外國人來華工作許可申請表APPLICATIONFORMFORFOREIGNER'SWORKPERMIT外國人工作許可證號CURRENTWORKPERMITNUMBER姓(如護照所示)SURNAME(AsinPassport)名(如護照所示)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性別GENDER出生日期dateofBIRTH(vvvv-mm-dd)婚姻狀況MARITALSTATUS國籍NATIONALITY出生HBIRT電PLACEOF"H(countrv)護照類型PASSPORTTYPE護照號碼PASSPORTNUMBER護照簽發日期ISSUANCEDATE護照有效期至EXPIRATIONDATE(vvvv-mm-dd)最高學位HIGHESTACADEMICDEGREE漢語水平CHINESEPROFICIENCY是否掌握其他語言PROFICIENCYOFOTHERLANGUAGE是否持有境外職業資格證書HAVEYOUEVEROBTAINEDANYPROFESSIONALQUALIFICATIONCERTIFICATEABROAD?職業資格證書名稱和編號NAMEANDNUMBEROFPROFESSIONALQUALIFICATIONCERTIFICATES申請人電子郵箱e-mailADDRESS列出所有曾授予你護照的國豕listALLCOUNTRIESTHATEVERISSUEDYOUAPASSPORT列出所有照號牙PASSPOTHATYC:曾使用過的護馬LISTALLRTNUMBERS)UEVERHAVEUSED與任職相關工作經驗RELATEDWORKINGEXPERIENCEANDLENGTHOFWORKINGTIME聘用合同/任職證明在華工作起始時間INTENTEDworkingtimeINCHINA申請在二INTENTE（中國工作職務DJOBTITLEINCHINA工作崗位（職業）OCCUPATION聘用方式EMPLOYMENTMETHOD所屬行業INDUSTRYCATEGORY薪酬SALARY(monthlv)申請在華工作時間INTENTEDWORKINGTIMEINCHINA每年在華工作時間(月)WORKINGTIMEINCHINAPERYEAR(months)是否畢業于世界知名大學IFYOUAREGRADUATEDFROMWORLDRENOWNEDUNIVERSITIES是否需要行業主管部門批匕準HAVEyouOBTAINEDAPPROVALFROMRELATEDCHINESEINDUSTRYAUTHORITY?行業主管部門名稱行業主管部門批準證書文NAMEOFINDUSTRYAUTHORITY號APPROVALDOCUMENTNUMBER是否持有中國職業資格是否持有中國職業資格證書(準入類)haveyouEVEROBTAINEDANYCHINESEPROFESSIONALQUALIFICATIONCERTIFICATE(forindustryaccess)?職業資格證書(準入類)名稱NAMEOFCHINESEPROFESSIONALQUALIFICATIONCERTIFICATES(forindustryaccess)職業資格證書號碼NUMBEROFCHINESEPROFESSIONALQUALIFICATIONCERTIFICATESOBTAINED(forindustrvaccess)是否曾在世界500強企在上述單位曾擔任最高是否入選中國國內相關人

喔知名金融機構或律師事務所等任職DOYOUHAVEANYEXPERIENCEINWORLDTOP500COMPANIES,WELL-KNOWNFINANCIALINSTITUTIONSORLAWFIRMS?職務HIGHESTPOSITIONYOUHAVEEVERHELDINAFOREMENTIONEDORGANIZATIONS才計劃IFYOUARESELECTEDASACANDIDATEOFANYCHINA'STALENTPLAN公認職業成就RECOGNIZEDPROFESSIONALACHIEVEMENT境外派遣單位名稱NAMEOFDISPATCHINGINSTITUTIONABROAD派遣單位所在國家LOCATIONOFDISPATCHINGINSTITUTIONABROAD在中國工作電詁BUSINESSTELEPHONENUMBERINCHINA在中國工作傳真BUSINESSFAXNUMBERINCHINA在中國工作任務JOBDESCRIPTIONINCHINA列出曾就讀的高等教育學校(含職業教育學校)LISTALLHIGHEREDUCATIONALINSTITUTIONSYOUHAVEATTENTED(INCLUDINGVOCATIONALINSTITUTIONS)名稱NAME所在國家LOCATION就讀時間DATESOFATTENDANCE專業SPECIALITY教育類型EDUCATIONALTYPE學位ACADEMICQUALIFICATION歹世LISTALLEMPLOY]1曾工作的單位ERSYOUHAVEWORKEDFOR名稱NAME工作所在國豕LOCATION起止時間DATES工作崗位OCCUPATION職務JOBTITLE工作任務JOBDESRIPTION隨行家屬情況ACCOMPANYINGFAMILYMEMBERS是否有家屬隨行DOYOUHAVEANYACCOMPANYINGMEMBER?人數NUMBEROFTHEACCOMPANYINGMEMBERS隨行家屬姓名NAME(AsinPassport)出生日期DATEOFBIRTH(yyyy-mm-dd)性別GENDER國籍NATIONALITY與申請人關系RELATIONSHIPTOTHEAPPLICANT護照號碼PASSPORTNUMBER

