Mu s 1: Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao

ng - Thng binh v X hi hng dn thi hnh mt s iu ca Ngh nh s 34/2008/N-CP

c sa i, b sung.
Cng ho x hi ch ngha Vit Nam
c lp - T do - Hnh phc
Socialist Republic of Vietnam
Independence Freedom - Happiness
......., ngy.....thng.....nm.....
.......date.......month........year......
Phiu ng k d tuyn lao ng
Application form

Knh gi: (To) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1. Tn ti l (vit ch in hoa): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Full name (In capital)

2. Ngy thng nm sinh: . . . . . . . . . . . . . . . . . . . . . . . . Nam/N. . . . . . . . . . . . . . . . . . . . .

Date of birth (DD-MM-YYYY)
Male/female
3. Quc tch:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nationality
4. S h chiu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ngy cp . . . . . . . . . . . . . . . . . . . ..
Passport number:
Date of issue
5. Ni cp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c gi tr n ngy . . . . . . . . . . . . . . . . .. ..
Place of issue
Date of expiry
6. Trnh hc vn:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Education level:
7. Trnh chuyn mn tay ngh: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Professional qualification:
8. Trnh ngoi ng (s dng thnh tho): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign language (Proficiency)

9. Qu trnh lm vic ca bn thn (nu c th thi gian, v tr cng vic, tn doanh nghip, t
chc lm vic, khen thng, k lut), c th:
Employment Record (the detailed time, employment position, name of enterprises, organizations
worked, rewarda and discipline), including:
- Lm vic nc ngoi: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Employment outside Vietnam
- Lm vic Vit Nam: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Employment in Vietnam
Sau khi nghin cu ni dung thng bo tuyn lao ng ca ngi s dng lao ng, ti thy bn
thn c iu kin ng k d tuyn vo v tr : . . . . . . . . . . . . . . . vi thi hn lm vic: . . . . . .
.

Upon careful consideration on your notice of recruitment, I myself consider to be qualified for the
position of . . . . . . . . . . . . . . . . . . . . . for the working period of . . . . .
Ti xin chp hnh nghim chnh Php lut lao ng Vit Nam. Nu vi phm ti xin chu trch
nhim trc php lut.
I commit to fully abide by the Vietnamese labour legislation and will bear all responsibility for any
violation.

Ngi ng k d tuyn lao ng

Applicant
(K v ghi r h tn)
(Signature and full name)

Mu s 2:

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng - Thng binh v X hi hng dn thi hnh mt
s iu ca Ngh nh s 34/2008/N-CP c sa i, b sung.
Tn c quan ch u t
(Tn d n/gi thu)

Phng n s dng lao ng

(trong h s mi thu, h s yu cu)
......., ngy.....thng.....nm.....

S
TT

Trnh chuyn mn
V tr cng vic

1
I
1
2
....
II
1
2
....

2
Ngi nc ngoi
.....
.....
.....
Tng s

S lng (ngi)

T i hc tr
ln

Kinh nghim
lm vic
(>=5 nm)
6

Khc

Ngh nhn nhng

ngnh ngh truyn
thng
5

Mc lng
trung bnh

Thi gian lm vic

Bt u

Kt thc

10

Lao ng Vit
Nam
.....
.....
Tng s

Ngy
thng
nm
i din ch u t
(K v ghi r h tn, ng du)

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao

ng - Thng binh v X hi hng dn thi hnh mt s iu ca Ngh nh s 34/2008/N-CP
c sa i, b sung.
Mu s 3:

Tn c quan ch u t
(Tn d n/gi thu)
S:
/
V/v: tuyn lao ng Vit Nam.

Cng ho x hi ch ngha Vit Nam

c lp - T do - Hnh phc
......., ngy.....thng.....nm.....

Knh gi: Ch tch U ban nhn dn tnh, thnh ph...............................

Cn c hp ng k gia

v nh thu...................................... thc hin gi

thu......................................thuc d n......................................thc hin ti ......................................vi gi k hp ng l
......................................, Nh thu nc ngoi ......................................bo co mt s thng tin v nh thu v ngh
tuyn lao ng Vit Nam thc hin gi thu......................................, c th nh sau:
......................................

1. Tn hp ng:..........................................................................................................
2. Tn nh thu trng thu: ............................................................
3. a ch ng k ti nc hoc vng lnh th ni nh thu mang quc tch:
......................................................................................

S in thoi: .............................. Fax: ................................................................

E-mail: .............................. Website (nu c): ..............................
4. a ch chi nhnh, vn phng i din hoc vn phng iu hnh ti Vit Nam (nu c):
........................................................................................................................................................................................

S in thoi: .............................. Fax:..............................

