附表12017北京服务业扩大开放综合试点外籍人才申请在华永久居留积分评估申报书doc.doc

1、附表 1： 编号 Attachment 1: Serial Number_2017 年北京市服务业扩大开放综合试点示范区创业团队外籍成员申请在华永久居留积分评估申报书Application for Permanent Residence in China under the Points System from Foreign Members of Entrepreneurial Teams in Demonstration Area of Comprehensive Pilot Program for Further Opening up the Service Sector in Beij

2、ing （CPFOSS）2017申 报 人 姓 名 (Applicant): 申 报 人 所 在 单 位(Company): 申 报 人 手 机 号 码(Applicants Cell Phone): 申报人邮箱(Applicants E-mail): 单 位 联 系 人 姓 名 (Contact Person from the Company): 单位联系人电话 (Telephone of Contact Person): 申报日期(Application Date) : 北京市商务委员会制Compiled by Beijing Municipal Commission of Commerc

3、e 表.北京市服务业扩大开放综合试点示范区创业团队外籍成员申请在华永久居留积分评估申报表Application Form for Permanent Residence in China under the Points System from Foreign Members of Entrepreneurial Teams in Demonstration Area of CPFOSS中文姓名Chinese Name英文姓名English Name年龄Age性别Gender护照号码Passport NO.出生地Place of Birth 国籍Nationality在华工作年限Working

4、 Years in China照片Photo职务或股权情况Position or Shareholding Status所符合申报对象标准Criteria Satisfied工作方式EmploymentType 全职Full time 兼职Part time电子邮箱Email国内住址Address in China国内电话Phone Number in China国外单位Employed by Which Company Overseas国外住址Address Overseas国外电话Phone Number Overseas国外单位职务Position in the Overseas Com

5、pany申报单位Application Filed by (Institution)主营业务范围 Main Business Scope所在企业基本情况Basic Information about the Company时间Time国家Country院校University专业Major学位Degree教育教育经历（ 从 本 科 填 起 ）Education Background(Start from Bachelor Degree) 时间Time国家Country单位及单位排名或资质情况Employer & its Ranking/Qualification职务Position工作经历Wo

6、rk Experience 团队创业产业发展预期Development Prospect of Relevant Industry团队拥有创新成果/核心技术情况Innovation Products/Core Technologies Owned by the Team获得社会投资或投资机构的投资额及占比Volume and Share of Investment from Private and Institutional Investors in the Companys Total Investment Attracted企业营收及税收情况Company Earnings and Tax

7、团队企业实际成长评估The Companys Real Growth Assessment所在团队近两年连续投资其他企业情况Continuous Investment in Other Companies Made by the Teamover the Past Two Years团队创业能力The Teams Entrepreneurial Ability外籍人本人在团队中发挥作用情况How has the applicant been playing his/her role in the team?团队其他主要成员及情况Other Key Members of the Team姓名Na

8、me职务Position职责分工Responsibilities学历Academic Degree毕业院校Graduated from曾任职单位及职务Previous Employer & Position其它获奖情况:Other Honors and Awards：本人承诺以上信息均真实有效。I hereby promise that the above information is true and correct. 申报人签字：（印章无效）Signature of the Applicant: (name seals not acceptable) 年 月 日Date: 申报单位意见：O

9、pinions of Application Company: 确认以上信息属实，予以推荐。We hereby certify the above information to be true and correct, and offer our recommendation.申报单位（公章）Application Company (official seal) 年 月 日 Date: 编号 Serial Number_2017 年北京市服务业扩大开放综合试点示范区企业选聘的外籍管理和技术人才申请在华永久居留积分评估申报书Application for Permanent Residence

10、in China under the Points System from Foreign Management and Technical Personnel Employed by Enterprises in Demonstration Area of Comprehensive Pilot Program for Further Opening up the Service Sector in Beijing （CPFOSS ）2017申 报 人 姓 名 (Applicant): 申 报 人 所 在 单 位(Company): 申 报 人 手 机 号 码(Applicants Cell

11、 Phone): 申报人邮箱(Applicants E-mail): 单 位 联 系 人 姓 名 (Contact Person from the Company): 单位联系人电话 (Telephone of Contact Person): 申报日期(Application Date) : 北京市商务委员会制Compiled by Beijing Municipal Commission of Commerce 表.北京市服务业扩大开放综合试点示范区企业选聘的外籍管理和技术人才申请在华永久居留积分评估申报表Application Form for Permanent Residence i

12、n China under the Points System from Foreign management and technical Personnel Employed by Enterprises in Demonstration Area of CPFOSS中文姓名Chinese Name英文姓名English Name年龄Age性别Gender护照号码Passport NO.出生地Place of Birth 国籍Nationality在华工作年限Working Years in China照片Photo职务Position所符合申报对象标准Criteria Satisfied工

13、作方式EmploymentType 全职Full time 兼职Part time电子邮箱Email国内住址Address in China国内电话Phone Number in China国外单位Employed by Which Company Overseas国外住址Address Overseas国外电话Phone Number Overseas国外单位职务Position in the Overseas Company申报单位Application Company企业获得高新技术企业证书时间Time of Obtaining the High-Tech Enterprise Cert

14、ificate主营业务范围 Main Business Scope所在企业基本情况Basic Information about the Company时间Time国家Country院校University专业Major学位Degree教育教育经历（ 从 本 科 填 起 ）Education Background(Start fromBachelor Degree) 时间Time国家Country单位及单位排名或资质情况Name of Employer & its Ranking/Qualification职务Position工作经历Work Experience 综合年薪Gross Year

15、ly Salary申请人上一年度综合年薪情况（工资 +绩效）The Applicants Previous Year Gross Salary (Remuneration Plus Performance Bonus)拥有国际先进创新成果、核心技术，拥有自主知识产权或专利情况International advanced innovative products, core technologies, proprietary intellectual property rights or patents owned拥有国际认可的专业技术证书的情况Internationally recognized

16、 certificates in professional or technical skills专业技能Professional Skills拥有技术成果、管理经验在示范区企业转化、产业化情况Technological achievements and managerial experience both commercialized and industrialized at enterprises in Demonstration Area of CPFOSS履职情况Performance of duties 岗位贡献Contributions Made on the Job人才本人在团队中发挥作用情况How has the applicant been playing his/her role in the team?