APPLICATION FORM FOR CERTIFICATION OF EXEMPTION FROM WORK PERMIT
Form No. 11 in Appendix I Decree No. 152/2020/ND-CP dated December 30, 2020 of the Government on foreign workers working in Vietnam and recruitment and management of Vietnamese workers working for foreign employers in Vietnam provides application form for certification of exemption from work as follows:
| NAME OF ENTERPRISE/ORGANIZATION ——– | SOCIALIST REPUBLIC OF VIETNAM Independence – Freedom – Happiness ——————– |
| No: ……………. V/v Issuance/re-issuance/renewal of work permits for foreign workers | At..………,date, month, year. |
Respectfully to: ……………(1)……………..
1. Name of enterprise/organization: ………………………………………………………………
2. Form of enterprise/organization (State – owned enterprise / Foreign Invested Enterprise / Non-state enterprises)…………………………………………….
3. The total number of employees working in enterprise/organization : ………….employees
In which the number of foreign employees is: ………………………employees
4. Address: ……………………………………………………………………………………….
5. Telephone: ………………………………… 6. Email (if any) ……………………………
7. Establishment License No: ……………………………………………………
Issued by: ……………… Date of expiration: ……………………………………………
Business lines (operations): …………………………………………………………….
8. Information of the applicant to contact where necessary (Phone, email):
…………………………………………………………………………………………………….
Pursuant to the notification of approval for employment of the foreign employees No. ….. dated ….. of ……. ………..(Name of enterprise/organization) requests for the issuance/re-issuance/renewal of work permit as follows:
9. Full name (Capital Letter): …………………………………………………………………….
10. Date of birthday: ……………… 11. Gender (Male/Female) ……………………….
12. Nationality: ……………………………………………………………………………………
13. Passport/international travel papers No: ……………………………………………..
Issued by: ……………… Date of expiration: ……………………………………………
14. Professional qualification (skill) (if any): ………………………………………………
15. Working for: ………………………………………………………
16. Working place: ………………………………………………………………………….
17. Job Position: ……………………………………………………………………………..
18. Job Title: ……………………………………………………………………..
19. Form of work: ………………………………………………………………………..
20. Salary: …………………………………VNĐ.
21. Period of work: From……..……………to……………………
22. Place of receiving work permit: ……………………………………………………
23. Reason for re-issuance of work permit (only applied in case of work permit re-issuance): ………………..…………………………………………………………………………………….
I. TRAINING PROCESS (2)
…………………………………………………………………………………………………….
…………………………………………………………………………………………………….
II. WORKING PERIOD (3)
24. Working Place
– 1st Working Place:
+ Working location: …………………………………………………………………………….
+ Job position: ………………………………………………………………………………..
+ Job Title: ………………………………………………………………………..
+ Duration of work from …………………….to ……………………………………………
– 2nd Working Place: …………………………………………………………………………….
+ Working location: …………………………………………………………………………….
+ Job position: ………………………………………………………………………………..
+ Job Title: ………………………………………………………………………..
+ Duration of work from …………………….to ……………………………………………
– Final/Current working place: ………………………………………………………………..
+ Working location: …………………………………………………………………………….
+ Job position: ………………………………………………………………………………..
+ Job Title: ………………………………………………………………………..
+ Duration of work from …………………….to ……………………………………………
We hereby declare that the above information is true. If wrong, we shall be responsible before the laws.
| Recipients: – Above; – Save: ……….. | THE REPRETATIVE OF ENTERPRISE/ORGANIZATION (Sign with full name and company stamp) |
Ghi chú:
(1) Ministry of Labor – Invalids and Social Affairs (Department of Employment)/Department of Labor – Invalids and Social Affairs of provinces, cities …..
(2), (3) Not applicable to the case of re-issuance/renewal of work permits.
Above is application form for certification of exemption from work. In case you need detailed information or other information in a related field, readers can contact Lac Duy & Associates for timely advice and support.