外国专家来华工作许可申请
表
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Foreign Experts Working Permit Application Record
专家类别: ? 经技类 ? 文教类
working field: Economics and Technology Cultural and Education
姓(如护照所示): DO NOT WRITE IN THIS SPACE SURNAME (As in Passport) 37*37 PHOTO
Glue photo here 名(如护照所示):
FIRST AND MIDDLE NAME (As in Passport) 请勿填写此处 其它曾用姓氏(外文): 2寸免冠照片
请用胶水将照片附于此处 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, postal code, and country)住址电话: 电子信箱地址: HOME TELEPHONE NUMBER E-MAIL ADDRESS 最高学历: EDUCATION BACKGROUND
现工作单位 CURRENT WORK UNIT
聘用单位名称、地址:
_______________________________________________________
NAME AND STREET ADDRESS OF EMPLOYER IN CHINA (Postal box number unacceptable) 聘用单位联系人地址、电话、传真:
NAME AND STREET ADDRESS OF EMPLOYER IN CHINA TELEPHONE AND FAX NUMBER AND CONTACT PERSON (Postal box number
unacceptable)
在中国拟聘职务: POSITION IN CHINA 在中国拟承担任务: YOUR WORKING MISSIONS 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 COUNTRES 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
此表可由www.safea.gov.cn网站下载。
随行家属情况
ACCOMPANYING FAMILY MEMBER
1 2 3
姓 姓名 SURNAME (如护
名 照所示)
NAME 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 THE SPONSOR OF APPLICANT
日期:
DATE (yy-mm-dd)
代办人联系电话: TELEPHONE NUMBER OF THE SPONSOR OF APPLICANT
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