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Application Form for Cancellation (Transferring) of Alien Employment Permit

2015-04-20

 

 
就業證號碼:
Employment Permit No.:
有效期限至:                          
Validity:                       YY    MM   DD
 
中文名:
Name in Chinese :
 
外文名(大寫):
Name in English (Capitalized) :
 
國籍:
Nationality:
護照號碼
Passport No.:
 
用人單位全稱
Full name of employer:
業務類型:   注銷 ( )    遷移( )
Category:    Cancellation       Transferring
遷移地點:    
Destination of transferring:
 
被聘雇人員離職時間:                                                         
Last working day of employee:                                         YY        MM         DD
 
外國人就業證注銷原因:          勞動合同解除 ( )        勞動合同終止(  
Reason of Cancellation:               Contract terminated              Contract ends
 
用人單位聯系人姓名
Contact of Company:
用人單位聯系人手機
Cell phone of contact:
 
用人單位聯系電話
Company Tel.:
用人單位傳真號碼:
Fax Number of company:
 
 
用人單位承諾如實向行政機關提交有關材料和反映真實情況,并對申請材料實質內容的真實性負責。
The employer hereby declares that all the documents and information submitted to the authority are true, and shall be responsible to the authenticity of the documentation.
 
(用人單位公章)
(Seal of Employer)
 
 
 
 
 
申請日期:      年 月  
Date of Application: YY MM DD
被聘雇人員本人簽名:
Signature of employee:
 
 
 本人已與用人單位解除(終止)勞動關系。
 I, the undersigned, declares that the labor contract between the employer and me has been terminated (has ended).
 
                            
 
 
       
YY     MM   DD
審批機關:
Approved by:
 
 
 
 
(公章)
(Seal)
                            
 
 
 
 
       
YY  MM   DD
 
說明:
1.     用人單位為所聘雇的外國人辦理就業證注銷(遷移)手續時,應填寫此表(一份)。
2.     本表用鋼筆中文填寫或打印。
3、表中有“( )”的欄目,請選擇相應的內容并在“( )”內打 “√”。
4. 本表不能復印。
Further explanations:
1. The employer of foreigner shall fill this form when applying for cancellation (transferring) of Employment Permit.
2. This form should be filled in Chinese. Using a fountain pen or printer to complete the form.
3. Using "√" to mark proper options from option groups with "( )".
4. This form can not be photocopied.

 

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