application for entry for employment as professionals in ... · please read the ‘guidebook for...

Part A: Application for Employment as Professionals in Hong Kong 1. Personal Particulars

( ) ( ) ( ) Name in Chinese (if applicable) Maiden surname (if applicable)

( ) Surname in English

( ) Given names in English

( ) Alias (if any)

Sex Male Female Date of birth dd mm yyyy

Place of birth

Nationality Marital status Bachelor/Spinster Married Divorced Separated Widowed

( )Hong Kong identity card no. (if any) ( )

( )Mainland identity card no. (if any)

Travel document type

Place of issue Date of issue dd mm yyyy

Date of expiry

dd mm yyyy

( ) E-mail address (if any)

Contact telephone no.

( )Fax no. (if any)

Country/Territory of domicile Has the applicant acquired permanent residence in his/her country/territory of domicile? Yes No

Length of residence in country/territory of domicile year(s)

month(s)

?

Has the applicant obtained any degree or higher qualification in a full-time and locally-accredited programme in Hong Kong? 1 Yes ( Note1)

No Applicant is presently a:2 ( )

foreign national, holder of People’s Republic of China passport living overseas, Taiwan resident, Macao resident or stateless person (Note2) ( ) ( 3)

Chinese resident of the Mainland (including those who are currently residing in Hong Kong or Macao on a temporary basis) (Note3) Is the applicant currently staying in Hong Kong?

Yes Permitted to remain until

Status Student Employment Residence/Dependant Visitor Others

No

The information given on this page is correct, complete and true.

Please complete this column if this form is a photocopy or downloaded copy.

Travel document no.

dd mm yyyy

Date Signature of applicant

1 : [ID(C) 991] 27 39

Note1 : Applicant may apply to take up employment in Hong Kong under the ‘Immigration Arrangements for Non-local Graduates’. Please read paragraphs 27 to 39 of ‘Guidebook for Entry for Employment as Professionals in Hong Kong’ [ID(E) 991].

2 : [ID(C) 991] 6 15Note 2 : Applicant may apply to take up employment in Hong Kong under the ‘General Employment Policy’. Please read paragraphs 6 to 15 of ‘Guidebook for Entry for Employment as

Professionals in Hong Kong’ [ID(E) 991]. 3 : [ID(C) 991] 16 26

Note 3 : Applicant may apply to take up employment in Hong Kong under the ‘Admission Scheme for Mainland Talents and Professionals’. Please read paragraphs 16 to 26 of ‘Guidebook for Entry for Employment as Professionals in Hong Kong’ [ID(E) 991].

ID 990A (4/2017) 1

FOR OFFICIAL USE ONLY Reference barcode

Immigration Department, the Government of the Hong Kong Special Administrative Region

( )Application for Entry for Employment as Professionals in Hong Kong ( to be completed by the applicant)

Note : (i) [ID(C) 991]

Please read the ‘Guidebook for Entry for Employment as Professionals in Hong Kong’ [ID(E) 991] for the application procedures and documents required for the application.

(ii) This form is issued free of charge. (iii) Please complete this form in BLOCK letters using black or blue pen. (iv) Please tick as appropriate.

:

W arning : A person who knowingly and wilfully makes a statement or gives information which he/she knows to be false or does not believe to be true shall be guilty of an offence under the Laws of Hong Kong and any such visa/entry permit issued or permission to enter or remain in Hong Kong granted shall have no effect.

1. Personal Particulars (Continued) Present address

( ) (please fill in within border)

( ) Permanent address (if different from above)

( ) (please fill in within border)

2. Proposed Stay in Hong Kong for Employment Proposed date of entry

3. ( 18 ) ( ) (if applicable)

Please continue on a photocopy or an additional downloaded copy of this page if necessary. # (i), (ii), (iii)….. Please assign a serial number to each dependant, such as (i), (ii), (iii)..…

# ( ) ( ) Surname in English

( ) Given names in English ( ) ( ) ( )

Name in Chinese (if applicable) Alias (if any)

Photograph Sex Male Female Date of birth Place of dd mm birth yyyy

Affix one recent photograph here Nationality Relationship Marital status

( 55 45 Travel document type Travel document no. ( Mainland identity card no. (if any) 50 40 )

(Photograph should not be larger than 55mm x 45mm ( ) If currently staying in Hong Kong (please specify) and not smaller than 50mm x 40mm)

Permitted to S tatus remain until dd mm yyyy Student Employment Residence Visitor Others ( For official use only )( )

Reference barcode Hong Kong identity card no. (if any) ?

