Professional Documents
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People's Republic of China QR Form 101: Document Type I Nternational Release Form Your Name National ID Number
People's Republic of China QR Form 101: Document Type I Nternational Release Form Your Name National ID Number
People's Republic of China QR Form 101: Document Type I Nternational Release Form Your Name National ID Number
If returning this form by email, please attach scanned images that are less than 1MB. China QR101 v1 Rev. 03/09 Page 1 of 3
Peoples Republic of China Personal Details Sheet for Screening Purposes for PRC Citizens () Please complete all requested details in Chinese.
Name in Chinese and Former Name (if applicable) () PRC Identity Number and DOB () Hukou Address, Name of Police Office and Hukou Type ( )
.: :
Entity that holds the official personal record file, Contact information & File No. ( ) Can a reference be taken now? ()? If no, when can it be taken? ()? Current Employer () If you are currently living outside the PRC, when did you leave China? ( ) For Students and Graduates whose personal record file are kept at the university only ( )
Yes () No ()
Letter of Authorization
To Whom It May Concern: I hereby provide my authorization to the Bearer of this Letter to verify information provided in my resume and application of assignment and to conduct enquiries as may be necessary, at the Bearers discretion. Should the Bearer make application to the relevant department for a criminal record check, please do not hesitate to help. I authorize all persons who may have information relevant to this enquiry to disclose it to the Bearer of this letter. I release all persons from liability on account of such disclosure.