外国人来华工作许可延期申请表

APPLICATION FORM FOR EXTENTION OF FOREIGNER'S WORK PERMIT

外国人工作许可证号

CURRENT WORK PERMIT NUMBER

姓（如护照所示）SURNAME (As in Passport)

名（如护照所示）

FIRST AND MIDDLE NAMES (As in Passport)

别名或曾用名（英文）OTHER NAME USED

中文姓名

CHINESE NAME

性别

GENDER

国籍

NATIONALITY

出生日期

DATE OF BIRTH(yy

yy-mm-dd)

婚姻状况

MARITAL STATUS

护照类型

PASSPORT TYPE

护照号码

PASSPORT NUMBER

护照签发日期

ISSUANCE DATE

护照有效期至EXPIRATION DATE(yyyy-mm-dd)

最高学位（学历）HIGHEST ACADEMIC DEGREE

汉语水平

CHINESE PROFICIENCY

是否持有境外职业资格证书HAVE YOU EVER OBTAINED ANY PROFESSIONAL QUALIFICATION CERTIFICATE ABROAD?

职业资格证书名称和编号NAME AND NUMBER OF  PROFESSIONAL QUALIFICATION CERTIFICATES

申请人电子邮箱

E-MAIL ADDRESS

持有居留许可种类RESIDENCE PERMIT TYPE

居留许可号码RESIDENCE PERMIT NUMBER

有效期限至

EXPIRATION DATE(yyyy-mm-dd)

列出所有曾授予你护照的国家LIST ALL COUNTRIES THAT EVER ISSUED YOU A PASSPORT

与任职相关工作经验RELATED WORKING EXPERIENCE AND LENGTH OF WORKING TIME

工作岗位（职业）OCCUPATION

聘用合同/任职证明在华工作起始时间INTENDED WORKING TIME IN CHINA

申请在中国工作职务 INTENDED JOB TITLE IN CHINA

所属行业INDUSTRY CATEGORY

聘用方式EMPLOYMENT METHOD

薪酬SALARY(monthly)

公认职业成就RECOGNIZED PROFESSIONAL ACHIEVEMENT

申请延长工作许可时间INTENDED LENGTH OF EXTENSION

每年在华工作时间（月)WORKING TIME IN CHINA PER YEAR(months)

是否毕业于世界知名大学IF YOU ARE GRADUATED FROM WORLD RENOWNED UNIVERSITIES

是否需要行业主管部门批准HAVE YOU OBTAINED APPROVAL FROM RELATED CHINESE INDUSTRY AUTHORITY?

行业主管部门名称NAME OF INDUSTRY AUTHORITY

行业主管部门批准证书文号 APPROVAL DOCUMENT NUMBER

是否持有中国职业资格证书（准入类）HAVE YOU EVER OBTAINED ANY CHINESE PROFESSIONAL QUALIFICATION CERTIFICATE (for industry access)?

职业资格证书（准入类）名称NAME OF CHINESE PROFESSIONAL QUALIFICATION CERTIFICATES(for industry access)

职业资格证书号码NUMBER OF CHINESE PROFESSIONAL QUALIFICATION CERTIFICATESOBTAINED

(for industry access)

是否曾在世界500强企业、知名金融机构或律师事务所等任职DO YOU HAVE ANY EXPERIENCE IN WORLD TOP 500 COMPANIES,WELL-KNOWN FINANCIAL INSTITUTIONS OR LAWFIRMS?

在上述单位曾担任最高职务HIGHEST POSITION YOU HAVE EVER HELD IN AFOREMENTIONED ORGANIZATIONS

已连续在华工作年限

CONSECUTIVE WORKING YEARS IN CHINA

境外派遣单位名称 NAME OF DISPATCHING INSTITUTION ABROAD

派遣单位所在国家LOCATION OF DISPATCHING INSTITUTION  ABROAD

是否有专利等知识产权

IS THERE A PATENT AND OTHER INTELLECTUAL PROPERTY RIGHTS

在中国工作电话 BUSINESS TELEPHONENUMBER IN CHINA

在中国工作任务JOB DESCRIPTION IN CHINA

变更项

CHANGEDOBJECTS

变更前

BEFORE CHANGE

变更后

AFTER CHANGE

人员类型

人员类别：;

人员类别：（三）外国语言教学人员;

职务信息

列出曾就读的高等教育学校（含职业教育学校，如无高等教育经历，请填写最高学历）

LIST ALL HIGHER EDUCATIONAL INSTITUTIONS YOU HAVE ATTENTED (INCLUDING VOCATIONAL INSTITUTIONS)

名称                     NAME

所在国家   LOCATION

就读时间DATES OF ATTENDANCE

专业SPECIALITY

学位  

ACADEMIC QUALIFICATION

列出曾工作的单位(近十年内)

LIST ALL EMPLOYERS YOU HAVE WORKED FOR IN LAST TEN YEARS

名称                     NAME

工作所在国家LOCATION

起止时间             DATES

工作岗位OCCUPATION

职务JOB  TITLE

工作任务                         JOB DESRIPTION

用人单位承诺如实向行政机关提交有关材料和反映真实情况，并对申请材料实质内容的真实性负责，承担相关法律责任，同意许可决定机构根据需要进行补充调查。

Reference revision:  The employer hereby declares that all the documents and information submitted to the authority are true, and shall be responsible for the authenticity of the documents and undertake corresponding legal responsibilities. The employer should give the consent to the authority’s supplementary investigation as necessary.

用人单位公章

SEAL OF EMPLOYER

年    月    日

YYYY     MM   DD

申请人签名：        

SIGNATURE OF APPLICANT

 年    月    日

  YYYY     MM   DD