外国人来华工作许可表-电子表单

1、单位注册信息表单位注册号单位名称（中文）*单位名称（英义）*所在行政区域* （国标）所在行业*法定代表人/首席代表*法定代表人/首席代表身份 证号/护照号码*业务经办部门负责人*业务经办部门负责人身份 证号/护照号码*业务经办部门负责人移动电话*业务经办部门负责人固定 电话*组织机构代码/统一社会信用代 码/批准证书号*组织机构类型*登记机关*经济类型注册资本投资国别单位成立日期营业执照或批准文书有效 期限至*登记办公地址*实际办公地址*单位固定电话*单位传真号码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 材料实质内容真实性负责， 承担 相关法律责任，同意许可决定机 构根据需要进

2、行补充调查。单位盖章授权单位人事或外事部门公章办理外国人来华工作许可相关业务。（可另附纸授权）人事或外事部门盖章备注：单位没有专门英文名称的，请用拼音代替外国人来华工作许可申请表APPLICATION FORM FOR FOREIGNER'S WORK PERMIT外国人工作许可证号CURRENWORPERMITNUMBER姓(如护照所示)SURNAM (As in Passport)IE名(如护照所不)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)婚姻状况MARITALSTATUS国籍 NATIONALITY出生地PLACE OF BIRTH(country)护照类型PASSPORT TYPE护照号码PASSPORT NUMBER护照签发日期ISSUANCE DATE护照有效期至EXPIRATION DATE(yyyy-mm-dd)最高学位HIGHEST ACADEMIC DEGREE汉语水平CHINESE PROFICIENCY是否掌握其他语言PROFICIENCY OF

4、OTHER LANGUAGE是否持有境外职业资格证书 HAVE YOU EVER OBTAINED ANY PROFESSION QUALIFICATION CERTIFICAT ABROAD?IAL职业资格证书名称和编 号 NAME AND NUMBER C PROFESSIONAL QUALIFICATION CERTIFICATESF申请人电子邮箱 e-mailADDRESS列出所有曾授予你护照的国家 LIST ALL COUNTRIE THAT EVER ISSUED YOU A PASSPORTS列出所有曾使用过的护 照号码 LIST ALL PASSPOF NUMBERS THAT

5、 YOU EVEHAVE USEDTR与任职相关工作经验RELATED WORKING EXPERIE AND LENGTH OF WORKING TINCE ME聘用合同/任职证明在华 工作起始时间INTENTEDWORKING TIME IN CHINA申请在中国工作职务INTENTED JOB TITLE IN CHINA工作岗位（职业）OCCUPATKON聘用 7 EMPLOYMENT METHOD所属行业INDUSTRY CATEGORY薪酬 SALARY(monthly)申请在华工作时间INTENTED WORKING TIME IN CHINA每年在华工作时间(月)WORKING

6、 TIME IN CHINA PER YEAR(months)是否毕业于世界知名大学IF YOU ARE GRADUATED FROM WORLD RENOWNED UNIVERSITIES是否需要行业主管部门 批准 HAVE YOU OBTAINED APPROVAL FROM RELATE CHINESE INDUSTRY AUTHORITY?D行业主管部门名称 NAMOF INDUSTRY AUTHORITY行业主管部门批准证书文号 APPROVAILOCUMENTJMBEER是否持有中国职业资格 证书(准入类)HAVE YOI EVER OBTAINED ANY CHINE!PROFE

7、SSIONALQUALIFICATION CERTIFICAT (for industry access)?USE职业资格证书(准入类) 名称 NAME OF CHINESEPROFESSIONALQUALIFICATION CERTIFICATES(for industry access)职业资格证书号码 NUMBEOF CHINESE PROFESSIONA QUALIFICATIONCERTIFICATESOBTAINED (for industry access)R是否曾在世界500强企 业、知名金融机构或律师 事务所等任职 DOYOUHAVEANY EXPERIENCE IN WOR

8、L TOP 500COMPANIES,WELL-KNOW FINANCIAL INSTITUTIONS ORLAWFIRMS?DN在上述单位曾担任最高职务 HIGHEST POSITIONYOU HAVE EVER HELD INAFOREMENTIONEDORGANIZATIONS是否入选中国国内相关人 才计戈U IF YOU ARESELECTED AS A CANDIDATE OF ANY CHINA'S TALENT PLAN公认职业成就 RECOGNIZEDPROFESSIONAL ACHIEVEMENT境外派遣单位名称NAMEOF DISPATCHING INSTITUTI

9、ON ABROAD派遣单位所在国家LOCATION OF DISPATCHIN INSTITUTION ABROADG在中国，作电诂BUSINESS TELEPHONENUM IN CHINABER在中国，作传真BUSINESS FAX NUMBER I CHINAN在中国工作任务 JOBDESCRIPTION IN CHINA列出曾就读的图等教育学校(含职业教育学校)LIST ALL HIGHER EDUCATIONAL INSTITUTIONS YOU HAVE ATTENTED (INCLUDING VOCATIONAL INSTITUTIONS)名称NAME所在国家LOCATION就读

10、时间DATES OF ATTENDANCE专业SPECIALITY教育类型EDUCATIONAL TYPE学位ACADEMIC QUALIFICATION列出曾工作的单位LIST ALL EMPLOYERS YOU HAVE WORKED FOR名称NAME工作所在国家 LOCATION起止时间JDATES工作岗位OCCUPATION职务JOB TITLE工作任务JOB DESRIPTION随行家属情况 ACCOMPANYING FAMILY MEMBERS是否后家属随行DCYOU HAVE ANYACCOMPANYINGMEMBER?人数 NUMBER O THEACCOMPANYIN( M

11、EMBERS5随行家属姓名NAME (As in Passport)出生日期DATE OF BIRTH(yyyy-m m-dd)性别GENDER国籍NATIONALITY与申请人关系RELATIONSHIP TO THE APPLICANT护照号码PASSPORT NUMBER在华紧急联系人EMERGENCY CONTA PERSON IN CHINACT与申请人关系 RELATIONSHIPTO THE APPLICANT联系电话EMERGEN CONTACT TELEPHO卜 NUMBERCYIE电子邮箱E-MAILADDRESS申领外国人工作许可证APPLICATION FOR FORE

12、IGNER'S WORK PERMIT是日入境ARE yoi CURRENTLY IN CHINA?持有签证种类TYPE OF VISAHELD入境日间 date of entrY签证号码VISA NUMBER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现YES等其他类似措施? HAVE YOU EVER BEEN ARRESTED OR CONVICTED FOR ANY OFFENSE O EVEN THOUGH SUBJECT OF A PARDON, AMNESTY OR OTHER SIMILAR LEGAL ACTION?现YES事NOYES您是否

13、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？ HAVE YOU EVER BEEN AFFLICTED WITH A COMMUNICABLE DISEASE OF PUBLIC HEALTH SIGNIFICANCE OR A DANGEROUS PHYSICAL OR MENTAL DISORDER?您是否曾违反中国法律，被中国政府递解出境？HAVE YOU EVER VIOLATED THE LAW OF CHINA, AND DEPORTED FROM CHINA?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

14、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60周岁，确保在中国工作期间况、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 有相应的医疗保险。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.，承担申请人签名 SIGNATURE OF APPLICANT 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