﹡Name

﹡Nationality

Translated Name

﹡Gender

﹡Passport No.

﹡Date of Birth

﹡Starting/Termination Dates of Previous Contract

﹡Health Condition

Salary Agreed in Previous Contract

Return Air Ticket

﹡

Medical Insurance

Work Unit（ ）Indiv.（ ）

Marriage Status

Jobs done before

Spouse and children

Former Units Worked for in China

Opinion of the Work Unit (Institute, Dept., Center, etc)

Stamp of leader of Work unit

                                              Y    M    D

Opinions of the Foreign Affairs Office of the Work Unit:

1. Fulfillment of Contract: Very Good (    ) Good (    ) Average (   )

2. Former Foreign Expert Certificate: Turned in (   ) To Be Turned it (   )

3. Other matters that need to be elaborated:

                            Stamp of the Work Unit

                                              Y    M    D