5. Giy php thu s: ..............................do B Xy dng/S Xy dng cp ngy.....

6. Thi gian thc hin gi thu: t ngy thng nmn ngy thng nm
ngh tuyn lao ng Vit Nam thc hin hp ng nu trn, bao gm: tng v tr cng
vic, s lng, trnh chuyn mn, kinh nghim, mc lng, a im lm vic, thi gian thc
hin cng vic.
Nhu cu tuyn lao ng nu trn c xc nh trong phng n s dng lao ng trong
h s trng thu km theo vn bn ny.
ngh qu U ban ch o cc c quan, t chc c lin quan gii thiu, cung ng lao
ng Vit Nam cho chng ti theo ni dung nu trn.
Xin cm n!
Ni nhn:
- Nh trn;
- Lu n v.

i din nh thu nc ngoi

(K v ghi r h tn, ng du)

i din ch u t
(Xc nhn vic tuyn lao ng Vit Nam thc hin hp
ng nu trn ca nh thu............. l ng theo phng n
s dng lao ng c k khai trong h s d thu, h s
xut s.........ngy....thng.....nm).
(K v ghi r h tn, ng du)

Mu s 4:

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng - Thng binh v X hi hng dn thi hnh mt
s iu ca Ngh nh s 34/2008/N-CP c sa i, b sung.
Tn c quan ch u t
(Tn d n/gi thu)
S:
/

Cng ho x hi ch ngha vit Nam

c lp - T do - Hnh phc
......., ngy.....thng.....nm.....
Phng n iu chnh, b sung nhu cu s dng lao ng

Knh gi: S Lao ng - Thng binh v X hi..

Cn c hp ng k gia

v nh thu...................................... thc hin gi thu......................................thuc d n......................................thc hin ti ......................................vi

gi k hp ng l ......................................, nh thu nc ngoi......................................bo co phng n iu chnh, b sung nhu cu s dng lao ng lm vic ti nh
thu......................................, c th nh sau:
......................................

S
TT

Trnh chuyn mn
V tr cng vic

1
I
1
....
2
II
1
....
2
....

2
Ngi nc ngoi
V tr lao ng tng
....
V tr lao ng gim
Tng = (1) (2)
Lao ng Vit Nam
V tr lao ng tng
....
V tr lao ng gim
....
Tng = (1) (2)

S lng (ngi)

T i hc tr ln

Ngh nhn nhng

ngnh ngh truyn
thng
5

Ngy
thng
nm
i din ch u t
(Xc nhn phng n iu chnh, b sung nhu cu s dng lao ng nu trn ca
nh thu l thc hin theo ng theo quy nh ca

Kinh nghim lm
vic (>=5 nm)

Khc

Mc lng
trung bnh
8

Ngy
thng
nm
i din nh thu nc ngoi
(K v ghi r h tn, ng du)

Thi gian lm vic

Bt u

Kt thc

10

php lut)
(K v ghi r h tn, ng du)

Mu s 5:

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao

ng - Thng binh v X hi hng dn thi hnh mt s iu ca Ngh nh s 34/2008/N-CP
c sa i, b sung.
Cng ho x hi ch ngha Vit Nam

c lp - T do - Hnh phc
Socialist Republic of Vietnam
Independence Freedom - Happiness
......., ngy.....thng.....nm.....
......., date.......month.......year......

Knh gi: S Lao ng - Thng binh v X hi..

To: Department of Labour, War Invalids and Social Affairs...........
Thc hin quy nh ti Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B
Lao ng - Thng binh v X hi hng dn thi hnh mt s iu ca Ngh nh s
34/2008/N-CP c sa i, b sung, ti xin thng bo v vic n cho bn dch v
ti.............(nu a im c th) vi mt s ni dung nh sau:
In implementation of Circular No 31/2011/TT-BLTBXH of Ministry of Labour,
Invalids and Social Affairs dated November 3 rd 2011 providing guidelines for the
implementation of Decree No 34/2008/ND-CP of the Government dated March 25 th 2008
amended and supplemented some articles on recruitment and management of foreigners
working in Vietnam, I would like to inform the service sales in.............(detail places) as
follows:
Tn ti l: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Full name
Ngy thng nm sinh: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nam/N . . . . . . . . . . . . . . . . . . . . . . .
Date of birth (DD-MM-YYYY)
Male/female
Quc tch:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nationality
S h chiu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ngy cp . . . . . . . . . . . . . . . . . . . . . . . .
Passport number:
Date of issue
Ni cp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c gi tr n ngy . . . . . . . . . . . . . . . . . . ..
Place of issue
Date of expiry
Thi gian lm vic t ngy: . . . . . . . /. . . . . . . /. . . . . . . n ngy: . . . . . . . /. . . . . . . /. . . . . . .
Period of work from . . . . . . . . . . . . . . . To. . . . . . . . . . . . . . .
L do lm vic ti Vit Nam: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
The reasons for working in Viet Nam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .
Knh th

Best Regards,
(K v ghi r h tn)
(Signature and full name)

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng - Thng binh v X hi hng dn thi hnh mt
s iu ca Ngh nh s 34/2008/N-CP c sa i, b sung.
Mu s 6:

Cng ho x hi ch ngha vit nam

Nhng iu cn lu
1- Xut trnh giy php ny khi c quan nh nc yu cu.
2- Khng c ty xo, sa cha, t ghi vo giy php ny.
3- Khng c cho ngi khc mn.
4- Khi tht lc phi bo ngay cho S Lao ng - Thng binh
v X hi.
5- Giy php lao ng ht hiu lc hoc v hiu phi np giy
php lao ng theo quy nh

c lp - T do - Hnh phc
Socialist Republic of Vietnam
Independence - Freedom - Happiness

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

Quc huy

Notice
1- Present this work permit to authorities when requested.
2-Any modification, addition or amendment to the work
permit is prohibited.
3- The utilization of this permit is restricted to the bearer.
4-Any case of loss should be immediately reported to
provincial Department of Labour, Invalids and Social Affairs.
5- After work permit validity expires or becomes invalid shall
submit that work permit acccording to regulations.

