姓名Name in full | 性别Sex | 国籍Nationality | 婚姻状况Marital status | 照片 Photo |
中文名in Chinese | 出生日期和地点Date and place of birth |
文化程度Educational Attainment | 专业技术特长Special occupational skills | 健康状况Health condition |
在北京的住址、邮编和电话Address, P.O. Box and Tel No. of the foreigner in Beijing |
护照种类Type of passport | 号码Passport No. | 有效期Valid until | 发照机关Issued by |
签证种类Type of visa | 号码 Visa No. | 有效期Valid until | 签证机关Issued by |
是否提出过延期申请(如果是,详细列出)Has the foreigner once applied for the extension of employment term? |
本国固定住址、邮编和电话Regular Address,P.O.Box and tell No. in home country |
聘用单位的全称和地址Full name and address of the employing organization(聘用单位印章) |
邮编P.O.Box | 法定代表人姓名Name of the Legal Representative | 电话Tel No. | 申请人职业Applicant’s Occupation |
平均月工资Salary per month | 原聘用期限至Expiration Date of Previous Term | 申请延期至Extended until |
申请延期的理由Reason for Extension of Employment Term |
劳动行政部门意见Suggestion by the labor administrative department 签字(盖章) Signature (seal) 年 月 日 yr math day | 受理日期Date of Accepted |
答复日期Date of Reply |
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