就业类居留许可资格面谈记录表.doc

就业类居留许可资格面谈记录表 Qualification Interview for Residence Permit for Employment 注意： 此表为审批重要依据之一，申请人须如实填报并承担相关责任。使用黑色笔墨，工整填写。 NOTE: This form is very important for your application. You shall complete it with BLACK ink truthfully and neatly and shall be responsible for the information you provide. I. 个人信息Personal Information 姓名full name 性别sex 出生日期date of birth 出生地place of birth 国籍nationality 护照passport No. 护照签发地及有效期（of passport）place of issue _______ expiry date ________ 签证种类 visa type 签证号码visa No. 签证签发地(visa) issued at 签证有效期至(visa) valid until 入境次数 entry(s) 最近一次入境口岸及时间port date of latest entry __________ ___________ 入境后可停留天数permitted days of stay after entry 婚姻状况marital status single单身□ married已婚□ divorced离异□ widowed鳏居□ separated分居□ 在深圳就职单位名称Full name of your present organization of employment in Shenzhen: 上述单位地址及联系电话Address and phone number of the above institution: 本人在深圳住址及联系电话Your address and phone number in Shenzhen and e-mail address: Add: Tel: E-mail: 语言能力 language ability 语种languages 熟练程度 proficiency fluent □ OK □ fluent □ OK □ fluent □ OK □ II. 家庭信息Family Information (no matter where they are now) 姓 名 full name 性别sex 出生日期 birth date 关系 relationship 国籍nationality 职业 occupation 此外，如果有家庭成员随行，或者有直系亲属在华居住或工作，请提供他们的姓名、与本人关系、工作单位或住址。Besides, if you have any accompanying family members or immediate relatives in China, what is their status or address in China? （Go to next 3 pages后续三页） Policeperson in charge经办民警签名： III. 主要经历Major Experience 1. 请提供你在所属国家的常住地址Please give your permanent address in your home country: 地址Add. 邮政编码Post code 家庭电话Tel. (区号area code) (号码phone number) 2. 请说明你第一次中国签证的情况Please give details of your first Chinese