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)
|
外国人工作许可通知编号 |
|
不需申请人填写,系统自动生成 |
|
||||
|
PRESENT WORK PERMIT NUMBER |
|
|
|||||
|
|
|
|
|
|
|
||
|
姓（如护照所示） |
|
名（如护照所示）FIRST |
|
|
|
|
|
|
|
AND MIDDLE |
|
|
|
|
|
|
|
SURNAME (As in |
|
|
|
|
|
|
|
|
|
NAMES (As in |
|
|
|
|
|
|
|
Passport) |
|
|
|
|
|
|
|
|
|
Passport) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
别名或曾用名（英文） |
|
中文姓名 CHINESE |
|
照片 PHOTO |
|
||
|
OTHER NAME USED |
|
NAME 性别 GENDER |
|
|
|||
|
|
|
|
|
|
|||
|
性别 |
|
国籍 |
|
|
|
|
|
|
GENDER |
|
NATIONALITY |
|
|
|
|
|
|
出生日期 DATE OF |
|
婚姻状况 MARITAL |
|
|
|
|
|
|
BIRTH(yyyy-mm-dd) |
|
STATUS |
|
|
|
|
|
|
最高学位（学历） |
|
护照类型 PASSPORT |
|
护照号码 |
|
|
|
|
HIGHEST ACADEMIC |
|
|
PASSPORT |
|
|
||
|
|
TYPE |
|
|
|
|
||
|
DEGREE |
|
|
|
NUMBER |
|
|
|
|
|
|
|
|
|
|
||
|
护照签发日期 ISSUANCE |
|
护照有效期至 |
|
|
工作单位 |
|
|
|
DATE |
|
EXPIRATION |
|
|
|
|
|
|
|
|
|
EMPLOYER |
|
|
||
|
(yyyy-mm-dd) |
|
DATE(yyyy-mm-dd) |
|
|
|
||
|
|
|
|
|
|
|||
|
是否需要行业主管部门批 |
|
|
|
|
行业主管部门批准证 |
|
|
|
准 DO YOU NEED |
|
|
|
|
|
|
|
|
|
行业主管部门名称 |
|
书文号 SERIAL |
|
|
||
|
APPROVAL FROM |
|
|
|
|
|||
|
|
NAME OF INDUSTRY |
|
NUMBER OF |
|
|
||
|
RELATED CHINESE |
|
|
|
|
|||
|
|
AUTHORITY |
|
|
APPROVAL |
|
|
|
|
INDUSTRY |
|
|
|
|
|
||
|
|
|
|
|
DOCUMENT |
|
|
|
|
AUTHORITY? |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
申请在中国境内工作地点 |
|
申请在华工作时间 |
|
在中国工作联系电话 |
|
|
|
|
|
INTENTED LENGTH |
|
BUSINESS |
|
|
||
|
INTENTED WORKING |
|
|
|
|
|||
|
|
OF WORKING TIME |
|
TELEPHONE |
|
|
||
|
PLACE(S) IN CHINA |
|
|
|
|
|||
|
|
IN CHINA |
|
|
NUMBER IN CHINA |
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
在中国工作邮箱 EMAIL |
|
工作日程 |
|
|
|
|
|
|
ADRRESS |
|
WORK SCHEDULE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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。 |
|
||||||
|
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 MANAGEMENT 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 SUBMITTED WITH THIS APPLICATION MAY BE CHECKED BY |
|
||||||
|
RELEVANT PARTIES, INCLUDINGMY EMPLOYMENT, WORK PERFORMANCE,ABILITIES,EDUCATION,PERSONAL EXPERIENCES |
|
||||||
|
AND CONVICTION RECORDS.I CONFIRM THAT, IF I AM OVER SIXTY YEARS OLD,I WILL APPLY FOR MEDICAL INSURANCE |
|
||||||
|
COVERAGE AS ARE NEEDED DURING MY WORK PERIOD IN CHINA. |
|
|
|
|
|
||
|
|
|
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，并对申请材料实质内容的真实性负责,承担相关法 |
|
||||||
|
律责任。 |
|
|
|
|
|
|
|
|
THE EMPLOYER HEREBY DECLARES THAT ALL THE DOCUMENTS AND INFORMATIONS SUBMITTED TO THE AUTHORITY ARE |
|
||||||
|
TRUE,AND SHALL BE RESPONSIBLE TO THE AUTHENTICITY OF THE DOCUMENTS AND UNDERTAKE CORRESPONDING LEGAL |
|
||||||
|
RESPONSIBILITIES |
|
|
|
|
|
|
|
|
|
|
用人单位公章 SEAL OF EMPLOYER |
|
||||
|
|
|
日期 DATE(yyyy-mm-dd) |
|
||||
|
|
|
|
|
|
|
||
