英文收入证明格式汇编20篇

Dear Mr.，

Froyour advertise572488aaacb24f66bb52e40aa70a19t， I learned about your position for a registered nurse.

As you will see fro attached resu， I have over years of nursing experience. Presently I work in Hospital and would like the opportunity to ve into public nursing.

Throughout nursing career I have de572488aaacb24f66bb52e40aa70a19strated the ability to build excellent relationships with both the patients and peers on the nursing staff. I aloyal， dedicated and willing to work hard within a tea

Thank you for considering application. If you should wish to contact iediately I can be contacted at either of the above nuer， otherwise I shall call your office in theing week to arrange an interview for a tually convenient ti.

Sincerely，

股东出资证明书，是证明投资人已经依法履行出资义务，成为有限公司股东的法律文件，是股东在公司享有权利、承担义务的凭据。

公司变更注册(实收)资本涉及股东出资额或者股东转让股权、赠与、继承人继承时，需要提交股东出资证明书。

股东因故要求补(换)发出资证明书，丢失被盗的应提交登报公告声明作废报样、污损的提交污损原件及股东本人书面申请，经公司审核批准方可补(换)发。

股东出资证明书由公司签发并盖章，无盖章或私自涂改无效。

股东出资证明书

编号;

:

贵股东已经依法按照公司股东会决议和公司章程规定，如期履行了足额缴纳出资的义务，作为公司的股东按照出资额享有公司股东的相应权利和义务。

特此证明

永丰超市有限责任公司

年 月 日

基本情况

变更事项

外出经营税收管理证明开具的办理流程

外出经营税收管理证明开具的办理流程大致包括三个方面：首先是申请；其次是受理和核发；最后是缴销。

1、申请

纳税人到外县（市）临时从事生产经营活动的，应当在外出生产经营以前，持税务登记证到主管税务机关办税服务厅申请开具《外出经营活动税收管理证明》，并填制《外出经营活动税收管理证明申请审批表》。

2、受理和核发

办税服务厅（基层分局）受理纳税人开具《外出经营活动税收管理证明》申请，对其《外出经营活动税收管理证明申请审批表》进行审核，符合要求的按照一地一证的原则，向纳税人核发《外出经营活动税收管理证明》。《外出经营活动税收管理证明》的有效期限一般为30日，最长不得超过180天。

3、缴销

纳税人应当在《外出经营活动税收管理证明》有效期届满后10日内，持《外出经营活动税收管理证明》回原开具税务机关办理《外出经营活动税收管理证明》缴销手续。

兹有__________，

残疾人证证号为________________________。

经家庭成员讨论通过，现确立__________(身份证号码：______________________)为__________的监护人，其亲属关系为__________。

特立此据!

对以上内容，如无异议，请签字。

残疾人本人：______________(签名)

监护人：______________(签名)

家庭成员：______________(签名)

附：监护人身份证复印件

社区：______________(盖章)

______________年_______月_______日

您也可以直接联系客服为您解决问题(添加微信/打电话)

甲方：_________

乙方：_________

根据其他有关法律、法规之规定，甲、乙双方在平等、自愿、协商一致的基础上，就乙方向甲方购买房产签订本合同，以资共同信守执行。

第一条

乙方同意购买甲方拥有的座落在______市_____区________________________拥有的房产，建筑面积为_____平方米。

第二条

上述房产的交易价格为：单价：人民币________元/平方米，总价：人民币___________元整。

本合同签定之日，乙方向甲方支付人民币__________元整，作为购房定金。

第三条

付款时间与办法：

1、甲乙双方同意以银行按揭方式付款，并约定在房地产交易中心缴交税费当日支付首付款人民币____拾____万____仟____佰____拾____元整给甲方，剩余房款人民币____________元整申请银行按揭，并于银行放款当日付给甲方。

2、甲乙双方同意以一次性付款方式付款，并约定在房地产交易中心缴交税费当日支付首付款人民币____拾____万____仟____佰____拾____元整给甲方，剩余房款人民币____________元整于产权交割完毕当日付给甲方。

