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 Peoples 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

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

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)

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

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, includin