Country/Territory Has the dependant acquired permanent residence in of domicile his/her country/territory of domicile? Yes No

# ( ) ( ) Surname in English

( ) Given names in English ( ) ( ) ( )

Name in Chinese (if applicable) Alias (if any)

Photograph Sex Male Female Date of birth Place of birthdd mm yyyy

Affix one recent photograph here Nationality Relationship Marital status

( 55 45 Travel document type Travel document no. 50 40 )

(Photograph should not be larger than 55mm x 45mm ( ) If currently staying in Hong Kong (please specify) and not smaller than 50mm x 40mm)

Permitted to Status remain until dd mm yyyy Student Employment Residence Visitor Others( For official use only ( )

Reference barcodeHong Kong identity card no. (if any)

? Country/Territory Has the dependant acquired permanent residence in of domicile his/her country/territory of domicile? Yes No


Please complete this column if this form is a photocopy or downloaded copy. Date Signature of applicant

Proposed duration of stay

Accompanying Dependants (Spouse and unmarried dependent children under the age of 18)

( Mainland identity card no. (if any)

(4/2017)A099DI

Photograph

Affix one recent photograph here

( 55 45 50 40 )

(Photograph should not be larger than 55mm x 45mm

and not smaller than 50mm x 40mm)

2

(4/2017) A099 DI

4. ( ) Higher Education Qualifications Obtained in Hong Kong (if applicable)

If you have obtained a degree or higher qualification in a full-time and locally-accredited programme in Hong Kong, please state in chronological order.

Name of education institution and period of study in Hong Kong Subject and Degree awarded Date of issue of graduation certificate

If you have obtained a degree or higher qualification in a full-time and locally-accredited programme in Hong Kong, please skip items 5 and 6.

5. Academic/Professional Qualifications (i) ( ) Academic Qualifications (in chronological order)

Period of study ( ) ( ) Name of school/college/university/other education institution Major subject Degree/Qualification obtained

From (mm/yy) To (mm/yy)

(ii) ( ) Professional/Technical Qualifications (in chronological order)

Date of issue Professional/Technical qualifications Issuing authority/Organisation

6. Employment Record in chronological order)Period of employment

( ) ( ) Name and address of company/employer Position/Occupation Nature of duties From (mm/yy) To (mm/yy)


Please complete this column if this form is a photocopy or downloaded copy. Date Signature of applicant

3

(4/2017) A099 DI

7. Declaration of Applicant

In submitting this application to the Immigration Department of the Hong Kong Special Administrative Region (HKSAR), I declare the following: (i) (a)

I have not changed my name before.

I have changed my name and used the following name(s) before:

(b) I have never been refused entry into, deported from, removed from or required to leave Hong Kong.

I have previously been refused entry into, deported from, removed from or required to leave Hong Kong. The date(s) and details are as follows:

(c) I have never been refused a visa/entry permit for entry into Hong Kong.

I have previously been refused a visa/entry permit for entry into Hong Kong. The date(s) and details are as follows:

Date

Signature of applicant

: ^

Note: ̂ Only applicable to applicants who have accompanying dependants in the application. Please delete where inappropriate.

Only applicable to Chinese residents of the Mainland including those who are currently residing in Hong Kong or Macao on a temporary basis, and who are applying for entry to Hong Kong for employment/residence. Please delete where inappropriate.

(ii) I consent to the making of any enquiries necessary for the processing of this application.

(iii) I consent to releasing my information to any organisations and authorities, including those inside or outside the HKSAR, for the processing of this application.

(iv)

I authorise all public and private organisations, including those inside or outside the HKSAR, to release any record or information which the Immigration Department of the HKSAR may require for the processing of this application.

(v)

I consent to the use/disclosure of any information herein by/to any government bureaux, departments (including the Inland Revenue Department) and any other public or private organisations inside or outside the HKSAR (including the Mandatory Provident Fund Schemes Authority) for verification purposes.

