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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-dd
2、)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 C
3、ERTIFICATE 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聘用合同/
4、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INTENTEDWORKING 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 UNIVERS
5、ITIES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 PROF
6、ESSIONAL 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HIGHEST P
7、OSITION 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 TELEPHONENUM
8、BER 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 QUALIFICATION列出曾工
9、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国籍NAT
10、IONALITY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 HELD入境时间D
11、ATE 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 COMMUNICABLE
12、 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任。对所提交的全部申请信息
13、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 SYSTE
14、M 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 INF
15、ORMATION IN THIS APPLICATION AND DOCUMENTS SUBMITTEDWITH 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 COVER
16、AGE 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
17、THE DOCUMENTS AND UNDERTAKE CORRESPONDING LEGAL RESPONSIBILITIES.用人单位公章（Seal of Employer）年 月 日YYYY MM DD外国人来华工作许可延期申请表APPLICATION FORM FOR EXTENTION OF FOREIGNERS WORK PERMIT外国人工作许可证号WORK PERMIT NUMBER输入外国人工作证号，基本信息自动导入，可修改姓（如护照所示）SURNAME (As in Passport)名（如护照所示）FIRST AND MIDDLE NAMES (As in Passpor
18、t)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-dd)国籍NATIONALITY中国聘用单位名称NAME OF EMPLOYER IN CHINA组织机构代码或批准证书号ORGANIZATIONAL CODE (Registration Certificate) NUMBER在中国工作电话 BUSINESS TELEPHONENUMBER IN CHINA在中国工作传真 BUSINE
19、SS FAX NUMBER IN CHINA电子邮箱E-MAIL ADDRESS持有签证种类TYPE OFVISA HELD签证号码VISA NUMBER有效期限至EXPIRATION DATE(yyyy-mm-dd)持有居留许可种类RESIDENCE PERMIT TYPE居留许可号码RESIDENCE PERMIT NUMBER有效期限至EXPIRATION DATE(yyyy-mm-dd)工作岗位OCCUPATION薪酬SALARY(monthly)工作职位JOB DESCRIPTION行业主管部门批准证书文号APPROVED DOCUMENT NUMBER有效期限至EXPIRATION
20、 DATE(yyyy-mm-dd)聘用方式EMPLOYMENT METHOD申请延长工作许可时间INTENTED EXTENSION OF WORK PERMIT起始时间START DATE终止时间END DATE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，同意许可决定机构根据需要进行补充调查。申请人签名： SIGNATURE OF APPLICANT年 月 日 YYYY MM DD Reference revision: The employer hereby declares that all the documents and
21、 information submitted to the authority are true, and shall be responsible for the authenticity of the documents and undertake corresponding legal responsibilities. The employer should give the consent to the authoritys supplementary investigation as necessary.用人单位公章（Seal of Employer）年 月 日YYYY MM DD
22、外国人来华工作许可变更申请表APPLICATION FORM FOR CHANGE OF FOREIGNERS WORK PERMIT外国人工作许可证号 WORK PERMIT NUMBER输入外国人工作证号，基本信息自动导入，不可修改姓（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
23、出生日期DATE OF BIRTH(yyyy-mm-dd)国籍NATIONALITY变更项CHANGED OBJECTS变更前 BEFORE CHANGE变更后AFTER CHANGE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，并承担相关法律责任，同意许可决定机构根据需要进行补充调查。 申请人签名： SIGNATURE OF APPLICANT年月日YYYY MM DDReference revision: The employer hereby declares that all the documents and information subm
24、itted to the authority are true, and shall be responsible for the authenticity of the documents and undertake corresponding legal responsibilities. The employer should give the consent to the authoritys supplementary investigation as necessary.用人单位公章（Seal of Employer）年月日YYYY MM DD外国人来华工作许可注销申请表APPLI
25、CATION FORM FOR CANCELLATION OF FOREIGNERS WORK PERMIT 外国人工作许可证号WORK PERMIT NUMBER输入外国人工作证号，基本信息自动导入，不可修改姓（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
26、BIRTH(yyyy-mm-dd)婚姻状况MARITAL STATUS国籍NATIONALITY出生地PLACE OF BIRTH(country)中国聘用单位名称NAME OF EMPLOYER IN CHINA组织机构代码或批准证书号 ORGANIZATIONAL CODE (Registration Certificate) NUMBER注销原因REASON FOR CANCELLATION聘用合同解除CONTRACT TERMINATED聘用合同终止CONTRACT ENDED其他OTHER REASONS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
27、性负责，承担相关法律责任，同意许可决定机构根据需要进行补充调查。 申请人签名： SIGNATURE OF APPLICANT本人已与用人单位解除（终止）工作关系。I, the undersigned, declare that the labor contract between the employer and me has been terminated (has ended).年 月 日YYYY MM DDReference revision: The employer hereby declares that all the documents and information subm
28、itted to the authority are true, and shall be responsible for the authenticity of the documents and undertake corresponding legal responsibilities. The employer should give the consent to the authoritys supplementary investigation as necessary.用人单位公章（Seal ofEmployer）年 月 日YYYY MM DD外国人工作许可证补办申请表APPLI
29、CATION FORM FOR RENEWAL OF FOREIGNERS WORK PERMIT CARD外国人工作许可证号 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-dd)婚姻状况MAR
30、ITAL STATUS国籍NATIONALITY出生地PLACE OF BIRTH(country)中国聘用单位名称NAME OF EMPLOYER IN CHINA组织机构代码或批准证书号ORGANIZATIONAL CODE (Registration Certificate) NUMBER补退原因 REASON for RENEWAL丢失LOST损坏DAMAGED其他OTHERS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，并承担相关法律责任，同意许可决定机构根据需要进行补充调查。申请人签名： SIGNATURE OF APPLICANTRefe
31、rence revision: The employer hereby declares that all the documents and information submitted to the authority are true, and shall be responsible for the authenticity of the documents and undertake corresponding legal responsibilities. The employer should give the consent to the authoritys supplementary investigation as necessary.用人单位公章（Seal of Employer）年 月 日YYYY MM DD年 月 日YYYY MM DD单位注册信息变更表单位注册号原注册单位名称*组织机构代码/统一社会信用代码/批准证书号*联系人联系电话变更项变更前变更后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，同意许可决定机构根据需要进行补充调查。本单位申请变更注册信息，请予变更。单位公章年 月 日