Giy php lao ng

Work permit

S:
No:

Trang 1

Trang 4

giy php lao ng

work permit

nh mu
3cm x
4cm
Colour
photo

S:
No:

1. H v tn: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Full name
2. Nam (M) N (F)
3. Ngy, thng, nm sinh: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date of birth (DD-MM-YY)
4. Quc tch hin nay: . . . . . . . . . . . . . . S h chiu . . . . . . . . .
Current nationality
Passport number
5. Trnh chuyn mn (tay ngh): . . . . . . . . . . . . . . . . . . . . . . . .
Professional qualification (skill)
6. Lm vic ti doanh nghip, t chc: . . . . . . . . . . . . . . . . . . . .
7. Working at enterprise, organization
8. Ni lm vic: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Working place
9. V tr cng vic: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Job assignment
10. Thi hn lm vic t ngy . . . . thng . . . nm . . . .n ngy . . .
thng . . . . nm . . . .
Period of work from . . . . . . . . . . . to . . . . . . . . . . . . . .
Ngy . . . . . . . thng . . . . nm

gia hn giy php lao ng

ln 1
First Extension

gia hn giy php lao

ln 2
Second Extension

Gia hn t ngy . . . thng . . .

nm . . .
n ngy . . . thng . . . nm . . .
Extended from . . . to . . .
. . . . . . . . . . , ngy . . . . thng .
. . nm

Gia hn t ngy . . . thn

nm . . .
n ngy . . . thng . . . nm
Extended from . . . to . . .
. . . . . . . . . . , ngy . . . . th
. . nm

Gim c S Lao ng - Thng

binh v X hi . . .
Director of Department of labour,
invalids and social affairs

Gim c S Lao ng - Th
binh v X hi . . .
Director of Department of la
invalids and social affair

(K tn, ng du)
(Signature and stamp)

(K tn, ng du)
(Signature and stamp

gia hn giy php lao ng

ln 4
Fourth Extension

gia hn giy php lao

ln 5
Fifth Extension

Gia hn t ngy . . . thng . . .

nm . . .
n ngy . . . thng . . . nm . . .
Extended from . . . to . . .
. . . . . . . . . . , ngy . . . . thng .
. . nm

Gia hn t ngy . . . thn

nm . . .
n ngy . . . thng . . . nm
Extended from . . . to . . .
. . . . . . . . . . , ngy . . . . th
. . nm

Gim c S Lao ng - Thng

binh v X hi . . .
Director of Department of labour,
invalids and social affairs

Gim c S Lao ng - Th
binh v X hi . . .
Director of Department of la
invalids and social affair

(K tn, ng du)
(Signature and stamp)

(K tn, ng du)
(Signature and stamp

Gim c
S lao ng - Thng binh v x hi. . . . . . . . . . . . .
Director of deparTment of labour, invalids and social affairs

Trang 3

K tn, ng du
(Signature and stamp)
Trang 2

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao

ng - Thng binh v X hi hng dn thi hnh mt s iu ca Ngh nh s 34/2008/NCP c sa i, b sung.
Mu s 7:

Tn doanh nghip, t chc

(Enterprise, organization)
S (No):
/

V/v: ngh cp giy php lao ng cho

ngi nc ngoi.
Suggestion for issuance of work permit

Cng ho x hi ch ngha Vit Nam

c lp - T do - Hnh phc
Socialist Republic of Vietnam
Independence Freedom - Happiness
......., ngy.....thng.....nm.....
.......date.......month........year......

Knh gi:...................................................................................................................................
To:
1. Doanh nghip, t chc: .......................................................................................................................................
Enterprise, organization:
2. a ch: .....................................................................................................................................................................
Address:
3. in thoi: ..............................................................................................................................................................

Telephone number (Tel):

4. Giy php kinh doanh (hot ng) s: ...........................................................................................................
Permission for business (No):
5. C quan cp: ....................................................................... Ngy cp: .............................................................
Place of issue

Date of issue

6. Lnh vc kinh doanh (hot ng): ....................................................................................................................

Fields of business:
ngh: .................................................................................................... cp giy php lao ng..................
Suggestion:

issuance of work permit

cho: ............................................................................................................................................................................
for:
ng (b): ............................................................................................... Quc tch: ............................................
Mr. (Ms.)

Nationality:

Ngy thng nm sinh: .......................................................................................................................................