(vi)

I understand that any person who knowingly and wilfully makes a statement or gives information which he/she knows to be false or does not believe to be true for the purpose of this application shall be guilty of an offence under the Laws of Hong Kong and is liable to prosecution and subsequent removal from Hong Kong. Thisapplication may be refused, and that any visa/entry permit/extension of stay so granted or issued to the applicant and his/her dependants and any conditions of stay soimposed on him/her and his/her dependants may become null and void.

(vii)

I understand that the permission given to me to remain in Hong Kong for employment under the ‘General Employment Policy’ or ‘Admission Scheme for Mainland Talents and Professionals’ will be subject to the condition that I shall only engage in such employment as may be approved. Change of employment is normally not allowed unless prior permission is obtained from the Immigration Department.

(viii) 3

^I submit on behalf of all the accompanying dependant(s) of item 3 in this Part their application(s) for residence in Hong Kong as my dependant(s) which are set out inPart B of this application form. I undertake that I will be the sponsor responsible for all the expenses and expenditure of the accompanying dependant(s) of thisapplication while he/she is allowed to remain in Hong Kong. I also undertake to assume responsibility for the dependant(s)’ repatriation to (place of domicile) if at the expiry of limit of stay granted by the Director of Immigration, the accompanying dependant(s) fails to leave Hong Kong.

(ix)

Should this application for an entry permit be successful, I will apply for an Exit-entry Permit for Travelling to and from Hong Kong and Macao (EEP) and the relevant exit permission from the relevant Mainland authorities for travelling to Hong Kong to take up employment/residence. I understand that an entry permit granted to me is to be affixed onto an EEP with the relevant exit permission prior to my arrival in Hong Kong for employment/residence. In case my EEP bearing the relevant exit permission is an electronic EEP, I should present it together with the entry permit granted to me for immigration arrival clearance. Should I enter Hong Kong on other travel document, I will be refused entry to Hong Kong.

(x) All information given in Part A of this application form is correct, complete and true to the best of my knowledge and belief.

4

Part B: ( ) Application for Residence as Dependants (if applicable) (兒童受養

) All accompanying dependants in item 3 of Part A of this application form are required to complete this Part individually. Please continue on a photocopyor an additional downloaded copy of this page if necessary. If the dependant is under the age of 16 (child dependant), this application should be signed by his/her parent/legal guardian.1. ( ) # Dependant ( ) #

(# 3 Please fill in the serial number which corresponds to the number assigned to the dependant in item 3 of Part A in this application form) ( ) ( ) ( )

Name in Chinese (if applicable) Maiden name (if applicable) ( )

Surname in English ( )

Given names in English

2.

In submitting this application for residence as a dependant to the Immigration Department of the Hong Kong Special Administrative Region (HKSAR), Ideclare the following:(i) (a) *

*I/The child dependant have/has not changed my/his/her name before. **I/The child dependant have/has changed my/his/her name and used the following name(s) before:

*(b) *I/The child dependant have/has never been refused entry into, deported from, removed from or required to leave Hong Kong. * *I/The child dependant have/has previously been refused entry into, deported from, removed from or required to leave Hong Kong. The date(s) and details are as follows:

*(c) *I/The child dependant have/has never been refused a visa/entry permit for entry into Hong Kong. **I/The child dependant have/has previously been refused a visa/entry permit for entry into Hong Kong. The date(s) and details are as follows:

(ii) - ) * 兒童受養人

I authorise (sponsor’s name - applicant of Part A in this application form) to submit this application to the Immigration Department of the HKSAR for *me /the child dependant.

(4/2017) A099 DI

Declaration of Dependant/Parent/Legal Guardian

(iii) I consent to the making of any enquiries necessary for the processing of this application.

(iv) * 兒童受養人 I consent to releasing *my/the child dependant’s information to any organisations and authorities, including those inside or outside the HKSAR, for the processing of this application.

(v)


(vi)


(vii)

(viii) * 兒童受養人All information given in item 3 of Part A concerning *me/the child dependant and all information given in Part B of this application form is correct, complete and true to the best of my knowledge and belief.

Only applicable to Chinese residents of the Mainland including those who are currently residing in Hong Kong or Macao on a temporary basis, and who are applying for entry to Hong Kong for residence. Please delete where inappropriate.

Note: : * *Please delete where inappropriate.

