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1、外国专家证申请表Working Field :Econo mic and Tech no logyCultural and Educati onForeign Expert Certificate Application Form专家类别：经济技术类教科文卫类DO NOT WRITE IN姓（如护照所示）：THIS SPACESURNAME (As in Passport)名（如护照所示）：FIRST AND MIDDLE NAME (As in Passport)其它曾用姓氏（外文）：37*37 PHOTOGlue photo here请勿填写此处大1寸免冠照片请用胶水将照片附于此处OTHE
2、R SURNAME USED (Maiden, Religious, Professional, Aliases)其它名字（外文）：OTHER FIRST AND MIDDLE NAMES USED出生年月曰:国籍:护照号码:DATE OF BIRTH (yy-mm-dd)NATIONALITYPASSPORT NUMBER译名:性别:男女CHINESE NAMESEXMALEFEMALE出生地（外文）：国家省（州）城市PLACE OF BIRTH (Country-State-/Province-City)国外住址:HOME ADDRESS IN COUNTRY OF ORIGIN最高学历:
3、EDUCATION BACKGROUND原聘用单位:LAST EMPLOYER日至已在华连续工作时间:SUCCESSIVE TIME YOU WORKED IN CHINA LAST TIME (yy-mm-dd to yy-mm-dd)现聘用单位名称:CURRENT EMPLOYER现聘用单位地址:ADDRESS OF CURRENT EMPLOYER现拟聘职务:POSITION WITH CURRENT EMPLOYER日至聘用期限:TIME OF EMPLOYMENT (yy-mm-dd to yy-mm-dd)ADDRESS IN GUANGDONG现聘用单位联系人姓名、电话、传真：
4、NAME, TELEPHONE AND FAX NUMBER OF CONTACT PERSON IN CURRENT EMPLOYER随行家属情况ACCOMPANYING FAMILY MEMBER123姓名FULL NAME与申请人关系RELATIONSHIP TO THEAPPLICANT国籍NATIONALITY护照号码PASSPORT NUMBER证件代办人签名：SIGNATURE OF THE SPONSOR OF APPLICANT日期：DATE (yy-mm-dd)申报单位（盖章）:SEAL OF EMPLOYER以下由发证部门填写 FOR OFFICE USE ONLY发证单位： 签发人： 专家证号：发证时间：年 月 日专家证号有效期至：年月日此表可由 http:/guangdong.caiep.org网站下载。THIS FORM CAN BE DOWNLOADED AT http:/gua ngdo ng.caiep.org