服务业扩大开放综合试点示范区创业团队外籍成员申请在华永久居留积分评估申报书

编号Attachment1SerialNumber__________服务业扩大开放综合试点示范区创业团队外籍成员申请在华永久居留积分评估申报书ApplicationforPermanentResidenceinChinaunderthePointsSystemfromForeignMembersofNewVentureTeamsinDemonstrationAreaofComprehensivePilotProgramforFurtherOpeninguptheServiceSectorinBeijing（CPFOSS）xx申报人姓名(Applicant):申报人所在单位(CompanytheApplicantWorksin):申报人手机号码(PhoneNumberoftheApplicant):申报人邮箱E-mailoftheApplicant:单位联系人姓名ContactPersonfromtheCompany:单位联系人电话ContactPersonPhoneNumber:申报日期(ApplicationDate):

表.xx服务业扩大开放综合试点示范区创业团队外籍成员申请在华永久居留积分评估申报表ApplicationFormforPermanentResidenceinChinaunderthePointsSystemfromForeignMembersofNewVentureTeamsinDemonstrationAreaofCPFOSS中文姓名ChineseName英文姓名EnglishName照片Photo年龄Age性别Gender护照号码PassportNO.出生地PlaceofBirth国籍Nationality在华工作年限NumberofYearsWorkinginChina职务或股权情况PositionorShareholdingStatus所符合申报对象标准CriteriaSatisfied工作方式ModeofEmployment全职Fulltime兼职Parttime电子邮箱Email国内住址AddressinChina国内电话PhoneNumberinChina国外单位EmployedbyWhichCompanyOverseas国外住址AddressOverseas国外电话PhoneNumberOverseas国外单位职务PositionintheOverseasCompany申报单位ApplicationFiledby(Institution)所在企业基本情况BasicInformationabouttheCompany主营业务范围MainBusinessScope教育教育经历EducationBackground(StartfromCollege)时间Time国家Country院校Institute专业Major学位Degree工作经历WorkExperience时间Time国家Country单位及单位排名或资质情况NameofCompaniesYouWorkedforandTheirRankings/Qualifications职务Position团队创业产业发展预期DevelopmentProspectoftheIndustryYourTeamEngagedin团队拥有创新成果/核心技术情况InnovationProducts/CoreTechnologiesOwnedbytheTeam团队企业实际成长评估TheCompany’sRealGrowthAssessment获得社会投资或投资机构的投资额及占比VolumeandShareofInvestmentfromPrivateandInstitutionalInvestorsintheCompany’sTotalInvestmentAttracted企业营收及税收情况CompanyEarningsandTax所在团队近两年连续投资其他企业情况ContinuousInvestmentinOtherCompaniesMadebytheTeamoverthePastTwoYears团队创业能力TheTeam’sEntrepreneurialAbility外籍人本人在团队中发挥作用情况Howhastheapplicantbeenplayinghis/herroleintheteam?团队其他主要成员及情况OtherKeyMembersoftheTeam姓名Name职务Position职责分工DivisionofResponsibilities学历EducationBackground毕业院校Graduatedfrom曾任职单位及职务其它获奖情况:OtherHonorsandAwards：本人承诺以上信息均真实有效。Iherebypromisethattheaboveinformationistrueandcorrect.申报人签字：（印章无效）SignaturebytheApplicant:(namesealsnotacceptable)年月日DateMonthYear申报单位意见：Opinionsfromtheinstitutionfilingtheapplication:确认以上信息属实，予以推荐。Weherebycertifytheaboveinformationtobetrueandcorrect,andofferourrecommendation.申报单位（公章）NameoftheInstitution(officialseal)年月日DateMonthYear

编号SerialNumber__________xx年xx服务业扩大开放综合试点示范区企业选聘的外籍技术人才申请在华永久居留积分评估申报书ApplicationforPermanentResidenceinChinaunderthePointsSystemfromForeignTechnicalPersonnelEmployedbyEnterprisesinDemonstrationAreaofComprehensivePilotProgramforFurtherOpeninguptheServiceSectorinBeijing（CPFOSS）xx申报人姓名(Applicant):申报人所在单位(CompanytheApplicantWorksin):申报人手机号码(PhoneNumberoftheApplicant):申报人邮箱E-mailoftheApplicant:单位联系人姓名ContactPersonfromtheCompany:单位联系人电话ContactPersonPhoneNumber:申报日期(ApplicationDate):xx商务委员会制CompiledbyBeijngMunicipalCommissionofCommerce

表.xx服务业扩大开放综合试点示范区企业选聘的外籍技术人才申请在华永久居留积分评估申报表ApplicationFormforPermanentResidenceinChinaunderthePointsSystemfromForeignTechnicalPersonnelEmployedbyEnterprisesinDemonstrationAreaofCPFOSS中文姓名ChineseName英文姓名EnglishName照片Photo年龄Age性别Gender护照号码PassportNO.出生地PlaceofBirth国籍Nationality在华工作年限NumberofYearsWorkinginChina职务Position所符合申报对象标准CriteriaSatisfied工作方式ModeofEmployment全职Fulltime兼职Parttime电子邮箱Email国内住址AddressinChina国内电话PhoneNumberinChina国外单位EmployedbyWhichCompanyOverseas国外住址AddressOverseas国外电话PhoneNumberOverseas国外单位职务PositionintheOverseasCompany申报单位ApplicationFiledby(Institution)企业获得高新技术企业证书时间TimeofObtainingtheHigh-TechEnterpriseCertificate所在企业基本情况BasicInformationabouttheCompany主营业务范围MainBusinessScope教育教育经历EducationBackground(StartfromCollege)时间Time国家Country院校Institute专业Major学位Degree工作经历WorkExperience时间Time国家Country单位及单位排名或资质情况NameofCompaniesYouWorkedforandTheirRankings/Qualifications职务Position综合年薪GrossYearlySalary申请人上一年度综合年薪情况（工资+绩效）TheApplicant’sPreviousYearGrossSalary(RemunerationPlusPerformanceBonus)技术领先性TheExpertiseinTechnology拥有国际先进创新成果、核心技术，拥有自主知识产权或专利情况Internationaladvancedinnovativeproducts,coretechnologies,proprietaryintellectualpropertyrightsorpatentsowned拥有国际认可的专业技术证书的情况Internationallyrecognizedcertificatesinprofessionalortechnicalskills拥有技术成果在示范区企业转化、产业化情况Technologicalachievementscommercializedandindustrializedatenterprises

inDemonstrationAreaofCPFOSS岗位贡献ContributionsMadeontheJob技术专业情况ProfessionalSkills技术人才本人在团队中发挥作用情况Howhastheapplicantbeenplayinghis/herroleintheteam?其他获奖说明情况OtherHonorsandAwards：本人承诺以上信息均真实有效。Iherebypromisethattheaboveinformationistrueandcorrect.申报人签字：（印章无效）Signatureby