* ** * *

* **

Should this application for an entry permit be successful, *I/the child dependant will apply for an Exit-entry Permit for Travelling to and from Hong Kong and Macao (EEP) and the relevant exit permission from the relevant Mainland authorities for travelling to Hong Kong to take up residence. I understand that an entry permit granted to *me/the child dependant is to be affixed onto an EEP with the relevant exit permission prior to *my/the child dependant’s arrival in Hong Kong for residence. In case *my/the child dependant’s EEP bearing the relevant exit permission is an electronic EEP, *I/the child dependant should present it together with the entry permit granted to *me/the child dependant for immigration arrival clearance. Should *I/ the child dependant enter Hong Kong on other travel document, *I/the child dependant will be refused entry to Hong Kong.

Date

* *Signature of dependant or Name and signature of parent/legal guardian

5

Part B: ( ) Application for Residence as Dependants (if applicable) (兒童受養

) All accompanying dependants in item 3 of Part A of this application form are required to complete this Part individually. Please continue on a photocopyor an additional downloaded copy of this page if necessary. If the dependant is under the age of 16 (child dependant), this application should be signed by his/her parent/legal guardian.1. ( ) # Dependant ( ) #

(# 3 Please fill in the serial number which corresponds to the number assigned to the dependant in item 3 of Part A in this application form) ( ) ( ) ( )

Name in Chinese (if applicable) Maiden name (if applicable) ( )

Surname in English ( )

Given names in English

2.

In submitting this application for residence as a dependant to the Immigration Department of the Hong Kong Special Administrative Region (HKSAR), Ideclare the following:(i) (a) *

*I/The child dependant have/has not changed my/his/her name before. **I/The child dependant have/has changed my/his/her name and used the following name(s) before:

*(b) *I/The child dependant have/has never been refused entry into, deported from, removed from or required to leave Hong Kong. * *I/The child dependant have/has previously been refused entry into, deported from, removed from or required to leave Hong Kong. The date(s) and details are as follows:

*(c) *I/The child dependant have/has never been refused a visa/entry permit for entry into Hong Kong. **I/The child dependant have/has previously been refused a visa/entry permit for entry into Hong Kong. The date(s) and details are as follows:

(ii) - ) * 兒童受養人

I authorise (sponsor’s name - applicant of Part A in this application form)the Immigration Department of the HKSAR for *me /the child dependant.

(iii) I consent to the making of any enquiries necessary for the processing of this application.

(iv) * 兒童受養人 I consent to releasing *my/the child dependant’s information to any organisations and authorities, including those inside or outside the HKSAR, for the processing of this application.

(v)


(vi)


(vii)

(viii) * 兒童受養人All information given in item 3 of Part A concerning *me/the child dependant and all information given in Part B of this application form is correct, complete and true to the best of my knowledge and belief.

* ** * *

* **

Should this application for an entry permit be successful, *I/the child dependant will apply for an Exit-entry Permit for Travelling to and from Hong Kong and Macao (EEP) and the relevant exit permission from the relevant Mainland authorities for travelling to Hong Kong to take up residence. I understand that an entry permit granted to *me/the child dependant is to be affixed onto an EEP with the relevant exit permission prior to *my/the child dependant’s arrival in Hong Kong for residence. In case *my/the child dependant’s EEP bearing the relevant exit permission is an electronic EEP, *I/the child dependant should present it together with the entry permit granted to *me/the child dependant for immigration arrival clearance. Should *I/ the child dependant enter Hong Kong on other travel document, *I/the child dependant will be refused entry to Hong Kong.

* Date *Signature of dependant or Name and signature of parent/legal guardian *: *Please delete where inappropriate. Note:

Only applicable to Chinese residents of the Mainland including those who are currently residing in Hong Kong or Macao on a temporary basis, and who are applying for entry to Hong Kong for residence. Please delete where inappropriate.

to submit this application to

(4/2017) A099 DI

Declaration of Dependant/Parent/Legal Guardian

6

(4/2017) A099 DI

Statement of Purpose

Classes of Transferees

The personal data you provide may be disclosed to government bureaux, departments and other organisations for the purposes mentioned above.

Access to Personal Data

( ) 486 18 22 1 6

You have a right to request access to and correction of your personal data as provided for in sections 18 and 22 and Principle 6 of Schedule 1 of the Personal Data (Privacy) Ordinance (Chapter 486). Your right of access includes the right to obtain a copy of your personal data provided in the application form subject to payment of a fee.

