外国人来华工作许可注销申请表

外国人来华工作许可注销申请表APPLICATION FORM FOR CANCELLATION OF FOREIGNER'S WORK PERMIT 外国人工作许可证号WORK PERMIT NUMB

外国人来华工作许可注销申请表 APPLICATION FORM FOR CANCELLATION OF FOREIGNER'S WORK PERMIT 外国人工作许可证号 输入外国人工作证号，基本信息自动导入，不可修改 WORKPERMITNUMBER 姓（如护照所示） SURNAME (As in Passport) 名（如护照所示） FIRST AND MIDDLE NAMES (As in Passport) 照片 PHOTO 中文姓名 别名或曾用名（英文） OTHER NAME USED CHINESE NAME 出生日期 性别 DATE OF BIRTH(yyyy-mm-dd) GENDER 国籍 婚姻状况 MARITAL STATUS NATIONALITY 组织机构代码或批准证书号 ORGANIZATIONAL CODE 中国聘用单位名称 NAME OF EMPLOYER IN CHINA (Registration Certificate) NUMBER 注销原因 聘用合同解除 TERMINATION OF CONTRACT 聘用合同终止 EXPIRATION OF CONTRACT 其他 OTHER REASONS REASON FOR CANCELLATION ，， 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并承 ，。 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 申请人签名： responsibilities. The employer should give the consent to the authority’s supplementary investigation as necessary. SIGNATURE OF APPLICANT 用人单位公章 SEAL OF EMPLOYER 年月日 年月日 YYYY MM DD YYYY MM DD