外国人来华工作许可申请表样表模板

1、外国人来隼工作许可申请表APPLICATION FORM FOR FOREIGNER S WORK PERMIT申请编号APPLICATION NO440304120190750631姓(如护照所小) SURNAME (As in Passport)LIM名(如护照所示) FIRST AND MIDDLE NAMES (As in Passport)JASMINE DANIELLE别名或曾用名（英文）OTHER NAME USED中文姓名(仅外籍华人CHINESE NAME (Foreign Chinese Only)林亚明,性别 GENDER女国籍NATIONALITY美国出生日期 DATE

2、 OF BIRTH(yy yy-mm-dd)1995-03-09姑姻状况MARITAL STATUS未婚护照类型PASSPORT TYPE护照有效期至EXPIRATION DATE(yyyy-mm-dd)普通护 照2022-08-06护照号码 PASSPORT NUMBER最高学位(学历) HIGHEST ACADEMICDEGREE,A40101491 威、沏漳余:日期ADATE智 20-02 至 2019-03管理学士欢列出曾工作的单位(近十年内)LIST ALL KYERS YOU HAVE WORKED FOR IN LAST TEN YEARS名称qNAME ，d作好在由起止时间 D

3、ATES工作岗位 OCCUPATION职务JOB TITLE工作任务JOB DESRIPTION纽约我（:美国2018-03 至 2019-07总经理总经理管理j 随行家属情况 ACCOMPANYING FAMILY MEMBERS长加仆网随行DO Nj/iave any MOMPANYING MEMBER?否人数NUMBEROF THE ACCOMPANYI NG 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NATIONALITY与申请人关系RELATIONSHIP TO THE A

4、PPLICANT护照号码PASSPORT NUMBER无高等教育经历，请填写最高学历）HAVE ATTENTED （INCLUDING VOCATIONALNS）列出曾就读的高等教育学校（含职业教育LIST ALL HIGHER EDUCATIONAL INSTITUTIO INSTI在华紧急联系人 EMERGENCY CONTACT PERSON IN CHINA联系电话 EMERGENC YCONTACT TELEPHONE NUMBER电子邮箱E-MAIL ADDRESS申领外国人工作许可证APPLICATION FOR FOREIGNER S WORK PERMIT入境时间DATE O

5、F ENTRY持有签证种类 TYPE OF VISA HELD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?口是 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 AF

6、FLICTED WITH A COMMUNICABLE DISEASE OF PUBLIC HEALTH SIGNIFICANCE OR A DANGEROUS PHYSICAL OR MENTAL DISORDER?口是、於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?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，/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, 详，本人愿意承担法律责任。对所提交的全部申请信息和附

7、件授权可以调查 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I SOLEMNLY PROMISE THAT I HAVE NO CRIMINAL RECORD BOTH AT MY HOME CHINA AND START TO WORK. I WILL STRICTLY ABIDE BY THE CHINESE LAWS AN OBEY THE MANAGEMENT SYSTEM OF THE EMPLOYING INSTITUTION. I CER APPLICATION AND RELEVANT ATTACHMENTS TO IT ARE TRUE AND CON

8、UNTRUE OR UNCOMPLETED. I AM AWARE THAT I NEED TO UNDERTA若所似3从聘请单位各项 容被发现不实或不 甬佣情况、工作浅现工。有相应的医疗保险。ABROAD. WHEN I ARRIVE IN LATIONS. AND CONSCIOUSLY ALL THE ANSWERS TO THIS THE INFORMATION IS FOUND TO BEOND1NG LEGAL RESPONSIBILITIES.1UNDERSTAND THAT ALL OF THE INFORMATION IN THIS APPLICATIONUMENTS SUB

9、MITTED WITH THISAPPLICATION MAY BE CHECKED BY RELEVANT PARTIES. INCLUDE IPLOYMENT. WORKPERFORMANCE.ABILITIES.EDUCATION,PERSONAL EXPERIENCE56NVICTION RECORDS ! CONFIRM THAT. IF I AMAS ARE NEEDED DURING MY WORK PERIOD堂OVER SIXTY YEARS OLD.I WILL APPLY FOR MEDICAL INSU：IN CHINA.,yyyy-mm-dd)用人单位公章(Seal of Employer)年YYYY月 日 MM DD申请人签名 SIGNATURE OF APPLICANT用人单位承诺如实向行政机关提交有 法律责任。THE EMPLOYER HEREBY DECLARE ARE TRUE.AND SHALL BE RES LEGAL RESPONSIBILITIES