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Please check the relevant box.

Declaration of employment to template

in the procedure for issuing a residence permit for the purpose of employment

in the process of approving the employment of persons with

Duldung or residence permit (Please only numbers 1 to 3, 5 and 6 as well as 9

fill in up to 12)

in the procedure for consent to a residence permit requiring employment

not allowed

in the procedure for granting preliminary approval from the Federal Employment Agency

first grant renewal change of employer

1. Employee

Name: First name/s: _

feminine masculine divers

Birth date: Nationality:

Current residence or usual place of residence:

2. Employer

Business:

Contact person:

Telephone number:

Street:

Postal code and location:

Fax:

E-mail:

Company no. of the employing company (please always enter):

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If it is an intra-company transfer (ICT), personnel exchange and/or temporary employment as part of a foreign employment
relationship, please also fill out the supplementary sheet [B].

3. Beginning and duration of employment

3.1 The employment relationship in Germany

starts on exists since

3.2 The employment relationship is unlimited

until

4. Deployment as a temporary worker

Employees should be assigned to third parties: And No.

5. Place of work
Employee is employed in occupied.
Employee is employed at changing places of work/deployment.

6. Job title and description of the activity: (precise description of the

activity; please state specialization, functional area and industry; continue on a separate sheet if necessary)

7. Qualifications of the employee

(Please enclose proof and translation into German)

7.1 no graduation

7.2 University Degree

if

The degree was in acquired.

If the degree was obtained abroad: The degree is recognized in Germany or comparable to a German university degree:
And No.

If yes: Evidence is available in the form of: (please enclose proof)

7.3 Vocational training as

The vocational training was acquired.

If the training was acquired abroad: the person responsible for professional recognition
Body has determined the equivalence of the foreign professional qualification:

And No Partially

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If yes or partially: Evidence is available in the form of:

(please attach)

(If the partial equivalence of the foreign qualification and the need for a qualification
measure was determined, it is possible to apply for a residence permit to carry out the recognition
procedure (§ 16d AufenthG). Please fill out additional sheet [A] for this.

7.4 Miscellaneous (knowledge, skills, professional experience relevant to the exercise of the
employment; continue on a separate sheet if necessary):
___________________________________________________________________________

___________________________________________________________________________

*As far as I know, the job does not require any qualified vocational training (regular training
duration at least two years) and no university degree; e.g. B. because it is a helper or semi-skilled
job or because the employment is to take place on the basis of a specific provision of the
Employment Ordinance, according to which a specific qualification is not required.

*Voluntary information:

8. Permit to exercise a profession

Is the practice of a profession linked to a specific qualification or permit (e.g. § 10 BAO for
the medical profession, § 1 PflBG for nursing staff or a comparable permit to use the
professional title)?

Yes, the required qualification or permit is:

(please enclose evidence)

No

9. Working hours

full time: hours/week part-time: hours/week

Marginal employment: hours/week

10. Overtime

Employees are obliged to work overtime And No

If yes: To the extent of

Overtime is compensated by

11. Holiday Entitlement

working days per holiday year

12. Remuneration (please state in EURO gross)

If it is an intra-corporate transfer (ICT), personnel exchange and/or temporary employment as part of a
foreign employment relationship, please fill out the supplementary sheet [B] instead .

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12.1 Salary is based on

collective agreement:

salary group

Agreement by employment contract

Salary Salary

12.2 Calculation of the amount of the fee

per hour per EUR

month EUR

additional monetary benefits in the form of

in the value of EUR

other calculation (e.g. variable remuneration):

13. Domestic Employment Relationship

13.1 Does the employee have to pay social insurance in Germany?

Yes, in the following classes of insurance:
Statutory pension insurance
Statutory health and nursing care insurance
unemployment insurance
Statutory accident insurance

No, justification (please also state the reason or reasons, if applicable, if in individual
classes of insurance there is no obligation to insure):

__________________________________________________________________________________

13.2 Does the social insurance obligation in Germany not exist in whole or in part because there is an exceptional
agreement between the German Liaison Office for Health Insurance – Abroad (DVKA) and the foreign social insurance?

