外国人工作许可通知编号

PRESENT WORK PERMIT NUMBER

不需申请人填写,系统自动生成

姓（如护照所示）SURNAME (As in Passport)

名（如护照所示）FIRST AND MIDDLE NAMES (As in Passport)

照片PHOTO

别名或曾用名（英文）OTHER NAME USED

中文姓名 CHINESE NAME性别 GENDER

性别

GENDER

国籍

NATIONALITY

出生日期DATE OF BIRTH(yyyy-mm-dd)

婚姻状况MARITAL STATUS

最高学位（学历）HIGHEST ACADEMIC DEGREE

护照类型PASSPORT TYPE

护照号码

PASSPORT NUMBER

护照签发日期ISSUANCE DATE

(yyyy-mm-dd)

护照有效期至EXPIRATION DATE(yyyy-mm-dd)

工作单位EMPLOYER

是否需要行业主管部门批准DO YOU NEED APPROVAL FROM RELATED CHINESE INDUSTRY AUTHORITY?

行业主管部门名称NAME OF INDUSTRY AUTHORITY

行业主管部门批准证书文号 SERIAL NUMBER OF APPROVAL DOCUMENT

申请在中国境内工作地点

INTENTED WORKING PLACE(S) IN CHINA

申请在华工作时间INTENTED LENGTH OF WORKING TIME IN CHINA

在中国工作联系电话  BUSINESS TELEPHONE NUMBER IN CHINA

在中国工作邮箱 EMAIL ADRRESS

工作日程

WORK SCHEDULE

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。

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.

申请人签名SIGNATURE OF APPLICANT

                日     期 DATE(yyyy-mm-dd)

用人单位承诺如实向行政机关提交有关材料和反映真实情况，并对申请材料实质内容的真实性负责,承担相关法律责任。

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

      用人单位公章SEAL OF EMPLOYER

                                          日期DATE(yyyy-mm-dd)