外国人来华工作许可申请表

外国人来华工作许可申请表APPLICATIONFORMFORFOREIGNER'SWORKPERMIT外国人工作许可证号CURRENTWORKPERMITNUMBER姓（如护照所示）SURNAME(AsinPassport)名（如护照所示）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CHINESENAME性别GENDER出生日期DATEOFBIRTH(yyyy-mm-dd)婚姻状况MARITALSTATUS国籍NATIONALITY出生地PLACEOFBIRTH(country)护照类型PASSPORTTYPE护照号码PASSPORTNUMBER护照签发日期ISSUANCEDATE护照有效期至EXPIRATIONDATE(yyyy-mm-dd)最高学位HIGHESTACADEMICDEGREE汉语水平CHINESEPROFICIENCY是否掌握其他语言PROFICIENCYOFOTHERLANGUAGE是否持有境外职业资格证书HAVEYOUEVEROBTAINEDANYPROFESSIONALQUALIFICATIONCERTIFICATEABROAD?职业资格证书名称和编号NAMEANDNUMBEROFPROFESSIONALQUALIFICATIONCERTIFICATES申请人电子邮箱E-MAILADDRESS列出所有曾授予你护照的国家LISTALLCOUNTRIESTHATEVERISSUEDYOUAPASSPORT列出所有曾使用过的护照号码LISTALLPASSPORTNUMBERSTHATYOUEVERHAVEUSED与任职相关工作经验RELATEDWORKINGEXPERIENCEANDLENGTHOFWORKINGTIME聘用合同/任职证明在华工作起始时间INTENTEDWORKINGTIMEINCHINA申请在中国工作职务INTENTEDJOBTITLEINCHINA工作岗位（职业）OCCUPATION聘用方式EMPLOYMENTMETHOD所属行业INDUSTRYCATEGORY薪酬SALARY(monthly)申请在华工作时间INTENTEDWORKINGTIMEINCHINA每年在华工作时间（月)WORKINGTIMEINCHINAPERYEAR(months)是否毕业于世界知名大学IFYOUAREGRADUATEDFROMWORLDRENOWNEDUNIVERSITIES是否需要行业主管部门批准HAVEYOUOBTAINEDAPPROVALFROMRELATEDCHINESEINDUSTRYAUTHORITY?行业主管部门名称NAMEOFINDUSTRYAUTHORITY行业主管部门批准证书文号APPROVALDOCUMENTNUMBER是否持有中国职业资格证书（准入类）HAVEYOUEVEROBTAINEDANYCHINESEPROFESSIONALQUALIFICATIONCERTIFICATE(forindustryaccess)?职业资格证书（准入类）名称NAMEOFCHINESEPROFESSIONALQUALIFICATIONCERTIFICATES(forindustryaccess)职业资格证书号码NUMBEROFCHINESEPROFESSIONALQUALIFICATIONCERTIFICATESOBTAINED(forindustryaccess)是否曾在世界500强企业、知名金融机构或律师在上述单位曾担任最高职务HIGHESTPOSITION是否入选中国国内相关人才计划IFYOUARE事务所等任职DOYOUHAVEANYEXPERIENCEINWORLDTOP500COMPANIES,WELL-KNOWNFINANCIALINSTITUTIONSORLAWFIRMS?YOUHAVEEVERHELDINAFOREMENTIONEDORGANIZATIONSSELECTEDASACANDIDATEOFANYCHINA'STALENTPLAN公认职业成就RECOGNIZEDPROFESSIONALACHIEVEMENT境外派遣单位名称NAMEOFDISPATCHINGINSTITUTIONABROAD派遣单位所在国家LOCATIONOFDISPATCHINGINSTITUTIONABROAD在中国工作电话BUSINESSTELEPHONENUMBERINCHINA在中国工作传真BUSINESSFAXNUMBERINCHINA在中国工作任务JOBDESCRIPTIONINCHINA列出曾就读的高等教育学校（含职业教育学校）LISTALLHIGHEREDUCATIONALINSTITUTIONSYOUHAVEATTENTED(INCLUDINGVOCATIONALINSTITUTIONS)名称NAME所在国家LOCATION就读时间DATESOFATTENDANCE专业SPECIALITY教育类型EDUCATIONALTYPE学位ACADEMICQUALIFICATION列出曾工作的单位LISTALLEMPLOYERSYOUHAVEWORKEDFOR名称NAME工作所在国家LOCATION起止时间DATES工作岗位OCCUPATION职务JOBTITLE工作任务JOBDESRIPTION随行家属情况ACCOMPANYINGFAMILYMEMBERS是否有家属随行DOYOUHAVEANYACCOMPANYINGMEMBER?