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外国人来华工作许可注销申请表APPLICATIONFORMFORCANCELLATIONOFFOREIGNER'SWORKPERMIT外国人工作许可证号WORKPERMITNUMBER输入外国人工作证号，基本信息自动导入，不可修改姓（如护照所示）SURNAME(AsinPassport)名（如护照所示）FIRSTANDMIDDLENAMES(AsinPassport)照片PHOTO别名或曾用名（英文）OTHERNAMEUSED中文姓名CHINESENAME出生日期DATEOFBIRTH(yyyy-mm-dd)性别GENDER国籍NATIONALITY婚姻状况MARITALSTATUS中国聘用单位名称NAMEOFEMPLOYERINCHINA组织机构代码或批准证书号ORGANIZATIONALCODE(RegistrationCertificate)NUMBER注销原因REASONFORCANCELLATION聘用合同解除TERMINATIONOFCONTRACT聘用合同终止EXPIRATIONOFCONTRACT其他OTHERREASONS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。Referencerevision:Theemployerherebydeclaresthatallthedocumentsandinformationsubmittedtotheauthorityaretrue,andshallberesponsiblefortheauthenticityofthedocumentsandundertakecorrespondinglegalresponsibilities.Theemployershouldgivetheconsenttotheauthority’ssupplementaryinvestigationasnecessary.用人单位公章SEALOFEMPLOYER年月日YYYYMMDD申请人签名：SIGNATUREOFAPPLICANT年月日YYYYMMDD