Enquiries concerning the personal data collected by means of the application form, including making of access and corrections, should be addressed to:

Immigration Arrangements for Non-local Graduates and Admission Scheme for Mainland Talents and Professionals

Chief Immigration Officer (Quality Migrants and Mainland Residents)

Immigration Tower, 7 Gloucester Road, Wan Chai, Hong Kong

(852) 2294 2050 Tel.: (852) 2294 2050

General Employment Policy

Chief Immigration Officer (Employment and Visit Visas) Immigration Tower, 7 Gloucester Road,

Wan Chai, Hong Kong (852) 2294 2299 Tel.: (852) 2294 2299

General Enquiries

For general enquiries, please contact us at:

Tel.: (852) 2824 6111 Fax: (852) 2877 7711 E-mail: [email protected]

Website: www.immd.gov.hk

Purpose of Collection

The personal data provided in the application form will be used by the Immigration Department for one or more of the following purposes: 1.

to process your application; 2. 115 331

to administer/enforce relevant provisions of the Immigration Ordinance (Chapter 115) and Immigration Service Ordinance (Chapter 331), and to assist in the enforcement of any other Ordinances and Regulations by other government bureaux and departments through carrying out immigration control duties;

3. to process other person’s application for immigration facilities in which you are named as a sponsor or referee;

4. for statistics and research purposes on the condition that the resulting statistics or results of the research will not be made available in a form which will identify the data subjects or any of them; and

5. any other legitimate purposes as may be required, authorised or permitted by law.

The provision of personal data by means of this application form is voluntary. If you do not provide sufficient information, we may not be able to process your application or to conduct the record search or positively identify the record.

7

(4/2017) A099 DI

此同意書只適用於申辦赴港工作的內地中國居民申請人。

This letter of consent is only applicable to the applicant who is a Chinese resident of the Mainland and applies to work in Hong Kong.

內地的中國居民赴港工作同意書

本工作單位／檔案所在單位證明以下人員

現時在單位／公司工作。

姓名：

出生日期：

性別：

倘若上述人員根據香港「非本地畢業生留港／回港就業安排」或「輸入內地人才計劃」

成功獲得批准前往香港特別行政區工作，本單位同意讓該人員赴港工作。

工作單位／檔案所在單位印章負責人姓名及簽署

單位地址 :

負責人聯絡電話 :

電郵地址 (如有 ):

日期 :

注意 :