第四条

甲方应于收到乙方全额房款之日起____天内将交易的房产全部交付给乙方使用，并应在交房当日将_________等费用结清。

第五条

税费分担：甲乙双方应遵守国家房地产政策、法规，并按规定缴纳办理房地产过户手续所需缴纳的税费。

经双方协商，交易税费由_______方承担，中介费及代办产权过户手续费由______方承担。

第六条

违约责任：甲、乙双方合同签定后，若乙方中途违约，应书面通知甲方，甲方应在____日内将乙方的已付款不记利息)返还给乙方，但购房定金归甲方所有。

若甲方中途违约，应书面通知乙方，并自违约之日起____日内应以乙方所付定金的双倍及已付款返还给乙方。

第七条

本合同主体

1、甲方是____________共______人，委托代理人________即甲方代表人。

2、乙方是____________，代表人是____________。

第八条

本合同如需办理公证，经国家公证机关____公证处公证。

第九条

本合同一式份。

甲方产权人一份，甲方委托代理人一份，乙方一份，房地产交易中心一份、________公证处各一份。

第十条

本合同发生争议的解决方式：在履约过程中发生的争议，双方可通过协商、诉讼方式解决。

第十一条

本合同未尽事宜，甲乙双方可另行约定，其补充约定经双方签章与本合同同具法律效力。

第十二条

双方约定的其他事项：

甲方：__________

乙方：___________

签订日期：______年____月____日

农户家庭贫困证明范文

尊敬的：

我是xx省xx县xx镇的一名农家子弟。今年考上xx大学!但是由于家庭经济贫困，必须申请助学贷款才能继续学习!

我家中有父母双亲和一哥一姐五口人。爷爷于20xx年无钱医治病逝。父亲今年65岁了还要四处做苦力养家，母亲因常年劳累身体经常不好。哥哥和姐姐都是初中没有毕业就辍学。哥哥一直在佛山做喷漆工作，也没赚到几个钱。姐姐去年结婚，家庭并不富裕。由于读书看病我们家已经向别人借了3万块。哥哥今年27岁了，本是嫁娶的时候，但是家里一无所有，他迟迟不敢提起!我不想用太多的语言来形容家庭的惨状，我也不是在博取刀哥或是谁的的同情。我自己认为我是一个很坚强的人，我也知道这个世界是比我困难的人不计其数!但是，我在申请贫困生建档时遇到的事情使我很疑惑也很无奈，久久不能释怀!

去年学校开始贫困生建档，(前几天)我和父亲满怀希望地拿着档案表到镇民政办申请证明。我们从早上7点就开始央求那个所谓的主任在档案表上盖章，但是他却只是像复读机一样重复:某某领导指示必须要计生证才能办理这一手续!一直到了下午他还是这一句话!我父亲就差没有给他下跪拉。看着我父亲那无助的神情，看着他那满头的白发，作为一个人，作为一个儿子，我于心何忍?

我不明白贫困和计生有什么关系。但是后来听说办计生证就要交超生费，要交两千多!两千多…………

20xx年xx月xx日

国际专利许可合同(附英文译本)

（2）party b shall twice send its specialists to party as factory to provldetechnicalservice for a total of 30 working days man.

（3）the first technical service sha1l start in the sixth month after the contraytcomesinto effect. party b shall send a specialist to party as factory to providetechnical service for 12 working days/man.

（4）the second technical service shall start during the verification of thecortractedproduets.parth b shall send a specialist to party as factory to providetechnical servicefor18 working days/man.

（5）party b shall， for its specialists， bear their travelling expensee. parthashall be responsible for boarding and lodging and affording the means of conveyance fromthe lodgingplace to the factoty.

5.2 technical training

（1）party b shall train party as technical personnel so as to enable them tomasterparty bs design， performance test and technology in machining， erection andinspection of the contracted products， so that party a can use the technical documentsand know-how supplied by p arty b toproducethe same products in the contract factory. party b shall do its best to arrange for party as personnel to visit the majorusersand the manufacturing process of the components from other countries of the contractedproducts.

（2）party a shall send twice its technical personnel to party bs factory fortraining， andthe total number of the participants shall not exceed 320 days/man (excluding the inter-preter).

（3）the first training shall be from the third to the fourth month after thecontract comes into effect. there shall be 4 technical persons and an interpreterto besent to party b for training for 16o working days/man (5 days week). the training shallcover the design of the contracted products and manufacturing technology.

（4）the second training shall be from the eighth to the nineth month. party a shallsent 4 technical persons and an interpreter to party bs factory for training for 160working days/man (5 days per week). the training shall cover the designing， themanufacturing technology，erection and adjustment of the contracted products.

（5）party a shall bear the travelling expenses of its trainees; party b shallprovide party as trainees free of charge with boarding， lodging and means ofconveyance for travel- ling between the lodging place and the factory.article 6 technical documents

6.1 party b shall， according to the delivery schedule and details stpulated inappendix 2to the contract， deliver the documents at_________.

