外国人来华工作许可申请表.docx

外国人来华工作许可申请表APPLICATIONFORMFORFOREIGNERSWORKPERMIT申请编号APPLICATIONNO750631姓(如护照所示)SURNAME(AsinPassport)LTM名(如护照所示)FIRSTANDMIDDLENAMES(AsinPassport)JASMINEDANIELLE别名或曾用名（英文）OTHERNAMEUSED中文姓名(仅外籍华人CHINESENAME(ForeignChineseOnly)林亚明性别GENDER女国籍NATIONALITY美国出生日期DATEOFBIRTH(yyyy-mm-dd)1995-03-09婚姻状况MARITALSTATUS未婚护照类型PASSPORTTYPE普通护照护照号码PASSPORTNUMBERA1护照签发日期ISSUANCEDATE2019-07-09护照有效期至EXPIRATIONDATE(yyyy-mm-dd)2022-08-06最高学位(学历)HIGHESTACADEMICDEGREE大学本科汉语水平CHINESEPROFICIENCY取得以汉语为教学语言的学士及以上学位是否持有境外职业资格证书HAVEYOUEVEROBTAINEDANYPROFESSIONALQUALIFICATIONCERTIFICATEABROAD?是职业资格证书名称和编号NAMEANDNUMBEROFPROFESSIONALQUALIFICATIONCERTIFICATESteel,165申请人电子邮箱E-MAILADDRESScom列出所有曾授予你护照的国家LlSTALLCOUNTRIESTHATEVERISSUEDYOUAPASSPORT阿根廷，巴基斯坦,贝宁,波工作年限WORKINGEXPERIENCEANDLENGTHOFWORKINGTIME10工作岗位（职业）行政办公人员兰,法国OCCUPATION聘用合同/任职证明在华工作起始时间INTENDEDWORKINGTIMEINCHINA2016-02-11申请在中国工作职务INTENDEDJOBTITLEINCHINA总经理所属行业INDUSTRYCATEGORY聘用方式EMPLOYMENTMETHOD合伙人薪酬SALARY(monthly)10000公认职业成就RECOGNIZEDPROFESSIONALACHIEVEMENT申请在华工作时间INTENDEDWORKINGTIMEINCHINA2016-02-11至2019-07-10每年在华工作时间(月)WORKINGTIMEINCHINAPERYEAR(months)12是否毕业于世界知名大学IFYOUAREGRADUATEDFROMWORLDRENOWNEDUNIVERSITIES否是否需要行业主管部门批准HAVEYOUOBTAINEDAPPROVALFROMRELATED否行'也主管部门名称NAMEOFINDUSTRYAUTHORITY行业主管部门批准证书文号APPROVALDOCUMENTNUMBERCHINESEINDUSTRYAUTHORITY?是否持有中国职业资格证书(准入类)HAVEYOUEVEROBTAINEDANYCHINESEPROFESSIONALQUALIFICATIONCERTIFICATE(forindustryaccess)?否职业资格证书(准入类名称NAMEOFCHINESEPROFESSIONALQUALIFICATIONCERTlFlCATES(forindustryaccess)职业资格证打号码numberOfchinesePROFESSIONALQUALIFICATIONCertificatesobtaineD(forindustryaccess)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DOYOUHAVEANYEXPERIENCEINWORLDTOP5(X)COMPANIES,WELL-KNOWNFINANCIALINSTITUTIONSOR1.AWFIRMS?否在上述单位曾担任最高职务HIGHESTPOSITIONYOUHAVEEVERHELDINAFOREMENTIONEDORGANIZATIONS是否有专利等知识产权ISTHEREAPATENTANDOTHERINTELLECTUALPROPERTYRIGHTS否已连续在华工作年限CONSECUTIVEWORKINGYEARSINCHINA五年及以上境外派遣单位名称NAMEOFDISPATCHINGINSTITUTIONABROAD派遣单位所在国家LOCATIONOFDISPATCHINGINSTITUTIONABROAD在中国工作电话BUSINESSTELEPHONENUMBERINCHINA在中国工作任务JOBDESCRIPTIONINCHINA列出曾就读的高等教育学校(含职业教育学校，如无高等教育经历，请填写最高学历)1.ISTALLHIGHEREDUCATIONALINSTITUTIONSYOUHAVEATTENTED(INCLUDINGVOCATIONALINSTITUTIONS)名称NAME所在国家1.OCATION就读时间DATESOFATTENDANCE专业SPECIALITY学位ACADEMICQUALIFICATIONfddfv阿根廷2017-02至2019-03管理学士列出曾工作的单位(近十年内)1.ISTALLEMPLOYERSYOUHAVEWORKEDFORINLASTTENYEARS名称NAME工作所在国1.OCATION起止时间DATES工作岗位OCCUPATION职务JOBTITLE工作任务JOBDESRIPTION纽约学院美国2018-03至2019-07总经理总经理管理随行家属情况ACCOMPANYINGFAMILYMEMBERS是否有家属随行DOYOUHAVEANYACCOMPANYINGMEMBER?否人数NUMBEROFTHEaccompanyiNGMEMBERS随行家属姓名NAME(AsinPassport)出生日期DATEOFBIRTH(yyyy-mm-dd)性别GENDER国籍NATIONALITY与申请人关系RELATIONSHIPTOTHEAPPLICANT护照号码PASSPORTNUMBER在华紧急联系人EMERGENCYCONTACTPERSONINCHINA联系电话EMERGENCYCONTACTTELEPHONENUMBER电子邮箱E-MAILADDRESS申领外国人工作许可证APPLICATIONFORFOREIGNER'SWORKPERMIT入境时间DATEOFENTRY持有签证种类TYPEOFVISAHELD签证号码VISANUMBER您是否由于犯有任何类似措施？HA，OFFENSEORCRIMOTHERSIMILARL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EYOUEVERBEENARRESTEDORCONVICTEDFORANYE,EVENTHOUGHSUBJECTOFAPARDON,AMNESTYOREGALACTION?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？HAVEYOUEVERBEENAFFLICTEDWITHACOMMUNICABLEDISEASEOFPUBLICHEALTHSIGNIHCANCEORADANGEROUSPHYSICALORMENTALDISORDER?口是YES口否NO您是否曾违反中国法律，被中国政府递解出境？HAVEYOUEVERVIOLATEDTHELAWOFCHINA,ANDDEPORTEDFROMCHINA?是YES口否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。ISOLEMNLYPROMISETHATIHAVENOCRIMINALRECORDBOTHATMYHOMECOUNTRYANDABROAD.WHEN1ARRIVEINCHINAANDSTARTTOWORK.IWILLSTRICTLYABIDEBYTHECHINESELAWSANDREGULATIONS.ANDCONSCIOUSLYOBEYTHEMANAGEMENTSYSTEMOFTHEEMPLOYINGINSTITUTION.ICERTIFYTHATALLTHEANSWERSTOTHISAppijcationandrelevantattachmentstoitaretrueandcompleted,iftheinformationisfoundtobeUNTRUEORUNCOMPLETED.IAMAWARETHATINEEDTOUNDERTAKECORRESPONDINGLEGALRESPONSIBILITIES.1UNDERSTANDTHATALLOFTHEINFORMATIONINTHISAPPLICATIONANDDOCUMENTSSUBMITTEDWITHTHISAPPLICATIONMAYBECHECKEDBYRELEVANTPARTIES.INCLUDINGMYEMPLOYMENT.WORKPERFORMANCE.ABILITIES.EDUCAT1ON.PERSONALEXPERIENCESANDCONVICTIONRECORDS.ICONFIRMTHAT.IFIAMOVERSIXTYYEARSOLD,IWILLAPPLYFORMEDICALINSURANCECOVERAGEASARENEEDEDDURINGMYWORKPERIODINCHINA.