(一 ) 此赴港工作同意書適用於所有內地的中國居民根據「非本地畢業生留港／回港就業安排」或「輸入內地人才計劃」

申辦赴港工作進入許可的申請。

(二 ) 簽發此同意書旨在讓內地工作單位／檔案所在單位知悉申請人根據香港「非本地畢業生留港／回港就業安排」或

「輸入內地人才計劃」申辦赴港工作進入許可。倘若申請人成功獲得批准前往香港特別行政區工作，有關單位同

意讓他們赴港。

8

sex: 1birthPlace: HONG KONGnational: SINGAPOREmaritalStat: 0mainlandID: travelDocType: travelDocNo: A01234567issuePlace: SINGAPOREappEmail: [email protected]: 98765432faxNo: domCountry: SINGAPOREpreReside: 0resYear: 17resMonth: 1appObtain: 1appPresent: 0perDay: perMth: perYr: status: Offothers: appStay: 1appDate1: 01 MAR 19sponSex1: OffsponBirthPlace1: sponNational1: sponRel1: sponMaritalStat1: sponTravelDocType1: sponTravelDocNo1: sponMainlandID1: sponStatus1: Offother0: sponCountry1: sponPerReside1: OffsponEngSurname2: sponEngName2: sponChnName2: sponSex2: OffsponNational2: sponRel2: sponMaritalStat2: sponTravelDocType2: sponTravelDocNo2: sponMainlandID2: sponStatus2: OffsponOthers2: sponCountry2: sponPerReside2: OffappDate2: 01 MAR 19chgName: 0usedName: refEntry: 0preRefEntry: refVisa: 0preRefVisa: appDate4: 01 MAR 19depNo1: depChnName1: depMaidSurname1: depEngSurname1: depEngName1: btnMe1: btnChild1: depChgName1: OffdepUsedName1: btnMe2: btnChild2: btnMe3: btnChild3: depRefEntry1: OffbtnMe4: btnChild4: depPreRefEntry1: btnMe5: btnChild5: depRefVisa1: OffdepPreRefVisa1: btnMe6: btnChild6: sponsorNameChn1: sponsorNameEng1: btnMe7: btnChild7: btnMe8: btnChild8: depNo2: depChnName2: depMaidSurname2: depEngSurname2: depEngName2: btnMe11: btnChild11: depChgName2: OffbtnMe12: depUsedName2: btnChild12: btnMe13: btnChild13: depRefEntry2: OffbtnMe14: btnChild14: depPreRefEntry2: btnMe15: btnChild15: depRefVisa2: OffbtnMe16: depPreRefVisa2: btnChild16: sponsorNameChn2: sponsorNameEng2: btnMe17: btnChild17: btnMe18: btnChild18: appDate6: btnPG12: btnPG13: btnPG14: btnPG15: btnPG16: btnPG17: signName2: btnPG18: btnPG19: btnPG20: btnPG21: btnPG22: dobDay: 22dobMth: 02dobYr: 2002hkidAlpha: hkidDigit: hkidChkD: doiDay: 12doiMth: 01doiYr: 2018doeDay: 12doeMth: 01doeYr: 2023sponDobDay1: sponDobMth1: sponDobYr1: sponPerDay1: sponPerMth1: sponPerYr1: sponHkidAlpha1: sponHkidDigit1: sponHkidChkD1: sponDobDay2: sponDobMth2: sponDobYr2: sponPerDay2: sponPerMth2: sponPerYr2: sponHkidAlpha2: sponHkidDigit2: sponHkidChkD2: btnMe19: btnChild19: btnMe21: declaration4: chnName: maidSurname: declaration1: 填上原居地: place of domicile: declaration2: sponBirthPlace2: sponAlias2: btnChild21: declaration3: btnMe10: btnChild10: btnMe20: btnChild20: btnPG1: btnPG2: btnPG3: btnPG4: btnPG5: btnPG6: btnPG7: btnPG8: btnPG9: btnPG10: btnPG11: appDate5: signName1: Button1: Print: Clear Form: engSurname: CHANengName: DAI MINGalias: presentAddr1: 5, THIS STREET, THAT SUBURB, WHICH CITYpresentAddr2: presentAddr3: permanAddr1: permanAddr2: permanAddr3: entryDate: 1 MARCH 2020stayDuration: 8DAYSsponEngSurname1: sponEngName1: sponChnName1: sponAlias1: eduName1: awardDegree1: doiGrad1: eduName2: awardDegree2: doiGrad2: eduName3: awardDegree3: doiGrad3: schName1: SUPER HIGH SCHOOLmajorSubj1: N/Adegree1: N/AfromPeriod1: 01/11toPeriod1: 01/14schName2: FOREVER UNIVERSITYmajorSubj2: ACCOUNTINGdegree2: BACHELORfromPeriod2: 04/14toPeriod2: 04/17schName3: majorSubj3: degree3: fromPeriod3: toPeriod3: schName4: majorSubj4: degree4: fromPeriod4: toPeriod4: schName5: majorSubj5: degree5: fromPeriod5: toPeriod5: proQual1: QUALIFICATION OF WHATEVERissueAuth1: issueDate1: proQual2: issueAuth2: issueDate2: proQual3: issueAuth3: issueDate3: proQual4: issueAuth4: issueDate4: proQual5: issueAuth5: issueDate5: compName1: BAD COMPANYempPosition1: BAR TENDERdutyNature1: SERVING ALCOHOLempFromPeriod1: 06/17empToPeriod1: ~compName2: empPosition2: dutyNature2: empFromPeriod2: empToPeriod2: compName3: empPosition3: dutyNature3: empFromPeriod3: empToPeriod3: compName4: empPosition4: dutyNature4: empFromPeriod4: empToPeriod4: compName5: empPosition5: dutyNature5: empFromPeriod5: empToPeriod5: appDate3: 01 MAR 19appNameP8: appDOBP8: appGenderP8: unitNameP8#1: unitNameP8#2: signNameP8: unitAddressP8: unitContactP8: unitEmailP8: dateP8:

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