天津市外国人工作证件申请表APPLICATIONFORMFORFOREIGN.doc

天津市外国人工作证件申请表 APPLICATION FORM FOR FOREIGN EXPERTS WORKING PERMIT CERTIFICATE 业务流水号 □注销《外国人工作证》 □新办《外国人工作证》 □变更《外国人工作证》 □延期《外国人工作证》 □补遗《外国人工作证》 外国人社会保障号码 外国人工作证核发类型FOREIGN EXPERTS WORKING CERTIFICATE TYPE □ A □ B □ C 预审人员： 姓（如护照所示）SURNAME (As in Passport) 　 FIRST AND MIDDLE NAMES (As in Passport) 　 出生年月日?DATE OF BIRTH (yyyy-mm-dd) 　 国籍?NATIONALITY 　 PASSPORT NUMBER 　 最高学位?HIGHEST EDUCATIONAL QUALIFICATION 　 性别 SEX ?MALE 出生地（国家、省)PLACE OF BIRTH (country-state or province) 　 CURRENT EMPLOYER 　 □女?FEMALE 中国聘用单位名称NAME OF EMPLOYER IN CHINA 　 　 ADDRESS OF EMPLOYER IN CHINA 　 　 申请在华工作时间INTENTED WORKING TIME IN CHINA 　 在中国工作职务POSITION IN CHINA 　 WORKING MISSION IN TIANJIN 　 聘用单位专管员姓名EMPLOYER CONTACTS 　 专管员手机EMPLOYER CONTACTS CELLPHONE 　 电子邮箱?E-MAIL 　 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? ?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构成危险体制病变或精神病？HAVE YOU EVER BEEN AFFLICTED WITH A COMMUNICABLE DISEASE OF PUBLIC HEALTH SIGNIFICANCE OR A DANGEROUS PHYSICAL OR MENTAL DISORDER? ?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 DEFORTED FROM CHINA? ?YES 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。I . 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.?THIS IS TO 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. 申请人本人签名：SIGNATUR OF APPLICANT 日期/DATE 中国聘用单位公章SEAL OF EMPLOYER IN CHINA 　 　 已办理外国人来华工作许可的，需提交以下要件材料： （1）《外国人工作证申请表》。其中，外国人现住址需与公安部门备案的外国人住宿地址一致。[提要：在线打印，加盖聘用单位公章，由外国人本人签名确认]； （2）外国人有效护照和职业（Z）