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Foreign Experts Working Permit Application Form

2015-04-20

                            
申请号:
专家类别:     □ 经济技术类            □ 科教文卫类          
Expert Categories:    Economic and Technological     Cultural and Educational

 

 

 
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姓(如护照所示):                                           
SURNAME (As in Passport)
名(如护照所示):                                           
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:                      国籍:                护照号码:                      
DATE OF BIRTH (yy-mm-dd)         NATIONALITY         PASSPORT NUMBER
译名:                                性别:        □男              □女
CHINESE NAME                       SEX         MALE            FEMALE
出生地(外文):国家                        省份                      城市              
PLACE OF BIRTH (Country-State-/Province-City)
住址(国家、省、市、街道、单元号码、邮编,外文填写):
HOME ADDRESS IN COUNTRY OF ORIGIN (Include apartment Number, street, city, state or province, country and postal code)                                                 
                                                                               
住址电话:                             电子信箱地址:                                  
HOME TELEPHONE NUMBER            E-MAIL ADDRESS
最高学历:                                                                     
HIGHEST DIPLOMA CONFERRED
现工作单位                                                                         
ORGANIZATION WORKING WITH CURRENTLY
 
 

聘用单位名称、地址:                                                           
                                                                                                              
NAME OF EMPLOYER IN CHINA AND ITS ADDRESS
聘用单位联系人地址、电话(手机)、传真:                                                             
                                                                               
                                                                                 
ADDRESS, TELEPHONE NUMBER AND FAX NUMBER OF THE CONTACT PERSON FROM THE EMPLOYER IN CHINA
在中国拟聘职务:                                                              
POSITION IN CHINA                                              
在中国拟承担任务:                                                                             
WORKING RESPONSIBILITES IN CHINA
拟抵中国时间:                                                     
WHEN WILL YOU ARRIVE IN CHINA?
预计停留时间:                                                                          
HOW LONG DO YOU INTENT TO STAY IN CHINA?
列出所有曾经授予你护照的国家:                                                         
LIST ALL COUNTRIES THAT HAVE EVER ISSUED YOU A PASSPORT
你是否曾经在中国工作过?                      □是             □否
HAVE YOU EVER WORKED IN CHINA?           Yes               No
何时?                                           何地?                                   
WHEN                                           WHERE
你是否曾经申请过外国专家来华工作许可?                         □是        □否
HAVE YOU EVER APPLIED ANY OTHER FOREIGN EXPERTS WORKING PERMIT IN CHINA       Yes               No
何时?                                           何地?                                   
WHEN                                           WHERE
 
 
 
 
 
 
 
 
                                                                                         随行家属情况
                                                  ACCOMPANYING FAMILY MEMBERS
 
1
2
3
姓名
(如护照所示)
NAME
(As in Passport)
姓氏
SURNAME
 
 
 
 
 
名称
FIRST AND MIDDLE NAME
 
 
 
 
与申请人关系
RELATIONSHIP TO THE APPLICANT
 
 
 
 
国籍
NATIONALITY
 
 
 
 
 
护照号码
PASSPORT NUMBER
 
 
 
 
 
 
 
证件代办人签名:                                           
SIGNATURE OF PERSON PREPARING THIS FORM FOR APPLICANT                                
DATE (yy-mm-dd)
 
代办人联系电话(手机号码):                                     
TELEPHONE NUMBER OF PERSON PREPARING THIS FORM FOR APPLICANT                         
聘用单位签字盖章
 
 
 
 
 
 
 
经办人:
受理时间: