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1、东北财经大学外国人来华工作许可申请表APPLICATIONFORFOREIGNERSWORKPERMITDONGBEIUNIVESITYOFFINANCE&ECONOMICS国人工作许可证号PRESENTWORKPERMITNUMBER不需申请人填写，系统自动生成姓(如护照所示)SURNAME(AsinPassport)名(如护照所示)FIRSTANDMIDDLENAMES(AsinPassport)40mmx30mm白色背景免冠照片请用胶水或书钉附于此处40mmx30mmPASSPORTPHOTOWITHWHITEBACKGROUNDSTAPLEORGLUEHERE曾用姓名（英文）OTHER
2、NAMEUSED中文姓名(仅外籍华人)NAMEINCHINESE(ChineseOfForeignNationalityOnly)性别GENDER国籍NATIONALITY出生日期DATEOFBIRTH(yyyy-mm-dd)婚姻状况MARITALSTATUS护照类型PASSPORTTYPE护照号码PASSPORTNUMBER护照签发日期ISSUANCEDATE(yyyy-mm-dd)护照有效期至EXPIRATIONDATE(yyyy-mm-dd)最高学位(学历)HIGHESTACADEMICDEGREE汉语水平CHINESEPROFICIENCY是否持有境外职业资格证书HAVEYOUEVER
3、OBTAINEDANYPROFESSIONALQUALIFICATIONCERTIFICATEABROAD?职业资格证书名称和编号NAMEANDSERIALNUMBEROFPROFESSIONALQUALIFICATIONCERTIFICATES申请人电子邮箱E-MAILADDRESS列出所有曾授予你护照的国家LISTALLCOUNTRIESTHATEVERISSUEDYOUAPASSPORT工作年限WORKINGEXPERIENCEANDLENGTHOFWORKINGTIME工作岗位（职业）OCCUPATION聘用合同/任职证明在华工作起始时间INTENDEDWORKINGTIMEINCHI
4、NA申请在中国工作职务INTENDEDJOBTITLEINCHINA聘用方式EMPLOYMENTMETHOD薪酬SALARY(monthly)申请在华工作时间INTENDEDLENGTHOFWORKINGTIMEINCHINA每年在华工作时间(月)WORKINGTIMEINCHINAPERYEAR(months)是否持有中国职业资格证书(准入类)HAVEYOUEVEROBTAINEDANYCHINESEPROFESSIONALQUALIFICATIONCERTIFICATE(ForVocationalAccession)?职业资格证书(准入类)名称NAMEOFCHINESEPROFESSION
5、ALQUALIFICATIONCERTIFICATES(ForVocationalAccession)职业资格证书号码NUMBEROFCHINESEPROFESSIONALQUALIFICATIONCERTIFICATESOBTAINED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DOYOUHAVEANYEXPERIENCEINWORLDTOP500COMPANIES,WELL-KNOWNFINANCIALINSTITUTIONSORLAWFIRMS?在上述单位曾担任最高职务HIGHESTPOSITIONYOUHAVEEVERHELDINAFOREMENTIONEDORGANIZA
6、TIONS境外派遣单位名称NAMEOFDISPATCHINGINSTITUTIONABROAD派遣单位所在国家COUNTRYOFDISPATCHINGINSTITUTIONABROAD已连续在华工作年限CONSECUTIVEWORKINGYEARSINCHINA在中国工作电话BUSINESSTELEPHONENUMBERINCHINA在中国工彳任务JOBDESCRIPTIONINCHINA列出曾就读的高等教育学校(含职业教育学校，如无高等教育经历，请填写最高学历)LISTALLHIGHEREDUCATIONALINSTITUTIONSYOUHAVEATTENTED(INCLUDINGVOCAT
7、IONALINSTITUTIONS)名称NAMEOFINSTITUTION所在国家COUNTRY就读时间DATESOFATTENDANCE专业SPECIALITY学位ACADEMICQUALIFICATION备注COMMENT列出曾工作的单位（近十年内）LISTALLEMPLOYERSYOUHAVEWORKEDFORINLASTTENYEARS名称NAMEOFEMPLOYER工作所在国家COUNTRY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DOYOUHAVEA
8、NYACCOMPANYINGMEMBER?人数NUMBEROFACCOMPANYINGMEMBERS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EMERGENCYCONTACTINCHINA联系电话EMERGENCYCONTACTTELEPHONENUMBER电子邮箱E-MAILADDRESS申领外国人工作许可证APPLICATIONFORFOREIGNERSWORKPERMIT入境
9、时间DATEOFENTRY持有签证种类TYPEOFVISAHELD签证号码VISANUMBER宗教信仰RELIGION母语NATIVELANGUAGE长期服用药物LONGTERMMEDICATION出生地(国家、省/时)PLACEOFBIRTH(country-stateorprovince-city)现工作单位CURRENTEMPLOYER国外联系电话HOMETELEPHONENUMBER国外住址(国家、省、市、街道、单元号、邮编)HOMEADDRESSINCOUNTRYOFORIGIN(Includingapartmentnumber,street,ciry,stateorprovince
10、,postalcodeandcountry)拟办理签证使/领馆名称NAMEOFTHEEMBASSY(CONSULATEGENERAL/CONSULATE)WHEREYOUINTENDTOAPPLYFORAVISA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。ISOL
11、EMNLYPROMISETHATIHAVENOCRIMINALRECORDBOTHATMYHOMECOUNTRYANDABROAD.WHENIARRIVEINCHINAANDSTARTTOWORK,IWILLSTRICTLYABIDEBYTHECHINESELAWSANDREGULATIONS,ANDCONSCIOUSLYOBEYTHEMANAGEMENTSYSTEMOFTHEEMPLOYINGINSTITUTION.ICERTIFYTHATALLTHEANSWERSTOTHISAPPLICATIONANDRELEVANTATTACHMENTSTOITARETRUEANDCOMPLETED.I
12、FTHEINFORMATIONISFOUNDTOBEUNTRUEORUNCOMPLETED,IAMAWARETHATINEEDTOUNDERTAKECORRESPONDINGLEGALRESPONSIBILITIES.IUNDERSTANDTHATALLOFTHEINFORMATIONINTHISAPPLICATIONANDDOCUMENTSSUBMITTEDWITHTHISAPPLICATIONMAYBECHECKEDBYRELEVANTPARTIES,INCLUDINGMYEMPLOYMENT,WORKPERFORMANCE,ABILITIES,EDUCATION,PERSONALEXPE
13、RIENCESANDCONVICTIONRECORDS.ICONFIRMTHAT,IFIAMOVERSIXTYYEARSOLD,IWILLAPPLYFORMEDICALINSURANCECOVERAGEASARENEEDEDDURINGMYWORKPERIODINCHINA.申请人签名SIGNATUREOFAPPLICANT日期DATE(yyyy-mm-dd)任教学院SCHOOL学院联系人CONTACT学院联系人联系方式CONTACTTELEPHONENUMBER所教课程COURSETITLE周课时WORKINGLOADPERWEEK申请单位意见：负责人签字：公章：年月日国际交流处意见：负责人签字：公章：年月日5