Date of birth (DD-MM-YY)
Trnh chuyn mn: .......................................................................................................................................
Professional qualification (skill):
Ni lm vic:

Working place
V tr cng vic: ..........................................................................................................................................
Job assignment:
Thi gian lm vic t ngy: ........./........../..........n ngy: .........../.........../...................................................
Period of work from ....................To.....................

L do ng (b) .............................................................lm vic ti Vit Nam: .............................................

The reasons for Mr. (Ms.)

Ni nhn: - Nh trn;
- Lu n v

working in Vietnam
i din ngi s dng lao ng
On behalf of employer
(K v ghi r h tn, ng du)

(Signature and stamp)

Ghi ch: i vi cc t chc phi chnh ph m cha c con du th phi c xc nhn ca y ban cng tc v
cc t chc phi chnh ph nc ngoi.

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao

ng - Thng binh v X hi hng dn thi hnh mt s iu ca Ngh nh s 34/2008/N-CP
c sa i, b sung.
Mu s 8:

Tn doanh nghip, t chc

(Enterprise, organization)
S (No):
/

Cng ho x hi ch ngha Vit Nam

c lp - T do - Hnh phc
Socialist Republic of Vietnam
Independence Freedom - Happiness

V/v: ngh gia hn giy php lao

ng cho ngi nc ngoi.
Suggestion for extension of work
permit.

......., ngy.....thng.....nm.....
.......date.......month........year.....

Knh gi: : ...........................................................................................................

To:
1. Tn doanh nghip, t chc:

...........................................................................................................

Enterprise, organization:

2. a ch: .........................................................................................................................................................
Address:

3. in thoi: .....................................................................................................................................................
Telephone number (Tel):

4.

Giy

php

kinh

doanh

(hot

ng)

s:

................................................................................................

Permission for business (No):

5. C quan cp: ....................................................................Ngy cp: ........................................................

Place of issue

6.

Lnh

Date of issue

vc

kinh

doanh

(hot

ng):

.........................................................................................................

Fields of business:

ngh gia hn giy php lao ng cho: ............................................................................................

Suggestion for issuance of work permit for
ng (b): ............................................................................................... Quc tch: ............................................
Mr. (Ms.)
Nationality:
V tr cng vic: ..........................................................................................................................................
Job assignment:

Hnh thc b x l k lut lao ng trong thi gian lm vic ti doanh nghip, t chc
(nu c): .........................................................................................................................................................
The forms to be disciplined in the period of time at enterprises, organizations (if any)
Giy php lao ng s........................................Cp ngy ..........................................................
Work permit No
dated
C quan cp..........................................................................................................................................
Issued by
Thi hn gia hn t ngy / / n ngy / /
Extension period of work from ....................To.....................

Doanh

nghip,

chc:

...................................................................................................................................

Enterprise, organization

o to ngi lao ng Vit Nam thay th: ................................................................

trained Vietnamese employee for substitution
- H v tn: .................................................................................................Gii tnh: ......................
Full name
Sex
- Ngy, thng, nm sinh: ..................................................................................................................................
Date of birth (DD-MM-YY)

- Lnh vc o to: ..................................................................................................................................

Training field
- Thi gian o to: ..................................................................................................................................
Training period
- Kinh ph o to: ..................................................................................................................................
Training expenditure
L do cha o to c ngi lao ng Vit Nam thay th: ....................................
Reasons are still unable to train Vietnamese employees for substitution.
Ni nhn:
- Nh trn;
- Lu n v.

i din ngi s dng lao ng

On behalf of employer
(K v ghi r h tn, ng du)

(Signature and stamp)

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B

Lao ng - Thng binh v X hi hng dn thi hnh mt s iu ca Ngh nh s
34/2008/N-CP c sa i, b sung.
Mu s 9:

Cng ho x hi ch ngha Vit Nam

c lp - T do - Hnh phc
Socialist Republic of Vietnam
Independence Freedom - Happiness
......., ngy.....thng.....nm.....
.......date.......month........year.....
ngh cp li giy php lao ng
Application for re-issuance of work permit
Knh gi: S lao ng - thng binh v x hi . . . . . . . . . . . . . . . . . . .
To: The provincial Department of Labour - War Invalids and Social Affairs
1. H v tn: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Nam; N: . . . . . . . . . . .
Full name
Male/Female
3. Ngy, thng, nm sinh: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date of birth (DD-MM-YY)
4. Ni sinh: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Place of birth
5. Quc tch: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nationality
6. H chiu s: . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Ngy cp: . . . . . . . . . . . . . . . . . .
Passport number
Date of issue
8. C quan cp: . . . . . . . . . . . . . . . . . . . . . . . . . . . Thi hn h chiu . . . . . . . . . . . . . .
issued by
Date of expiry
9. Trnh chuyn mn tay ngh: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Professional qualification
10. Ti giao kt hp ng lao ng vi: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I signed a labour contract with:
vi thi hn t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . n ngy . . . . . . . . . . . . . . . . . .
For the period from
to
11. Ti c cp giy php lao ng s: . . . . . . . . . . . . . . . . . ngy . . . . . . . . . .
I was issued a work permit numbered:
dated
vi thi hn t . . . . . . . . . . n ngy . . . . . . . . . . . C quan cp . . . . . . . . . . . . . . . . . .
For the period from
to
Issued by:
12. L do ngh cp li giy php lao ng (bao gm c l do mt, hng, thay i s h
chiu, ni lm vic)
Reason for re-application (including reason for losing, damaging, changing passport number
and working place)
...........................................................................
. Ti xin cam oan cc ni dung nu trn l ng. Nu sai ti xin hon ton chu trch nhim
trc php lut Vit Nam.
I certify that these statements are true to the best of my knowledge and will be responsible for
any incorrectness.
Xc nhn ca ngi s dng lao ng
Ngi lm n
Applicant