在華緊急聯系人

EMERGENCY

CONTACTPERSON

INCHINA聯系電話EMERGENCY

CONTACT

TELEPHONE

NUMBER與申請人關系RELATIONSHI

PTOTHE

APPLICANT電子郵箱

E-MAILADDR

ESS申領外國人工作許可證APPLICATIONFORFOREIGNER'SWORKPERMIT持有簽證種類TYPEOFVISAHELD入境時間DATEOFENTRY您是否由于犯有任何罪行而曾經被逮捕或被判有罪，即使后來得到了赦免或收回等其他類似措施？haveyoueverbeenarrestedorconvictedforany在華緊急聯系人

EMERGENCY

CONTACTPERSON

INCHINA聯系電話EMERGENCY

CONTACT

TELEPHONE

NUMBER與申請人關系RELATIONSHI

PTOTHE

APPLICANT電子郵箱

E-MAILADDR

ESS申領外國人工作許可證APPLICATIONFORFOREIGNER'SWORKPERMIT持有簽證種類TYPEOFVISAHELD入境時間DATEOFENTRY您是否由于犯有任何罪行而曾經被逮捕或被判有罪，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您是否曾感染過對公共犍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？HAVEYOUEVERBEENAFFLICTEDWITHACOMMUNICABLEDISEASEOFPUBLICHEALTHSIGNIFICANCEORADANGEROUSPHYSICALORMENTALDISORDER?□是YES□否NO您是否曾違反中國法律，被中國政府遞解出境？HAVEYOUEVERVIOLATEDTHELAWOFCHINA,ANDDEPORTEDFROMCHINA?□是YES□否NO是否已入境AREYOUCURRENTLYINCHINA?簽證號碼VISANUMBER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。如果我已超速0周歲，確保在中國工作期間有相應的醫療保險。ISOLEMNLYPROMISETHATIHAVENOCRIMINALRECORDBOTHATMYHOMECOUNTRYANDABROAD.WHENIARRIVEINCHINAANDSTARTTOWORK,IWILLSTRICTLYABIDEBYTHECHINESELAWSANDREGULATIONS,ANDCONSCIOUSLYOBEYTHEMANAGEMENTSYSTEMOFTHEEMPLOYINGINSTITUTION.ICERTIFYTHATALLTHEANSWERSTOTHISAPPLICATIONANDRELEVANTATTACHMENTSTOITARETRUEANDCOMPLETED.IFTHEINFORMATIONISFOUNDTOBEUNTRUEORUNCOMPLETED,IAMAWARETHATINEEDTOUNDERTAKECORRESPONDINGLEGALRESPONSIBILITIES.IUNDERSTANDTHATALLOFTHEINFORMATIONINTHISAPPLICATIONANDDOCUMENTSSUBMITTEDWITHTHISAPPLICATIONMAYBECHECKEDBYRELEVANTPARTIES,INCLUDINGMYEMPLOYMENT,WORKPERFORMANCE,ABILITIES,EDUCATION,PERSONALEXPERIENCESANDCONVICTIONRECORDS.ICONFIRMTHAT,IFIAMOVERSIXTYYEARSOLD,IWILLAPPLYFORMEDICALINSURANCECOVERAGEASARENEEDEDDURINGMYWORKPERIODINCHINA.申請人簽名SIGNATUREOFAPPLICANT日期DATE(yyyy-mm-dd)相人單律承任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THEEMPLOYERHEREBYDECLARESTHATALLTHEDOCUMENTSANDINFORMATIONSSUBMITTEDTOTHEAUTHORITYARETRUE,ANDSHALLBERESPONSIBLETOTHEAUTHENTICITYOFTHEDOCUMENTSANDUNDERTAKECORRESPONDINGLEGALRESPONSIBILITIES.用人單位公章(SealofEmployer)YYYYMMDDYYYYMMDD外國人來華工作許可延期申請表APPLICATIONFORMFOREXTENTIONOFFOREIGNER'SWORKPERMIT外國人工作許可證號WORKPERMINUMBERT 輸入外國人工作證號，基本信息自動導入，可修改姓(如護照所示)SURNAME(AsinPassport)名(如護照所示)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性另^GENDER出生日期dateOFBIRTH(yyyy-mm-dd)國籍NATIONALITY中國聘用單位名稱NAMEOFEMPLOYERINCHINA組織機構代碼或批準證書號ORGANIZATIONALCODE(RegistrationCertificate)NUMBER在中國工作電話BUSINESSTELEPHONENUMBERINCHINA在中國工作傳真BUSINESSFAXNUMBERINCHINA電了郵箱e-mailADDRESS持有簽證種類TYPEOFVISAHELD簽證號碼VISANUMBER有效期限至EXPIRATIONDATE(yyyy-mm-dd)持有居留許可種類RESIDENCEPERMITTYPE居留許可號碼RESIDENCEPERMITNUMBER有效期限至EXPIRATIONDATE(yyyy-mm-dd)工作崗位OCCUPATION薪酬SALARY(monthly)工作職位JOBDESCRIPTION行業主管部門批準證書文號APPROVEDDOCUMENTNUMBER有效期限至EXPIRATIONDATE(yyyy-mm-dd)聘用方式EMPLOYMENTMETHOD

