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1、 外国人来华工作许可申请表APPLICATION FORM FOR FOREIGNERS WORK PERMIT外国人工作许可证号CURRENT WORK PERMIT NUMBER姓（如护照所示）SURNAME (As in Passport)名（如护照所示）FIRST AND 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性别 GENDER出生日期DATE OF BIRTH(yyyy-mm-
2、dd)婚姻状况MARITAL STATUS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 OTHER LANGUAGE是否持有境外职业资格证书HAVE YOU EVER OBTAINED ANY PROFESSIONAL QUALIFICATION
3、 CERTIFICATE ABROAD?职业资格证书名称和编号NAME AND NUMBER OF PROFESSIONAL QUALIFICATION CERTIFICATES申请人电子邮箱E-MAIL ADDRESS列出所有曾授予你护照的国家LIST ALL COUNTRIES THAT EVER ISSUED YOU A PASSPORT列出所有曾使用过的护照号码LIST ALL PASSPORT NUMBERS THAT YOU EVER HAVE USED与任职相关工作经验RELATED WORKING EXPERIENCE AND LENGTH OF WORKING TIME聘用合
4、同/任职证明在华工作起始时间INTENTED WORKING TIME IN CHINA申请在中国工作职务 INTENTED JOB TITLE IN CHINA工作岗位（职业）OCCUPATION聘用方式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 TIME IN CHINA PER YEAR(months)是否毕业于世界知名大学IF YOU ARE GRADUATED FROM WORLD RENOWNED UNI
5、VERSITIES是否需要行业主管部门批准HAVE YOU OBTAINED APPROVAL FROM RELATED CHINESE INDUSTRY AUTHORITY?行业主管部门名称NAME OF INDUSTRY AUTHORITY行业主管部门批准证书文号 APPROVAL DOCUMENT NUMBER是否持有中国职业资格证书（准入类）HAVE YOU EVER OBTAINED ANY CHINESE PROFESSIONAL QUALIFICATION CERTIFICATE (for industry access)?职业资格证书（准入类）名称NAME OF CHINESE
6、 PROFESSIONAL QUALIFICATION CERTIFICATES(for industry access)职业资格证书号码NUMBER OF CHINESE PROFESSIONAL QUALIFICATION CERTIFICATESOBTAINED(for industry access) 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DO YOU HAVE ANY EXPERIENCE IN WORLD TOP 500 COMPANIES,WELL-KNOWN FINANCIAL INSTITUTIONS OR LAWFIRMS?在上述单位曾担任最高职务HIGH
7、EST POSITION YOU HAVE EVER HELD IN AFOREMENTIONED ORGANIZATIONS是否入选中国国内相关人才计划 IF YOU ARE SELECTED AS A CANDIDATE OF ANY CHINAS TALENT PLAN公认职业成就RECOGNIZED PROFESSIONAL ACHIEVEMENT境外派遣单位名称 NAME OF DISPATCHING INSTITUTION ABROAD派遣单位所在国家LOCATION OF DISPATCHING INSTITUTION ABROAD在中国工作电话 BUSINESS TELEPHO
8、NENUMBER IN CHINA在中国工作传真 BUSINESS FAX NUMBER IN CHINA在中国工作任务JOB DESCRIPTION IN CHINA列出曾就读的高等教育学校（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就读时间 DATES OF ATTENDANCE专业SPECIALITY教育类型 EDUCATIONAL TYPE学位 ACADEMIC QUALIFICATIO
9、N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 DATES工作岗位OCCUPATION职务 JOB TITLE工作任务 JOB DESRIPTION随行家属情况 ACCOMPANYING FAMILY MEMBERS是否有家属随行DO YOU HAVE ANY ACCOMPANYING MEMBER?人数NUMBER OF THE ACCOMPANYING MEMBERS随行家属姓名NAME (As in Passport)出生日期DATE OF BIRTH(yyyy-mm-dd)性别GENDER
10、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 CONTACT PERSON IN CHINA与申请人关系RELATIONSHIP TO THE APPLICANT联系电话EMERGENCY CONTACT TELEPHONE NUMBER电子邮箱E-MAILADDRESS申领外国人工作许可证APPLICATION FOR FOREIGNERS WORK PERMIT是否已入境ARE YOU CURRENTLY IN CHINA?持有签证种类 TYPE OF VISA HEL
11、D入境时间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等其他类似措施？HAVE YOU EVER BEEN ARRESTED OR CONVICTED FOR ANY OFFENSE OR CRIME, EVEN THOUGH SUBJECT OF A PARDON, AMNESTY OR OTHER SIMILAR LEGAL ACTION?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？HAVE YOU EVER BEEN AFFLICTED WITH A COMM
12、UNICABLE DISEASE OF PUBLIC HEALTH SIGNIFICANCE OR A DANGEROUS PHYSICAL OR MENTAL DISORDER?是 YES否 NO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?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
13、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。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 CHINESE LAWS AND REGULATIONS, AND CONSCIOUSLY OBEY THE MAN
14、AGEMENT SYSTEM OF THE EMPLOYING INSTITUTION. I CERTIFY THAT ALL THE ANSWERS TO THIS APPLICATION AND RELEVANT ATTACHMENTS TO IT ARE TRUE AND COMPLETED. IF THE INFORMATION IS FOUND TO BE UNTRUE OR UNCOMPLETED, I AM AWARE THAT I NEED TO UNDERTAKE CORRESPONDING LEGAL RESPONSIBILITIES.I UNDERSTAND THAT ALL OF THE INFORMATION IN THIS APPLICATION AND DOCUMENTS SUBMITTEDWITH THIS APPLICATION MAY BE CHECKED BY RELEVANT PARTIES, INCLUDINGMY EMPL