To be confirmed by employer
(K v ghi r h tn, ng du)
(Signature and stamp)

(K tn)
(Signature)

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng - Thng binh v X hi hng dn thi hnh mt s
iu ca Ngh nh s 34/2008/N-CP c sa i, b sung.
Mu s 10:

Tn doanh nghip, t chc

S:
/

Cng ho x hi ch ngha Vit Nam

c lp - T do - Hnh phc

V/v: Thng bo v ngi nc ngoi

lm vic ti doanh nghip (t chc).

......., ngy.....thng.....nm.....

Knh gi: S lao ng - thng binh v x hi. . . . . . . . . . . . . . . . . . . . . . . . . .

Thc hin quy nh ti Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng - Thng binh v X hi hng dn thi
hnh mt s iu ca Ngh nh s 34 /2008/N-CP c sa i, b sung, doanh nghip (t chc) . . . . . . . . . . . . . . thng bo v ngi nc
ngoi lm vic, c th nh sau:
S
TT

Tn ngi nc ngoi

Tng

Ni nhn: - Nh trn;
- Lu n v

Gii tnh
Nam
N

Nm sinh

Quc tch

S h
chiu

Ngy
bt u
lm vic

Ngy kt
thc lm
vic

V tr cng vic

S giy
php lao
ng
c
cp
8

10

11

Ngy

thng

nm

i din ngi s dng lao ng

(K v ghi r h tn, ng du)

Mu s 11:

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng - Thng binh v X hi hng dn thi hnh mt s
iu ca Ngh nh s 34/2008/N-CP c sa i, b sung.
Tn doanh nghip, t chc:
S:
/

Cng ho x hi ch ngha vit Nam

c lp - T do - Hnh phc
......., ngy.....thng.....nm.....
Bo Co Danh sch trch ngang v ngi nc ngoi khng phi cp giy php lao ng
Knh gi: S Lao ng - Thng binh v X hi..

1. Doanh nghip, t chc: ........................................................................

2. a ch: ......................................................................................................
3. in thoi: .................................................................................................
4. Giy php kinh doanh (hot ng) s: .................................................................................
5. C quan cp: ....................................................................... Ngy cp: ....................................
6. Lnh vc kinh doanh (hot ng): ...........................................................................................
Bo co danh sch trch ngang v ngi nc ngoi khng phi cp giy php lao ng, c th nh sau:
S
TT

Tn ngi nc ngoi

Tng

Ni nhn: - Nh trn;
- Lu n v

Gii tnh
Nam
N

Nm sinh

Quc
tch

S h
chiu

Ngy ht
hn ca
h chiu

Ngy kt
thc lm
vic hoc
thc tp
10

V tr cng vic

Ngy bt
u lm
vic hoc
thc tp
9

Ngy

thng

nm

i din ngi s dng lao ng

11

(K v ghi r h tn, ng du)

Mu s 12:

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng - Thng binh v X hi hng dn thi hnh mt s
iu ca Ngh nh s 34/2008/N-CP c sa i, b sung.
y ban nhn dn tnh....
S Lao ng - Thng binh v x hi
S:
/LTBXH-TB

Cng ho x hi ch ngha vit Nam

c lp - T do - Hnh phc
......., ngy.....thng.....nm.....
Thng bo tnh hnh cp giy php lao ng thng... nm...

Knh gi: Cng an tnh................(Phng Qun l xut nhp cnh)

S
TT

Tn ngi
nc
ngoi

Gii tnh
Nam

Nm
sinh

Quc
tch

S h
chiu

Trnh chuyn mn

V tr cng
vic

Ngy bt
u lm
vic

Ngy kt
thc lm
vic

12

13

14

TNG

Ni nhn: - Nh trn;
- Lu S LTBXH.

T i
hc tr
ln

Ngh nhn
nhng
ngnh ngh
truyn
thng

Kinh
nghim
lm
vic
(>=5
nm)
10

Khc

11

Cp giy php lao

ng
Ngy Ngy Ngy
cp
gia
cp
giy
hn
li
php
giy
giy
lao
php php
ng
lao
lao
ng ng
15
16
17

Ngy
thng
nm
Gim c S Lao ng - Thng binh v x hi
(K v ghi r h tn, ng du)

Mu s 13: Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B

Lao ng - Thng binh v X hi hng dn thi hnh mt s iu ca Ngh nh s

34/2008/N-CP c sa i, b sung.
S Lao ng - Thng binh v x
hi..
Trung tm Gii thiu vic
lm

Cng ho x hi ch ngha Vit Nam

c lp - T do - Hnh phc
......., ngy.....thng.....nm.....