申請延長工作許可時間INTENTEDEXTENSIONOFWORKPERMIT起始時間STARTDATE終止時間endDATE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宣承擔相關法律責任同意許可決定機構根據需要進;補充調查。Referencerevision:Theemployerherebydeclaresthatallthedocumentsandinformationsubmittedtotheauthorityaretrue,andshallberesponsiblefortheauthenticityofthedocumentsandundertakecorrespondinglegalresponsibilities.Theemployershouldgivetheconsenttotheauthority'ssupplementaryinvestigationasnecessary.用人單位公章(SealofEmployer)年月日YYYY MMDD行，申請人簽名：SIGNATUREOFAPPLICANT年月日YYYY MMDD外國人來華工作許可變更申請表APPLICATIONFORMFORCHANGEOFFOREIGNER'SWORKPERMIT外國人工作許可證號WORKPERMITNUMBER輸入外國人工作證號，基本信息自動導入，不可修改姓(如護照所示)SURNAME(AsinPassport)名(如護照所示)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性別GENDER出生日期dateOFBIRTH(yyyy-mm-dd)國籍NATIONALITY變更項CHANGEDOBJECTS變更刖BEFORECHANGE變更后AFTERCHANGE用人單位承諾如實向行政機關提交有關材料和反映實情況，并對申請材料實質內容的真實性負責，并擔相關法律責任，同意許可決定機構根據需要進行充調查。Referencerevision:Theemployerherebydeclaresthatallthedocumentsandinformationsubmittedtotheauthorityaretrue,andshallberesponsiblefortheauthenticityofthedocumentsandundertakecorrespondinglegalresponsibilities.Theemployershouldgivetheconsenttotheauthority'ssupplementaryinvestigationasnecessary.用人單位公章(SealofEmployer)年月日YYYY MMDD真承補申請人簽名：SIGNATUREOFAPPLICANT年月日YYYY MMDD

外國人來華工作許可注銷申請表APPLICATIONFORMFORCANCELLATIONOFFOREIGNER'SWORKPERMIT外國人工作許可證號WORKPERMITNUMBER輸入外國人工作證號，基本信息自動導入，不可修改姓(如護照所示)SURNAME(AsinPassport)名(如護照所示)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性別GENDER出生日期dateofBIRTH(yyyy-mm-dd)婚姻狀況MARITALSTATUS國籍NATIONALITY出生地placeOFBIRTH(country)中國聘用單位名稱NAMEOFEMPLOYERINCHINA組織機構代碼或批準證書號ORGANIZATIONALCODE(RegistrationCertificate)NUMBER注銷原因REASONFORCANCELLATION聘用合同解除CONTRACTTERMINATED聘用合同終止CONTRACTENDED其他OTHERREASONS用人單位承諾如實向行政機關提交有關材料和反真實情況，并對申請材料實質內容的真實性負責承擔相關法律責任，同意許可決定機構根據需要行補充調查。Referencerevision:Theemployerherebydeclaresthatall

thedocumentsandinformationsubmittedtotheauthorityare

true,andshallberesponsiblefortheauthenticityofthe

documentsandundertakecorrespondinglegal

responsibilities.Theemployershouldgivetheconsenttothe

authority'ssupplementaryinvestigationasneces

用人單位公章(SealofEmployerReferencerevision:Theemployerherebydeclaresthatall

thedocumentsandinformationsubmittedtotheauthorityare

true,andshallberesponsiblefortheauthenticityofthe

documentsandundertakecorrespondinglegal

responsibilities.Theemployershouldgivetheconsenttothe

authority'ssupplementaryinvestigationasneces

用人單位公章(SealofEmployer)年月日YYYYMMDD申請人簽名：SIGNATUREOFAPPLICANT本人已與用人單位解除(終止)工作關系。I,theundersigned,declarethatthelaborcontractbetweenthe淚ry.employerandmehasbeenterminated(hasended).YYYYMMDD外國人工作許可證補辦申請表APPLICATIONFORMFORRENEWALOFFOREIGNER'SWORKPERMITCARD外國人工作許可證號WORKPERMITNUMBER姓(如護照所示)SURNAME(AsinPassport)名(如護照所示)FIRST