共13页，当前第8页12345678910111213

__，女，身份证号___________，___________族，__年__月至__年__月就读于__大学__专业，本科学历。其现实表现情况如下：

一、思想政治情况

该同学能坚持学习马列主义，不断提高政治理论水平。时刻注重自己世界观的改造，注重树立正确的.人生观、价值观。始终立场坚定，没有违反四项基本原则的言行。政治表现良好好，家庭社会关系政历清楚。家庭成员在主要社会关系中，均无政历问题。

二、个人品行

该同学为人谦虚真诚，处事公道正派;心胸宽容大度，不计较个人得失;待人诚恳、友善，尊敬领导，团结同学，较好地处理与老师和同学的关系。

三、遵纪守法

该同学能够自觉遵守国家的法律、法规及各项规章制度。未参加任何邪教组织，没有任何违法违纪行为。

特此证明

__年__月__日

To whom it may concern，

We certify that Mr. and Ms. have their own business in . We also  certify that their current yearly income is RMB . This letter has been only  issued to assist their child for the application of Canada Student Visa.

Yours sincerely，

Trade and Industry Bureau

授权委托书英文

大家有时候需要用到英文版的授权委托书，下面是小编为大家收集的授权委托书英文版还有全权授权委托书英文范例，希望对大家有帮助!

授权委托书英文版

The Letter of Authorization (Power of Attorney)

I, the undersigned Mr. /Ms. _____representing ___________(company name), a corporation duly established by and existing under the law of_________(region) and having its office at _________(address), hereby constitute and appoint the below-mentioned persons Mr./Ms. ______, to represent us with regard to the notifications, communication or demand required or permitted under the general frame cooperation agreement between _________ (company name)and __________(company name).

Hereby warrant and certify that the signatory, whose signature appears below are genuine and authentic, has been and is on the date set forth below, duly authorized by all necessary and appropriate action to execute the agreement.

[Signature to be authorized] [Date]

[Print signature in English] [Print E-mail address] [Print full title of authorized Peron] [Print Tel Number]

[Print name of Company] [Company chop/seal as applicable] By [Signature] [Date]

[Print signature in English] [Print E-mail address] [Print full title of executing officer] [Print Tel Number] [Print address]

全权授权委托书英文范例

The undersigned hereby authorizes __________________________________________ as the undersigneds agent and attorney-in-fact (the “Agent”), with full power and authority to enter into contracts for the purchase, receipt, sale (including short sale) and delivery of, whether directly or indirectly through investments in managed investment products or otherwise, foreign currency contracts, options on foreign currency contracts, and other such forward contracts and options thereon, securities, equity, debt and related investments (collectively “Contracts”) on margin or otherwise, in one or more accounts (“Account”) with IFX Markets Inc. (“Commerce”).

In all such transactions, as well as management decisions relating to the Account, Commerce is hereby authorized to follow the instructions of the Agent; the Agent is authorized to act on behalf of the undersigned in the same manner and with the same force and effect as the undersigned might or could with respect to such transactions, the making and taking of deliveries and with respect to all other things necessary or incidental to the furtherance and/or conduct of the Account.

Commerce shall have no liability for following the instructions of the Agent, and the undersigned shall never attempt to hold Commerce liable for the Agents actions or inactions. The undersigned understands that Commerce does not, by implication or otherwise, endorse the operating methods of such Agent. The undersigned hereby releases Commerce from any and all liability to the undersigned or to anyone claiming through the undersigned with respect to damage, losses or lost profits sustained or alleged to have been sustained as a result of Commerce following the Agents instructions or

for any matter arising out of the relationship between the Agent and the undersigned and shall indemnify Commerce from any and all losses, damages, liabilities and expenses, of any kind or nature whatsoever, arising therefrom. The undersigned agrees to hold Commerce harmless and to indemnify it as to any expense, damage or liability sustained by it with respect to any and all acts and practices of the Agent and attorney-in-fact regarding this account, including all losses arising therefrom and debit balance(s) due thereof.