Hp ng tuyn lao ng
S..................................

- Cn c Ngh nh s 34/2008/N-CP ngy 25/3/2008 ca Chnh ph qui nh v tuyn

dng v qun l ngi nc ngoi lm vic ti Vit Nam, Ngh nh s 46/2011/N-CP ngy
17/6/2011 sa i, b sung mt s iu ca Ngh nh s 34/2008/N-CP ngy 25/3/2008 ca
Chnh ph.
- Cn c Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng Thng binh v X hi hng dn thi hnh mt s iu ca Ngh nh s 34/2008/N-CP ngy
25/3/2008 ca Chnh ph v Ngh nh s 46/2011/N-CP ngy 17/6/2011 ca Chnh ph.
Cn c nhu cu tuyn ngi nc ngoi ca .............................................
Hm nay, ngy.... thng.......nm.
Ti Trung tm Gii thiu vic lm (nu r tn v a ch)..
Chng ti gm:
I/ Bn A: Trung tm Gii thiu vic lm
i din: ...................................................................................................
Chc v:.......................................................................................................
a ch:
in thoi:..Fax:
II/ Bn B: Doanh nghip, t chc..............................................................
i din:............................................
Chc v:...........................................
a ch:.........................................................................................
in thoi: ...............Fax:........................Email:..........................
Sau khi trao i, hai bn i n thng nht k kt hp ng tuyn lao ng Vit Nam vo
v tr d kin tuyn ngi nc ngoi v tuyn ngi nc ngoi cho doanh nghip, t
chc......................................nh sau:

iu 1: Ni dung hp ng
Bn A s t chc tuyn lao ng Vit Nam vo v tr d kin tuyn ngi nc ngoi v
tuyn ngi nc ngoi theo yu cu ca bn B nh sau:
a) Trch nhim ca bn A:
Tuyn lao ng Vit Nam vo tng v tr cng vic d kin tuyn ngi nc ngoi v s
lng tng v tr cng vic, yu cu v trnh chuyn mn, mc lng, thu nhp khc, iu
kin lm vic v mt s ni dung khc (nu c) ca bn B t ngy........thng......nm.....n
ngy......thng......nm....., c th nh sau:
+ ......
+ ......
.....
Trng hp khng tuyn c lao ng Vit Nam th bn A tuyn ngi nc ngoi vo
tng v tr cng vic nu trn t ngy........thng......nm.....n ngy......thng......nm.......
Trng hp bn A khng p ng nhu cu tuyn lao ng cho bn B nu trn th phi
tr li bng vn bn v nu r l do.
b) Trch nhim ca bn B:
- Cung cp cho bn A yu cu v thi gian tuyn, s lng ngi cn tuyn (lao ng Vit
Nam v ngi nc ngoi) vo tng v tr cng vic, yu cu v trnh chuyn mn, mc
lng, thu nhp khc, iu kin lm vic v mt s ni dung khc (nu c).
- Thng bo cho bn A thi gian, kt qu phng vn v tuyn dng i vi ngi lao ng
c bn A gii thiu.
iu 2: Thi hn thc hin hp ng:
T ngy........thng......nm.....n ngy......thng......nm......
iu 3: Kinh ph v hnh thc thanh ton:
Kinh ph thc hin hp ng: (bng ch:ng)
Hnh thc thanh ton: Bn B thanh ton cho bn A theo hnh thc.. sau khi kt
thc v c bin bn thanh l hp ng.
iu 4: iu khon chung
Hai bn cam kt thc hin ng nhng iu khon trong hp ng, trong qu trnh thc
hin, nu c pht sinh hai bn s trao i v bn bc cng gii quyt.
Hp ng c lm thnh 04 bn, mi bn gi 02 bn c gi tr php l nh nhau./.
i din bn A

i din bn B

MU S 14:

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng - Thng binh v X hi hng dn thi hnh mt s
iu ca Ngh nh s 34/2008/N-CP c sa i, b sung.
Tn doanh nghip, t chc
S:
/

Cng ho x hi ch ngha vit Nam

c lp - T do - Hnh phc
......., ngy.....thng.....nm.....
ng k nhu cu tuyn v s dng ngi nc ngoi
Knh gi: S Lao ng - Thng binh v X hi..