人数NUMBEROFTHEACCOMPANYINGMEMBERS随行家属姓名NAME(AsinPassport)出生日期DATEOFBIRTH(yyyy-mm-dd)性别GENDER国籍NATIONALITY与申请人关系RELATIONSHIPTOTHEAPPLICANT护照号码PASSPORTNUMBER在华紧急联系人EMERGENCYCONTACTPERSONINCHINA与申请人关系RELATIONSHIPTOTHEAPPLICANT联系电话EMERGENCYCONTACTTELEPHONENUMBER电子邮箱E-MAILADDRESS申领外国人工作许可证APPLICATIONFORFOREIGNER'SWORKPERMIT是否已入境AREYOUCURRENTLYINCHINA?持有签证种类TYPEOFVISAHELD入境时间DATEOFENTRY签证号码VISANUMBER您是否由于犯有任何罪行而曾经被逮捕或被判有罪，即使后来得到了赦免或收回等其他类似措施？HAVEYOUEVERBEENARRESTEDORCONVICTEDFORANYOFFENSEORCRIME,EVENTHOUGHSUBJECTOFAPARDON,AMNESTYOROTHERSIMILARLEGALACTION?□是YES□否NO您是否曾感染过对公共健康有影响的传染病或患过可造成危险的身体疾病或精神病？HAVEYOUEVERBEENAFFLICTEDWITHACOMMUNICABLEDISEASEOFPUBLICHEALTHSIGNIFICANCEORADANGEROUSPHYSICALORMENTALDISORDER?□是YES□否NO您是否曾违反中国法律，被中国政府递解出境？HAVEYOUEVERVIOLATEDTHELAWOFCHINA,ANDDEPORTEDFROMCHINA?□是YES□否NO本人郑重承诺，在本国及境外无犯罪记录，来华工作后，将严格遵守中国法律法规，自觉服从聘请单位各项管理制度。本申请表上所做之回答均属事实且详尽，所附材料真实、有效，若所提交的内容被发现不实或不详，本人愿意承担法律责任。对所提交的全部申请信息和附件授权可以调查，包括我的雇佣情况、工作表现、工作能力、教育、个人经历和无犯罪记录。如果我已超过60周岁，确保在中国工作期间有相应的医疗保险。ISOLEMNLYPROMISETHATIHAVENOCRIMINALRECORDBOTHATMYHOMECOUNTRYANDABROAD.WHENIARRIVEINCHINAANDSTARTTOWORK,IWILLSTRICTLYABIDEBYTHECHINESELAWSANDREGULATIONS,ANDCONSCIOUSLYOBEYTHEMANAGEMENTSYSTEMOFTHEEMPLOYINGINSTITUTION.ICERTIFYTHATALLTHEANSWERSTOTHISAPPLICATIONANDRELEVANTATTACHMENTSTOITARETRUEANDCOMPLETED.IFTHEINFORMATIONISFOUNDTOBEUNTRUEORUNCOMPLETED,IAMAWARETHATINEEDTOUNDERTAKECORRESPONDINGLEGALRESPONSIBILITIES.IUNDERSTANDTHATALLOFTHEINFORMATIONINTHISAPPLICATIONANDDOCUMENTSSUBMITTEDWITHTHISAPPLICATIONMAYBECHECKEDBYRELEVANTPARTIES,INCLUDINGMYEMPLOYMENT,WORKPERFORMANCE,ABILITIES,EDUCATION,PERSONALEXPERIENCESANDCONVICTIONRECORDS.ICONFIRMTHAT,IFIAMOVERSIXTYYEARSOLD,IWILLAPPLYFORMEDICALINSURANCECOVERAGEASARENEEDEDDURINGMYWORKPERIODINCHINA.申请人签名SIGNATUREOFAPPLICANT日期DATE(yyyy-mm-dd)用人单位承诺如实向行政机关提交有关材料和反映真实情况，并对申请材料实质内容的真实性负责,承担相关法律责任。THEEMPLOYERHEREBYDECLARESTHATALLTHEDOCUMENTSANDINFORMATIONSSUBMITTEDTOTHEAUTHORITYARETRUE,ANDSHALLBERESPONSIBLETOTHEAUTHENTICITYOFTHEDOCUMENTSANDUNDERTAKECORRESPONDINGLEGALRESPONSIBILITIES.用人单位公章（SealofEmployer）年月日YYYYMMDD