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Application Form for Cancellation (Transferring) of Alien Employment Permit

2015-04-20

 

 
就业证号码:
Employment Permit No.:
有效期限至:                          
Validity:                       YY    MM   DD
 
中文名:
Name in Chinese :
 
外文名(大写):
Name in English (Capitalized) :
 
国籍:
Nationality:
护照号码
Passport No.:
 
用人单位全称
Full name of employer:
业务类型:   注销 ( )    迁移( )
Category:    Cancellation       Transferring
迁移地点:    
Destination of transferring:
 
被聘雇人员离职时间:                                                         
Last working day of employee:                                         YY        MM         DD
 
外国人就业证注销原因:          劳动合同解除 ( )        劳动合同终止(  
Reason of Cancellation:               Contract terminated              Contract ends
 
用人单位联系人姓名
Contact of Company:
用人单位联系人手机
Cell phone of contact:
 
用人单位联系电话
Company Tel.:
用人单位传真号码:
Fax Number of company:
 
 
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。
The employer hereby declares that all the documents and information submitted to the authority are true, and shall be responsible to the authenticity of the documentation.
 
(用人单位公章)
(Seal of Employer)
 
 
 
 
 
申请日期:      年 月  
Date of Application: YY MM DD
被聘雇人员本人签名:
Signature of employee:
 
 
 本人已与用人单位解除(终止)劳动关系。
 I, the undersigned, declares that the labor contract between the employer and me has been terminated (has ended).
 
                            
 
 
       
YY     MM   DD
审批机关:
Approved by:
 
 
 
 
(公章)
(Seal)
                            
 
 
 
 
       
YY  MM   DD
 
说明:
1.     用人单位为所聘雇的外国人办理就业证注销(迁移)手续时,应填写此表(一份)。
2.     本表用钢笔中文填写或打印。
3、表中有“( )”的栏目,请选择相应的内容并在“( )”内打 “√”。
4. 本表不能复印。
Further explanations:
1. The employer of foreigner shall fill this form when applying for cancellation (transferring) of Employment Permit.
2. This form should be filled in Chinese. Using a fountain pen or printer to complete the form.
3. Using "√" to mark proper options from option groups with "( )".
4. This form can not be photocopied.