1. Doanh nghip, t chc: ........................................................................

2. a ch: ......................................................................................................
3. in thoi: .................................................................................................
4. Giy php kinh doanh (hot ng) s: .................................................................................
5. C quan cp: ....................................................................... Ngy cp: ....................................
6. Lnh vc kinh doanh (hot ng): ...........................................................................................
ng k nhu cu tuyn v s dng ngi nc ngoi c th nh sau:
S
TT

1
1
2
.......
Tng

V tr cng vic

Ni nhn: - Nh trn;
- Lu n v

S lng
(ngi)

Trnh chuyn mn
T i hc
tr ln

Ngh nhn
nhng ngnh
ngh truyn
thng

Thi gian lm vic

Khc

Kinh
nghim
lm vic
(>=5
nm)
6

Mc
lng
trung
bnh

Bt u

Kt thc

10

S lng ang
lm vic (ngi)

ng k tuyn
mi (ngi)

11

12

Ngy
thng
nm
i din ngi s dng lao ng
(K v ghi r h tn, ng du)

Mu s 15:

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng - Thng binh v X hi hng dn thi hnh mt s
iu ca Ngh nh s 34/2008/N-CP c sa i, b sung.
Tn doanh nghip, t chc
S:
/

Cng ho x hi ch ngha vit Nam

c lp - T do - Hnh phc
......., ngy.....thng.....nm.....
ng k b sung nhu cu tuyn v s dng ngi nc ngoi
Knh gi: S Lao ng - Thng binh v X hi..

1. Doanh nghip, t chc: ........................................................................

2. a ch: ......................................................................................................
3. in thoi: .................................................................................................
4. Giy php kinh doanh (hot ng) s: .................................................................................
5. C quan cp: ....................................................................... Ngy cp: ....................................
6. Lnh vc kinh doanh (hot ng): ...........................................................................................
ng k b sung nhu cu tuyn v s dng ngi nc ngoi c th nh sau:
S
TT

V tr cng vic

S lng
(ngi)

Trnh chuyn mn
T i hc
tr ln

1
I
1
2
.....
II
1
2
.....
.

2
V tr tng lao ng
...........
.........

Ngh nhn nhng

ngnh ngh
truyn thng
5

Kinh nghim
lm vic
(>=5 nm)
6

Thi gian lm vic

Khc
7

Mc
lng
trung bnh

Bt u

Kt thc

10

S lng
ang lm vic
(ngi)

ng k tuyn
mi (ngi)

11

12

V tr gim lao ng
...........
...........
Tng = (I) (II)

Ni nhn: - Nh trn;
- Lu n v

Ngy
thng
nm
i din ngi s dng lao ng

(K v ghi r h tn, ng du)

Mu s 16: Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng - Thng binh v X hi hng dn thi hnh mt s
iu ca Ngh nh s 34/2008/N-CP c sa i, b sung.
Tn c quan ch u t
S:
/

Cng ho x hi ch ngha vit Nam

c lp - T do - Hnh phc
......., ngy.....thng.....nm.....
bo co tnh hnh s dng ngi nc ngoi lm vic ti nh thu ....................qu... nm...

Knh gi: S Lao ng - Thng binh v X hi..

Cn c hp ng k gia

v nh thu...................................... thc hin gi thu......................................thuc d n......................................thc hin ti

......................................, Ch u t......................................bo co tnh hnh s dng ngi nc ngoi lm vic ti nh thu ......................................, c th nh sau:
S
TT

Tn
ngi
nc
ngoi

......................................

Gii tnh Nm Quc H

Nam N sinh tch chiu

TNG

Ni nhn: - Nh trn;

V
tr
cng
vic

Trnh chuyn mn
T i
hc tr
ln

Ngh nhn
nhng
ngnh ngh
truyn
thng

10

Kinh
nghim
lm
vic
(>=5
nm)
11

Thi gian
lm vic
Bt
u

Kt
thc

12

13

Khng
thuc
din cp
giy
php lao
ng

14

Cp giy php lao ng

Ngy
Ngy
Ngy
cp
gia
cp li
giy
hn
giy
php
giy
php
lao
php
lao
ng
lao
ng
ng
15

16

17

Cha
c
cp
giy
php
lao
ng
18

Ngy

thng

nm

i din ch u t

- Lu n v

(K v ghi r h tn, ng du)

Mu s 17:

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng - Thng binh v X hi hng dn thi hnh mt s
iu ca Ngh nh s 34/2008/N-CP c sa i, b sung.
y ban nhn dn tnh....
S Lao ng - Thng binh v x hi
S:
/LTBXH-BC

Cng ho x hi ch ngha vit Nam

c lp - T do - Hnh phc
......., ngy.....thng.....nm.....
Bo co nhu cu tuyn v s dng ngi nc ngoi nm

Knh gi: B Lao ng - Thng binh v X hi (Cc Vic lm)

S
TT

Tn doanh nghip,
t chc

S lng ngi
nc ngoi

Trnh chuyn mn
T i hc
tr ln

1
I
1
2

II
1
2

V tr cng
vic

Ngh nhn nhng Kinh nghim

ngnh ngh
lm vic
truyn thng
(>=5 nm)
5
6

Khc
7

Trong KCN, KCX,

KKT
Cng ty
Cng ty

Ngoi KCN, KCX,

KKT
Cng ty
Cng ty

Tng
Ni nhn: - Nh trn;

x
Ngy

thng

nm

Mc
lng
trung
bnh
9

- Lu S LTBXH.