This authorization is a continuing one and shall remain in full force and effect until revoked by the undersigned, or an authorized person on his behalf, by written notice given to Commerce, Attention: Director of Compliance. Such revocation shall become effective only upon the actual receipt thereof by Commerce but shall not affect any liability in any way

resulting from transactions initiated prior to its receipt. This authorization shall inure to the benefit of Commerce, its

successors and assigns. The provisions hereof shall be in addition to and in no way shall it limit or restrict any right that Commerce may have under any agreement with the undersigned. In addition, Commerce is further authorized and directed to deduct from the undersigneds account and pay the Agent the amount of all management fees, incentive fees, advisory fees and/or brokerage commissions to be paid to the Agent upon Commerces receipt of invoices from the Agent.

The undersigned understands that the Agent is solely responsible for the calculation of such fees and commissions and that Commerce has no responsibility or obligation to determine or verify the amount or accuracy of such fees and commissions. The undersigned hereby agrees to indemnify and hold harmless Commerce and its affiliates and employees from any loss, damage or dispute arising out of or relating to the calculation and payment of such fees and commissions.

All statements, notices, correspondence and the like generated in this account shall be sent or given to the Agent at the address shown for this account and to the undersigned at the address indicated in the Customers Account documents, or to such other person or address as the undersigned may hereafter designate in writing.

In addition the undersigned has provided IFX Markets Inc. with a copy of any disclosure document, managed account agreement, or other such materials executed by and between Agent and the undersigned that concern the Agents advice in regards to the Account.

Management Fee: % per annum / monthly / quarter

Incentive Fee’s: % of net profits per annum / monthly / quarter

Commissions: $ (USD) per lot round turn (10,000 lot size)

X Customer Signature

Print Name

Date

X Agent Signature

Print Name

Date

__________________同志与我单位订立的劳动合同，按下列第七款解除或终止劳动关系：

一、劳动合同期满，终止劳动合同。

二、符合《劳动法》第二十五条 款规定，解除劳动合同。

三、符合《劳动法》第二十六条 款规定，解除劳动合同。

四、用人单位濒临破产经人民法院宣告法定整顿期间，确需裁减人员，解除劳动合同。

五、用人单位生产经营发生严重困难，达到当地政府规定的严重困难企业标准，确需裁减人员，解除劳动合同。

六、符合《劳动法》第三十二条 款规定，解除劳动合同。

七、经劳动合同双方协商一致，解除劳动合同。

八、劳动合同当事人丧失主体资格，终止劳动合同。

职工本人(签名)：______________________

用人单位(印章)：_________________

签于：__________________________________

解除劳动合同证明书

解除劳动合同证明书范本一

甲 方：____________公司

乙 方：____________(员工工号：_)

甲、乙双方于____年__月__日签订了有/无固定期限劳动合同，现由____方提出协商解除劳动合同要求，经甲、乙双方协商一致，同意解除劳动合同，并达成如下协议：

一、解除劳动合同的日期为：____年__月__日;

二、____方支付____方经济补偿金(违约金)______元;

四、本协议自甲、乙双方签字(盖章)并加盖甲方劳动合同专用章后生效;

五、本协议一式两份，甲、乙双方各执一份。

甲方：________公司 乙方(签字)：______

法定代表人或委托代理人：____________________

____年__月__日 ____年__月__日

解除劳动合同证明书范本二

兹有本单位员工__，性别__，身份证号__，因□员工本人提出解除劳动关系;□员工严重违反本公司的规章制度，依据《中华人民共和国劳动合同法》第36条规定,本单位解除与该职工的劳动合同，特此证明。

员工签字：__ (用人单位盖章)

年 月 日

解除劳动合同证明书范本三

兹有本单位员工__，性别__，身份证号__，因□员工本人提出解除劳动关系;□员工严重违反本公司的规章制度，依据《中华人民共和国劳动合同法》第36条规定,本单位解除与该职工的劳动合同，特此证明。

员工签字：__ (用人单位盖章)

( 存入员工档案 ) 年 月 日

甲方：_________

乙方：_________

身份证号码：_________

现上文述及的甲乙双方，经协商一致后订立本《终止劳动合同协议书》，本协议书的条款如下：

1.双方同意，自劳动合同届满日________年________月__日起，甲方终止与乙方签订的劳动合同，双方之间基于劳动关系的权利和义务随之终止。

2.乙方的最后工作日为__________年________月__日。乙方应不迟于最后工作日将属于甲方的文件、物品以及其他各种财产返还甲方并办妥甲方公司规定的正式离职手续。

3.甲方同意支付乙方经济补偿金相当于乙方_____个月的月工资收入，合计人民币_______整。

4.除第三条规定的款项外，甲方无需再支付乙方任何经济补偿金、经济赔偿金及法律规定的.其他款项，同时自_________年_________月_________日起甲方也无需继续为乙方缴纳任何保险费用。

