外國(guó)人來(lái)華工作許可申請(qǐng)表(來(lái)華工作90日以下,含90日)

外國(guó)人工作許可通知編號(hào)

不需申請(qǐng)人填寫(xiě),系統(tǒng)自動(dòng)生成

PRESENT WORK PERMIT NUMBER

姓（如護(hù)照所示）

名（如護(hù)照所示）FIRST

AND MIDDLE

SURNAME (As in

NAMES (As in

Passport)

Passport)

別名或曾用名（英文）

中文姓名 CHINESE

照片 PHOTO

OTHER NAME USED

NAME 性別 GENDER

性別

國(guó)籍

GENDER

NATIONALITY

出生日期 DATE OF

婚姻狀況 MARITAL

BIRTH(yyyy-mm-dd)

STATUS

最高學(xué)位（學(xué)歷）

護(hù)照類(lèi)型 PASSPORT

護(hù)照號(hào)碼

HIGHEST ACADEMIC

PASSPORT

TYPE

DEGREE

NUMBER

護(hù)照簽發(fā)日期 ISSUANCE

護(hù)照有效期至

工作單位

DATE

EXPIRATION

EMPLOYER

(yyyy-mm-dd)

DATE(yyyy-mm-dd)

是否需要行業(yè)主管部門(mén)批

行業(yè)主管部門(mén)批準(zhǔn)證

準(zhǔn) DO YOU NEED

行業(yè)主管部門(mén)名稱(chēng)

書(shū)文號(hào) SERIAL

APPROVAL FROM

NAME OF INDUSTRY

NUMBER OF

RELATED CHINESE

AUTHORITY

APPROVAL

INDUSTRY

DOCUMENT

AUTHORITY?

申請(qǐng)?jiān)谥袊?guó)境內(nèi)工作地點(diǎn)

申請(qǐng)?jiān)谌A工作時(shí)間

在中國(guó)工作聯(lián)系電話

INTENTED LENGTH

BUSINESS

INTENTED WORKING

OF WORKING TIME

TELEPHONE

PLACE(S) IN CHINA

IN CHINA

NUMBER IN CHINA

在中國(guó)工作郵箱 EMAIL

工作日程

ADRRESS

WORK SCHEDULE

本人鄭重承諾，在本國(guó)及境外無(wú)犯罪記錄，來(lái)華工作后，將嚴(yán)格遵守中國(guó)法律法規(guī)，自覺(jué)服從聘請(qǐng)單位各項(xiàng)管理制度。

本申請(qǐng)表上所做之回答均屬事實(shí)且詳盡，所附材料真實(shí)、有效，若所提交的內(nèi)容被發(fā)現(xiàn)不實(shí)或不詳，本人愿意承擔(dān)法

律責(zé)任。對(duì)所提交的全部申請(qǐng)信息和附件授權(quán)可以調(diào)查，包括我的雇傭情況、工作表現(xiàn)、工作能力、教育、個(gè)人經(jīng)歷

和無(wú)犯罪記錄。如果我已超過(guò) 60 周歲，確保在中國(guó)工作期間有相應(yīng)的醫(yī)療保險(xiǎn)。

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.

申請(qǐng)人簽名 SIGNATURE OF APPLICANT

日

期 DATE(yyyy-mm-dd)

用人單位承諾如實(shí)向行政機(jī)關(guān)提交有關(guān)材料和反映真實(shí)情況，并對(duì)申請(qǐng)材料實(shí)質(zhì)內(nèi)容的真實(shí)性負(fù)責(zé),承擔(dān)相關(guān)法

律責(zé)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

用人單位公章 SEAL OF EMPLOYER

日期 DATE(yyyy-mm-dd)