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外国人来华工作许可申请表
（来华工作90 日以下,含90 日）
APPLICATION FOR FOREIGNER’S WORK PERMIT
(WORKING PERIOD OF LESS THAN 90 DAYS, 90 DAYS INCLUDED)
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外国人工作许可通知编号 |
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不需申请人填写,系统自动生成 |
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PRESENT WORK PERMIT NUMBER |
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姓（如护照所示） |
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名（如护照所示）FIRST |
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AND MIDDLE |
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SURNAME (As in |
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NAMES (As in |
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Passport) |
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Passport) |
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别名或曾用名（英文） |
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中文姓名 CHINESE |
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照片 PHOTO |
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OTHER NAME USED |
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NAME 性别 GENDER |
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性别 |
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国籍 |
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GENDER |
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NATIONALITY |
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出生日期 DATE OF |
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婚姻状况 MARITAL |
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BIRTH(yyyy-mm-dd) |
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STATUS |
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最高学位（学历） |
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护照类型 PASSPORT |
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护照号码 |
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HIGHEST ACADEMIC |
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PASSPORT |
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TYPE |
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DEGREE |
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NUMBER |
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护照签发日期 ISSUANCE |
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护照有效期至 |
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工作单位 |
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DATE |
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EXPIRATION |
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EMPLOYER |
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(yyyy-mm-dd) |
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DATE(yyyy-mm-dd) |
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是否需要行业主管部门批 |
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行业主管部门批准证 |
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准 DO YOU NEED |
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行业主管部门名称 |
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书文号 SERIAL |
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APPROVAL FROM |
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NAME OF INDUSTRY |
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NUMBER OF |
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RELATED CHINESE |
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AUTHORITY |
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APPROVAL |
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INDUSTRY |
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DOCUMENT |
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AUTHORITY? |
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申请在中国境内工作地点 |
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申请在华工作时间 |
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在中国工作联系电话 |
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INTENTED LENGTH |
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BUSINESS |
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INTENTED WORKING |
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OF WORKING TIME |
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TELEPHONE |
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PLACE(S) IN CHINA |
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IN CHINA |
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NUMBER IN CHINA |
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在中国工作邮箱 EMAIL |
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工作日程 |
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ADRRESS |
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WORK SCHEDULE |
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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。 |
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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 |
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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 |
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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。 |
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I SOLEMNLY PROMISE THAT I HAVE NO CRIMINAL RECORD BOTH AT MY HOME COUNTRY AND ABROAD. WHEN I ARRIVE IN |
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CHINA AND START TO WORK, I WILL STRICTLY ABIDE BY THE CHINESE LAWS AND REGULATIONS, AND CONSCIOUSLY OBEY |
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THE MANAGEMENT SYSTEM OF THE EMPLOYING INSTITUTION. I CERTIFY THAT ALL THE ANSWERS TO THIS APPLICATION AND |
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RELEVANT ATTACHMENTS TO IT ARE TRUE AND COMPLETED. IF THE INFORMATION IS FOUND TO BE UNTRUE OR |
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UNCOMPLETED, I AM AWARE THAT I NEED TO UNDERTAKE CORRESPONDING LEGAL RESPONSIBILITIES.I UNDERSTAND THAT |
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ALL OF THE INFORMATION IN THIS APPLICATION AND DOCUMENTS SUBMITTED WITH THIS APPLICATION MAY BE CHECKED BY |
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RELEVANT PARTIES, INCLUDINGMY EMPLOYMENT, WORK PERFORMANCE,ABILITIES,EDUCATION,PERSONAL EXPERIENCES |
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AND CONVICTION RECORDS.I CONFIRM THAT, IF I AM OVER SIXTY YEARS OLD,I WILL APPLY FOR MEDICAL INSURANCE |
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COVERAGE AS ARE NEEDED DURING MY WORK PERIOD IN CHINA. |
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申请人签名 SIGNATURE OF APPLICANT |
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日 |
期 DATE(yyyy-mm-dd) |
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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 |
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律责任。 |
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THE EMPLOYER HEREBY DECLARES THAT ALL THE DOCUMENTS AND INFORMATIONS SUBMITTED TO THE AUTHORITY ARE |
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TRUE,AND SHALL BE RESPONSIBLE TO THE AUTHENTICITY OF THE DOCUMENTS AND UNDERTAKE CORRESPONDING LEGAL |
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RESPONSIBILITIES |
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用人单位公章 SEAL OF EMPLOYER |
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日期 DATE(yyyy-mm-dd) |
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