5.若乙方如期按照第2条办理正式的离职手续并且交还所有属于甲方的物品、财产及文件，甲方同意于_________年_________月_________日之前向乙方支付第3条的款项。因这些款项应支付的个人所得税收由乙方承担，如果甲方有扣缴的法定义务，甲方可以在支付上述款项时直接予以扣缴。

6.本协议书经双方签字确认后生效。本协议书一式两份，双方各执一份。

本协议生效后，甲乙双方的劳动关系至_________年_________月_________日终止，甲乙双方基于劳动关系产生的一切权利义务已经结清，互无纠葛。

甲方：_________公司乙方：__________

日期：________年语_________日

兹证明_________(先生/女士)系本单位_________(1.正式工、2.合约工、3.临时工),已连续在本单位工作_____年,目前在本单位担任_________职务.目前该职工的最高学历为________,身体状况_________.近一年内该职工的平均月收入(税后)为____________元人民币.

本单位在承诺以上情况是正确属实的,如因上述证明与事实不符而导致贵行经济损失的,本单位愿承担一切责任.

特此证明

单位公章或人事部门章:

人事部负责人签名:

年 月 日

_______________，性别，身份证号，于______年______月______日与_____________结婚登记，初婚未育，特此证明。盖上单位公章和日期。

兹有________________性别：________________男，女;出生日期：________________年________________月________________日

属于(未婚、初婚、再婚、离婚、丧偶)。

配偶姓名：________________(性别：________________男，女;出生日期：_______________)。

子女姓名：________________(性别：________________男，女;出生日期：________________)，

出生证号：________________

准生证号：________________;

特此证明。

负责人签字：________________

单位名称：________________

(盖章)

年月日

单位详细地址：________________

联系电话：________________

__________________________________：

兹证明_________为本公司职工，已连续在我公司工作______年，学历为__________________________毕业，目前其在我公司担任____________职业。近一年内该职工在我公司平均月收入（税后）为___________元，（大写：____万____仟____佰____拾____元整）。该职工身体状况____（良好、差）。

本公司谨此承诺上述证明是正确、真实的，如因上述证明与事实不符导致贵行经济损失，本公司保证承担赔偿等一切法律责任。

特此证明。

公司公章

年   月   日

公司名称：______________________________

公司地址：______________________________

公司电话：______________________________

经 办 人：______________________________

I am very pleased to write this recommendation for Mr. W.Y. so as to support his application for admission into your PhD program and for your consideration of his financial support.

Mr. W.Y. is a remarkable student in academic performance in our department. Upon his request, I enrolled him into my research team as my R.A. when he was still a junior, which was an exception. This bold decision was justified by his outstanding academic record during his first two years’ study. Working as my R.A., he has proved him to be a valuable potential researcher with the qualities of self-motivation, perseverance, modest and thirst for new information and technology. Though lacking of experience at the beginning compared with the other professionals in our team, he strove to keep up with the research by eagerly absorbing all necessary knowledge and constantly consulting other members with much modest. Therefore, not long after he could conduct the experiments without any assistance from the others working in the lab. He even led the discussion of our journal club that he set up from the very beginning in my lab, from which all of us benefited a lot. ↗↗↗His diligence and perseverance in our lab have paid off. Within less than one year, he got involved and finished three of my research projects:

And he also took part in two published papers, one titled , the other . This type of acclaim is normally reserved for graduate students and I believe that this exemplifies his commitment to furthering his education.

Besides merits for scientific research, Mr. W.Y. also has a wonderful personality. All of us around enjoy the acquaintance and friendship from him. No matter as a teammate or a team leader, he is always cooperative, considerate and eager to provide help, making us feel so comfortable and confident to be along with him, either for work or just for personal companion.

This young man’s professional qualities and personal character have convinced me that he will have no trouble in succeeding in any career that he chooses to pursue, given the opportunity to have a try.

In short, I am confident to assert that Mr. W.Y. has the potential to distinguish himself as a successful researcher, and that this potential will be sure to be fully caressed and exploited if he can be accepted for further pursuit in this field in your institution. I shall greatly appreciate it if you will consider his application in light of this potential.

