外國人來華工作許可申請表
（來華工作90 日以下,含90 日）
APPLICATION FOR FOREIGNER’S WORK PERMIT
(WORKING PERIOD OF LESS THAN 90 DAYS, 90 DAYS INCLUDED)
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外國人工作許可通知編號 |
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不需申請人填寫,系統(tǒng)自動生成 |
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PRESENT WORK PERMIT NUMBER |
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姓（如護(hù)照所示） |
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名（如護(hù)照所示）FIRST |
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AND MIDDLE |
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SURNAME (As in |
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NAMES (As in |
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Passport) |
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Passport) |
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別名或曾用名（英文） |
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中文姓名 CHINESE |
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照片 PHOTO |
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OTHER NAME USED |
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NAME 性別 GENDER |
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性別 |
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國籍 |
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GENDER |
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NATIONALITY |
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出生日期 DATE OF |
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婚姻狀況 MARITAL |
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BIRTH(yyyy-mm-dd) |
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STATUS |
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最高學(xué)位（學(xué)歷） |
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護(hù)照類型 PASSPORT |
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護(hù)照號碼 |
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HIGHEST ACADEMIC |
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PASSPORT |
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TYPE |
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DEGREE |
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NUMBER |
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護(hù)照簽發(fā)日期 ISSUANCE |
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護(hù)照有效期至 |
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工作單位 |
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DATE |
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EXPIRATION |
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EMPLOYER |
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(yyyy-mm-dd) |
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DATE(yyyy-mm-dd) |
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是否需要行業(yè)主管部門批 |
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行業(yè)主管部門批準(zhǔn)證 |
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準(zhǔn) DO YOU NEED |
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行業(yè)主管部門名稱 |
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書文號 SERIAL |
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APPROVAL FROM |
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NAME OF INDUSTRY |
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NUMBER OF |
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RELATED CHINESE |
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AUTHORITY |
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APPROVAL |
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INDUSTRY |
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DOCUMENT |
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AUTHORITY? |
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申請?jiān)谥袊硟?nèi)工作地點(diǎn) |
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申請?jiān)谌A工作時間 |
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在中國工作聯(lián)系電話 |
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INTENTED LENGTH |
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BUSINESS |
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INTENTED WORKING |
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OF WORKING TIME |
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TELEPHONE |
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PLACE(S) IN CHINA |
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IN CHINA |
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NUMBER IN CHINA |
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在中國工作郵箱 EMAIL |
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工作日程 |
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ADRRESS |
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WORK SCHEDULE |
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本人鄭重承諾，在本國及境外無犯罪記錄，來華工作后，將嚴(yán)格遵守中國法律法規(guī)，自覺服從聘請單位各項(xiàng)管理制度。 |
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本申請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 |
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律責(zé)任。對所提交的全部申請信息和附件授權(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、個人經(jīng)歷 |
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和無犯罪記錄。如果我已超過 60 周歲，確保在中國工作期間有相應(yīng)的醫(yī)療保險(xiǎn)。 |
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I SOLEMNLY PROMISE THAT I HAVE NO CRIMINAL RECORD BOTH AT MY HOME COUNTRY AND ABROAD. WHEN I ARRIVE IN |
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CHINA AND START TO WORK, I WILL STRICTLY ABIDE BY THE CHINESE LAWS AND REGULATIONS, AND CONSCIOUSLY OBEY |
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THE MANAGEMENT SYSTEM OF THE EMPLOYING INSTITUTION. I CERTIFY THAT ALL THE ANSWERS TO THIS APPLICATION AND |
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RELEVANT ATTACHMENTS TO IT ARE TRUE AND COMPLETED. IF THE INFORMATION IS FOUND TO BE UNTRUE OR |
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UNCOMPLETED, I AM AWARE THAT I NEED TO UNDERTAKE CORRESPONDING LEGAL RESPONSIBILITIES.I UNDERSTAND THAT |
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ALL OF THE INFORMATION IN THIS APPLICATION AND DOCUMENTS SUBMITTED WITH THIS APPLICATION MAY BE CHECKED BY |
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RELEVANT PARTIES, INCLUDINGMY EMPLOYMENT, WORK PERFORMANCE,ABILITIES,EDUCATION,PERSONAL EXPERIENCES |
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AND CONVICTION RECORDS.I CONFIRM THAT, IF I AM OVER SIXTY YEARS OLD,I WILL APPLY FOR MEDICAL INSURANCE |
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COVERAGE AS ARE NEEDED DURING MY WORK PERIOD IN CHINA. |
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申請人簽名 SIGNATURE OF APPLICANT |
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日 |
期 DATE(yyyy-mm-dd) |
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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，并對申請材料實(shí)質(zhì)內(nèi)容的真實(shí)性負(fù)責(zé),承擔(dān)相關(guān)法 |
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律責(zé)任。 |
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THE EMPLOYER HEREBY DECLARES THAT ALL THE DOCUMENTS AND INFORMATIONS SUBMITTED TO THE AUTHORITY ARE |
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TRUE,AND SHALL BE RESPONSIBLE TO THE AUTHENTICITY OF THE DOCUMENTS AND UNDERTAKE CORRESPONDING LEGAL |
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RESPONSIBILITIES |
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用人單位公章 SEAL OF EMPLOYER |
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日期 DATE(yyyy-mm-dd) |
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