴格遵守中國法律法規，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

13、內容被發現 不實或不詳，本人愿意承擔法律責任。對所提交的全部申請信息和附件授權可以調查，包括我的雇傭情 況、工作表現、工作能力、教育、個人經歷和無犯罪記錄。如果我已超過60周歲，確保在中國工作期間IN CHINA有相應的醫療保險。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)用人單位承諾如實向行政機關提交有關材料和反映真實情況，并對申請材料實質內容的真實性負責，承擔相關法律責任。THE EMPLOYER