Yours Sincerely,

致中国银行：

兹证明__________为本单位职工，已连续在我单位工作_____年。目前在单位担任__________________职务。

兹证明该职工目前一年总收入为______________元。

本单位谨此承诺：上述薪资是真实的，如该职工无实际还款能力，导致不能归还贵行借款本息，本单位不承担连带赔偿责任。

特此证明!

单位公章：

_____年_____月_____日

单位全称：______________________________________________

单位地址：______________________________________________

单位电话：______________________________________________

联系人：_______________________________________________

x省xx市xx镇村委

我叫，男，汉族，x年x月xx日出生，家住x市x镇x村，身体残疾，在小的时候生了一场高烧不退所导致的小儿麻痹症，右半个身体不能自理，致使家庭导致困难，年收入还不能维持基本生活，又没有劳动能力或固定的生活来源，常常是吃了上顿没有下顿，生活特别艰苦。

幸好，我听说我的这种情况可以申请低保，心里非常高兴，好似抓住了一根救命的稻草，看到了一线黎明的曙光，也只有党能救我于水火之中。于是，几经思考，特向党申请低保，以度过艰苦的时日。

我有理由相信伟大的中国共产党，相信伟大的政府会给我解决实际困难，解决我的生活危机，向我伸出援助之手。请求政府根据，《农村低保》给予我最低的生活保障。

此致

敬礼

________________(姓名)因赴_____________国_____________(出境目的，如留学、定居等)，需办理未再婚公证。经查人事档案记载或__________________,兹证明：_________________该公民

1、与_____________(女或男，_____________年______月______日出生)于_________________年__________月______日在_____________省_____________市(县)登记结婚。该同志自_____________年__________月__________日与_____________在_____________省________________市(县)___________________(婚姻登记机关名称)登记离婚(或经________________人民法院调解或判决离婚)后，至_____________年______月______日止(或至_____________年______月______日离境或去香港、澳门之日)在中国或中国内地居地期间未再登记结婚。________________(姓名)因赴_____________国_____________(出境目的，如留学、定居等)，需办理未再婚公证。经查人事档案记载或__________________,兹证明：_________________该公民

1、与_____________(女或男，_____________年______月______日出生)于_________________年__________月______日在_____________省_____________市(县)登记结婚。该同志自_____________年__________月__________日与_____________在_____________省________________市(县)___________________(婚姻登记机关名称)登记离婚(或经________________人民法院调解或判决离婚)后，至_____________年______月______日止(或至_____________年______月______日离境或去香港、澳门之日)在中国或中国内地居地期间未再登记结婚。________________(姓名)因赴_____________国_____________(出境目的，如留学、定居等)，需办理未再婚公证。经查人事档案记载或__________________,兹证明：_________________该公民

1、与_____________(女或男，_____________年______月______日出生)于_________________年__________月______日在_____________省_____________市(县)登记结婚。该同志自_____________年__________月__________日与_____________在_____________省________________市(县)___________________(婚姻登记机关名称)登记离婚(或经________________人民法院调解或判决离婚)后，至_____________年______月______日止(或至_____________年______月______日离境或去香港、澳门之日)在中国或中国内地居地期间未再登记结婚。2、与_____________(女或男，_____________年______月______日出生)于_________________年__________月______日在_____________省_____________市(县)登记结婚。其配偶_________________于_____________年______月______日死亡。该同志自其配偶_________________死亡后至_____________年______月______日止(或自其配偶_____________死亡后至_____________年__________月__________日离境或去香港、澳门之日)在中国或中国内地居住期间未再登记结婚。

特此证明。

单位填写人：________________(签名)

单位组织(人事)部门盖章：_________________

_____年_____月_____日

我单位职工(辖区居民)________，男/女，____年____月____日出生，现住：________;

经查档案及我单位所掌握的亲属情况如下：

一、国内亲属情况如下：

配偶________，男/女，____年____月____日出生，现住：___________;

儿子(女儿)是________，____年____月____日出生，现住：___________;

父亲是________，____年____月____日出生，现住_____________;

母亲是________，____年____月____日出生，现住：___________;

哥哥是________，____年____月____日出生，现住：___________;

弟弟是________，____年____月____日出生，现住：___________;

姐姐是________，____年____月____日出生，现住：___________;

妹妹是________，____年____月____日出生，现住：___________。

二、国外亲属情况如下：

称谓：________，姓名：________，出生年月日：________________

称谓：________，姓名：________，出生年月日：________________

出境前单位及现住址

上述情况属实，特此证明。

经办人签名：______

证明单位：_______(印章)

______年______月______日