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Foreign Experts Working Permit Application Form

2015-04-20

                            
申請號:
專家類別:     □ 經濟技術類            □ 科教文衛類          
Expert Categories:    Economic and Technological     Cultural and Educational

 

 

 
DO NOT WRITE IN THIS SPACE
2-inch Bareheaded Photo
Please paste here
 
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2寸免冠照片
請用膠水將照片附于此處
 

 

 

 

 

姓(如護照所示):                                           
SURNAME (As in Passport)
名(如護照所示):                                           
FIRST AND MIDDLE NAME (As in Passport)
其它曾用姓氏(外文):                                       
OTHER SURNAME USED (Maiden, Religious, Professional, Aliases)
其它名字(外文):                                            
OTHER FIRST AND MIDDLE NAMES USED
出生年月日:                      國籍:                護照號碼:                      
DATE OF BIRTH (yy-mm-dd)         NATIONALITY         PASSPORT NUMBER
譯名:                                性別:        □男              □女
CHINESE NAME                       SEX         MALE            FEMALE
出生地(外文):國家                        省份                      城市              
PLACE OF BIRTH (Country-State-/Province-City)
住址(國家、省、市、街道、單元號碼、郵編,外文填寫):
HOME ADDRESS IN COUNTRY OF ORIGIN (Include apartment Number, street, city, state or province, country and postal code)                                                 
                                                                               
住址電話:                             電子信箱地址:                                  
HOME TELEPHONE NUMBER            E-MAIL ADDRESS
最高學歷:                                                                     
HIGHEST DIPLOMA CONFERRED
現工作單位                                                                         
ORGANIZATION WORKING WITH CURRENTLY
 
 

聘用單位名稱、地址:                                                           
                                                                                                              
NAME OF EMPLOYER IN CHINA AND ITS ADDRESS
聘用單位聯系人地址、電話(手機)、傳真:                                                             
                                                                               
                                                                                 
ADDRESS, TELEPHONE NUMBER AND FAX NUMBER OF THE CONTACT PERSON FROM THE EMPLOYER IN CHINA
在中國擬聘職務:                                                              
POSITION IN CHINA                                              
在中國擬承擔任務:                                                                             
WORKING RESPONSIBILITES IN CHINA
擬抵中國時間:                                                     
WHEN WILL YOU ARRIVE IN CHINA?
預計停留時間:                                                                          
HOW LONG DO YOU INTENT TO STAY IN CHINA?
列出所有曾經授予你護照的國家:                                                         
LIST ALL COUNTRIES THAT HAVE EVER ISSUED YOU A PASSPORT
你是否曾經在中國工作過?                      □是             □否
HAVE YOU EVER WORKED IN CHINA?           Yes               No
何時?                                           何地?                                   
WHEN                                           WHERE
你是否曾經申請過外國專家來華工作許可?                         □是        □否
HAVE YOU EVER APPLIED ANY OTHER FOREIGN EXPERTS WORKING PERMIT IN CHINA       Yes               No
何時?                                           何地?                                   
WHEN                                           WHERE
 
 
 
 
 
 
 
 
                                                                                         隨行家屬情況
                                                  ACCOMPANYING FAMILY MEMBERS
 
1
2
3
姓名
(如護照所示)
NAME
(As in Passport)
姓氏
SURNAME
 
 
 
 
 
名稱
FIRST AND MIDDLE NAME
 
 
 
 
與申請人關系
RELATIONSHIP TO THE APPLICANT
 
 
 
 
國籍
NATIONALITY
 
 
 
 
 
護照號碼
PASSPORT NUMBER
 
 
 
 
 
 
 
證件代辦人簽名:                                           
SIGNATURE OF PERSON PREPARING THIS FORM FOR APPLICANT                                
DATE (yy-mm-dd)
 
代辦人聯系電話(手機號碼):                                     
TELEPHONE NUMBER OF PERSON PREPARING THIS FORM FOR APPLICANT                         
聘用單位簽字蓋章
 
 
 
 
 
 
 
經辦人:
受理時間:
 
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