Yes (proof will be attached in the form of ___________________________________________)

No

14. Other information about the employer

Are there arrears in social security contributions or with the tax office, which were determined by a final official
decision or a final court decision?
And No

Has a final fine been issued in the last five years, or has a final court judgment (criminal or administrative offense
proceedings) been issued due to the violation of social security, tax or labor law obligations?

And No

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If so, when? How often? What was the fine, penalty or imprisonment?

Have insolvency proceedings been opened against the assets of the employer or the assets of the host branch in the last five
years?
And No

In the last five years, has the opening of insolvency proceedings against the assets of the employer or the assets of the
receiving branch been rejected due to a lack of assets and have business operations been discontinued?

And No

The employer's company was founded in ________. In the last calendar year, the company averaged
_______________ workers employed.

Family relationships exist between the business owner or managing director and the future foreign employee:

And No

If necessary, information on the commercial/association register/

crafts register district court/chamber
of crafts register no.

15. Space for additional information:

------------------------------------------------------------------------------------------------------------------------------------

Please take note of the following guidelines:

The form can be submitted to the responsible diplomatic mission or foreigners authority to apply for a residence permit
for the purpose of employment, preliminary approval from the Federal Employment Agency or to issue an employment
permit for those who are permitted or tolerated or holders of a residence permit that do not allow employment by law. For
the issuance of the residence permit, the diplomatic mission or
Immigration authorities usually obtain the approval of the Federal Employment Agency. In principle, this declaration also
includes the information required for the approval of the Federal Employment Agency. The responsible diplomatic
mission or foreigners authority forwards this information to the Federal Employment Agency for verification.
With this declaration, the employer bindingly confirms that he/she is offering the foreign employee named under 1. a
specific job (section 18 subsection 2 no. 1 of the Residence Act). The submission of the employment contract is only
required in the event of a separate request from the diplomatic mission or immigration authorities.
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In the case of extensions or a change of employer, please submit: copy of wage/salary slips for the first two months and
the last two months. In the case of extensions, it is not necessary to submit the proof of qualification again.

I am aware that the authorities involved in the residence law procedure may request further information and evidence.

Anyone who employs a foreign employee in Germany must inform the immigration authorities within four weeks if the
employment has ended prematurely (Section 4a (5) sentence 3 no. 3 AufenthG).

I am aware that the employer who employs a foreigner who needs or has received approval for this must provide the
Federal Employment Agency with information about pay, working hours and other working conditions (§ 39 para. 4
AufenthG). Employers who employ foreigners must provide the Federal Employment Agency with this information on
request even if the approval of the Federal Employment Agency was not required.

I am aware that foreign employees may only be employed if they are in possession of a residence permit, a work permit
for seasonal employment or a residence permit or
Duldung, which shows that the employment is permitted.

Anyone who intentionally or negligently provides incorrect, incomplete, late or no information in the procedure for obtaining
approval from the Federal Employment Agency is acting improperly (Section 404 (2) No. 5 of the Third Book of the Social
Code - SGB III). Anyone who provides incorrect or incomplete information in order to obtain a residence permit or a
toleration permit for themselves or another person or to prevent it from expiring will be punished with a fine or imprisonment
(section 95 subs. 2 no. 2 of the Residence Act).

You can find the data protection notices of the Federal Employment Agency at

http://www.arbeitsagentur.de/datenerhebung.

All information in this form corresponds to the content of the employment contract that is concluded between the
designated company and the applicant. I am aware that this form can be passed on to third parties (municipality, joint
institution according to SGB II) to search for priority applicants if a priority check is carried out.

The accuracy of the information is confirmed by the date and signature.

Place and date Signature

______________________________ _______________________________

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