拟聘用长期外国专家基本情况

姓名(护照用名)

性别

国籍

职业

职称

学历

专业

护照号码

出生时间

年    月          日

聘用期限

年     月      日至        年     月         日

随行家属

基本情况

配偶姓名                   国籍              护照号码

子女姓名                   国籍              护照号码

拟入境时间

年     月      日   

拟申请来华签证使领馆所在城市名称

国内联系电话

电子邮箱

国内住址

保险事宜

是否已购买在华其间的人身意外保险和住院医疗保险    □是       □否

保险金额：              RMB/年

投保公司：                                经纪人及联系方式：

主要工作内容（选择以下类型，并作出具体说明）

工作内容

□教学            □ 科研         □ 管理

说明：（请另附纸）

薪酬及经费来源

薪酬及

其它待遇

经费来源：

□学校经费            □自筹经费（包括其他渠道经费）

聘用单位意见（单位盖章）

负责人（签名）：

（单位盖章）

联 络 人

（对上述信息确认并签名）

联系电话

电子邮箱

以下由审批单位填写

审

批

意

见

人力资源开发与管理处（单位盖章）

负责人意见（签名）                            

年      月     日

国际交流合作处（单位盖章）

负责人意见（签名）

年       月       日

外国人来华工作许可申请表

APPLICATION FORM FOR FOREIGNER'S WORK PERMIT

外国人工作许可证号CURRENT WORK PERMIT NUMBER

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

其他曾用姓氏（英文）OTHER SURNAME USED

其他曾用名字（英文）OTHER FIRST AND MIDDLE NAMES USED

中文姓名CHINESE NAME

性别 GENDER

出生日期DATE OF BIRTH(yyyy-mm-dd)

婚姻状况MARITAL STATUS

国籍NATIONALITY

出生地PLACE OF BIRTH(country)

护照类型PASSPORT TYPE

护照号码

PASSPORT NUMBER

护照签发日期ISSUANCE DATE

护照有效期至EXPIRATION DATE(yyyy-mm-dd)

最高学位HIGHEST ACADEMIC DEGREE

汉语水平CHINESE PROFICIENCY

是否掌握其他语言PROFICIENCY OF OTHER LANGUAGE

是否持有境外职业资格证书HAVE YOU EVER OBTAINED ANY PROFESSIONAL QUALIFICATION CERTIFICATE ABROAD?

职业资格证书名称和编号NAME AND NUMBER OF  PROFESSIONAL QUALIFICATION CERTIFICATES

申请人电子邮箱E-MAIL ADDRESS

列出所有曾授予你护照的国家LIST ALL COUNTRIES THAT EVER ISSUED YOU A PASSPORT

列出所有曾使用过的护照号码LIST ALL PASSPORT NUMBERS THAT YOU EVER HAVE USED

与任职相关工作经验RELATED WORKING EXPERIENCE AND LENGTH OF WORKING TIME

聘用合同/任职证明在华工作起始时间INTENTED WORKING TIME IN CHINA

申请在中国工作职务INTENTED JOB TITLE IN CHINA

工作岗位（职业）OCCUPATION

聘用方式EMPLOYMENT METHOD

所属行业INDUSTRY CATEGORY

薪酬SALARY(monthly)

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

每年在华工作时间（月)WORKING TIME IN CHINA PER YEAR(months)

是否毕业于世界知名大学IF YOU ARE GRADUATED FROM WORLD RENOWNED UNIVERSITIES

是否需要行业主管部门批准HAVE YOU OBTAINED 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APPROVAL DOCUMENT NUMBER

是否持有中国职业资格证书（准入类）HAVE YOU EVER OBTAINED ANY CHINESE PROFESSIONAL QUALIFICATION CERTIFICATE (for industry access)?

职业资格证书（准入类）名称NAME OF CHINESE PROFESSIONAL QUALIFICATION CERTIFICATES(for industry access)

职业资格证书号码NUMBER OF CHINESE PROFESSIONAL QUALIFICATION CERTIFICATESOBTAINED

(for industry access)

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DO YOU HAVE ANY EXPERIENCE IN WORLD TOP 500 COMPANIES,WELL-KNOWN FINANCIAL INSTITUTIONS OR LAWFIRMS?

在上述单位曾担任最高职务HIGHEST POSITION YOU HAVE EVER HELD IN AFOREMENTIONED ORGANIZATIONS

是否入选中国国内相关人才计划 IF YOU ARE SELECTED AS A CANDIDATE OF ANY CHINA'S TALENT PLAN

公认职业成就RECOGNIZED PROFESSIONAL ACHIEVEMENT

境外派遣单位名称NAME OF DISPATCHING INSTITUTION ABROAD

派遣单位所在国家LOCATION OF DISPATCHING INSTITUTION  ABROAD

在中国工作电话 BUSINESS TELEPHONENUMBER IN CHINA

在中国工作传真 BUSINESS FAX NUMBER IN CHINA

在中国工作任务JOB DESCRIPTION IN CHINA

列出曾就读的高等教育学校（含职业教育学校）

LIST ALL HIGHER EDUCATIONAL INSTITUTIONS YOU HAVE ATTENTED (INCLUDING VOCATIONAL INSTITUTIONS)

名称                     NAME

所在国家   LOCATION

就读时间            DATES OF ATTENDANCE

专业SPECIALITY

教育类型    EDUCATIONAL TYPE

学位   

ACADEMIC QUALIFICATION

列出曾工作的单位

LIST ALL EMPLOYERS YOU HAVE WORKED FOR

名称                     NAME

工作所在国家LOCATION

起止时间             DATES

工作岗位OCCUPATION

职务  

JOB  TITLE

工作任务                         JOB DESRIPTION

随行家属情况 ACCOMPANYING FAMILY MEMBERS

是否有家属随行DO YOU HAVE ANY ACCOMPANYING MEMBER?

人数NUMBER OF THE  ACCOMPANYING 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 APPLICANT

护照号码

PASSPORT NUMBER

在华紧急联系人EMERGENCY CONTACT PERSON IN CHINA

与申请人关系RELATIONSHIP TO THE APPLICANT

联系电话EMERGENCY CONTACT  TELEPHONE NUMBER

电子邮箱E-MAILADDRESS

申领外国人工作许可证

APPLICATION FOR FOREIGNER'S WORK PERMIT

是否已入境ARE YOU CURRENTLY IN CHINA?

持有签证种类TYPE OF VISA HELD

入境时间DATE OF ENTRY

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，即使后来得到了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?

 □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 AFFLICTED WITH A COMMUNICABLE DISEASE OF PUBLIC HEALTH SIGNIFICANCE OR A DANGEROUS PHYSICAL OR MENTAL DISORDER?

 □是YES

 □否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?

 □是YES

 □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。

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 SUBMITTEDWITH 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）

年    月    日

YYYY     MM   DD