Gim c S Lao ng - Thng binh v X hi

(K v ghi r h tn, ng du)

Mu s 18:

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng - Thng binh v X hi hng dn thi hnh mt s
iu ca Ngh nh s 34/2008/N-CP c sa i, b sung.
y ban nhn dn tnh....
Cng ho x hi ch ngha vit Nam
S Lao ng - Thng binh v x hi
c lp - T do - Hnh phc
S:
/LTBXH-BC
......., ngy.....thng.....nm.....
bo co tnh hnh s dng ngi nc ngoi 6 thng u nm (hoc nm)

Knh gi: B Lao ng - Thng binh v X hi (Cc Vic lm)

Tng s
ngi nc
ngoi

S
T
T

1
I
1
2

II
1
2

Tng s
L (bao
gm
ngi
nc
ngoi v
L Vit
Nam)

Hnh thc lm vic ca ngi nc ngoi

2
Trong
KCN,
KCX
Cng ty
Cng ty

Ngoi
KCN,
KCX,
Cng ty
Cng ty

S L
lm
vic
theo
hp
ng
(khng
phi
HL
)
7

Tng

Tn n
v

Nam

S
L
lm
vic
theo
HL

S L
di
chuyn
ni b
doanh
nghip

S
L
cho
bn
dch
v

Trnh chuyn mn

V tr
cng vic

Mc
lng
trung
bnh

Khc

T
i
hc
tr
ln

Ngh
nhn
nhng
ngnh
ngh
truyn
thng

Kinh
nghim
lm vic
(>=5
nm)

Khc

TG,
PTG
G,
PG

K
thut
qun
l

Khc

S L
lm
vic
cho t
chc
PCP
nc
ngoi
ti Vit
Nam
10

11

12

13

14

15

16

17

18

- Nu r s lng ngi nc ngoi theo quc tch c chia thnh Chu u, Chu , Chu M, Chu i Dng.

19

Cp GPL

Thi hn
giao kt hp
ng lao
ng

Khng
thuc
din
cp
GPL

cp
GPL

Ch
a
c
cp
GPL

D
i1
nm

T 1
-3
nm

Gia
hn
GPL

20

21

22

23

24

25

- Nu r s ngi nc ngoi lm vic ti cc gi thu hoc d n do nh thu nc ngoi trng thu (tn gi thu hoc d n, s lng, quc tch, trnh , v tr cng vic), s ngi
c cp giy php lao ng, s ngi khng thuc i tng cp giy php lao ng v s ngi cha thc hin cp giy php lao ng (s ngi nc ngoi lao ng ph thng, s
ngi ang lm cc th tc cp giy php lao ng).
Ni nhn: - Nh trn;
Ngy
thng
nm
- Lu S LTBXH.
Gim c S Lao ng - Thng binh v X hi
(K v ghi r h tn, ng du)
Mu s 19:

Ban hnh km theo Thng t s 31/2011/TT-BLTBXH ngy 03/11/2011 ca B Lao ng - Thng binh v X hi hng dn thi hnh mt s
iu ca Ngh nh s 34/2008/N-CP c sa i, b sung.
Tn doanh nghip, t chc:
S:
/

Cng ho x hi ch ngha vit Nam

c lp - T do - Hnh phc
......., ngy.....thng.....nm.....
bo co tnh hnh s dng ngi nc ngoi 6 thng u nm (hoc nm)
Knh gi: S Lao ng - Thng binh v X hi..

1. Doanh nghip, t chc: ........................................................................

2. a ch: ......................................................................................................
3. in thoi: .................................................................................................
4. Giy php kinh doanh (hot ng) s: .................................................................................
5. C quan cp: ....................................................................... Ngy cp: ....................................
6. Lnh vc kinh doanh (hot ng): ...........................................................................................
7. Tng s lao ng (bao gm ngi nc ngoi v lao ng Vit Nam): .............................................
Bo co tnh hnh s dng ngi nc ngoi 6 thng u nm..................(hoc nm.............), c th nh sau:
S
TT

Tn
ngi
nc
ngoi

Gii tnh
Nam
N

Nm
sinh

Quc
tch

S
h
chiu

Trnh chuyn mn

T i
hc tr
ln

Ngh
nhn
nhng
ngnh
ngh
truyn
thng
9

V tr cng vic

Kinh
nghim
lm
vic
(>=5
nm)

Khc

10

11

Mc
lng
trung
bnh

TG,
PTG
G,
PG

K
thut
qun l

Khc

12

13

14

15

Thi hn giao
kt hp ng
lao ng
Di 1
nm

T 1
-3
nm

Khng
thuc
din
cp
GPL

16

17

18

Cp giy php lao ng

' cp
np
Cha
GPL
h s ti c cp
(ghi theo
c quan
GPL
s
cp
GPL)
GPL

19

20

21

S ln
gia hn
GPL

22

Tng

Ni nhn: - Nh trn;
- Lu n v

Ngy
thng
nm
i din ngi s dng lao ng
(K v ghi r h tn, ng du)