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Please check the relevant box.

Declaration of employment relationship for submission

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

in the procedure for approving the employment of persons with

Toleration or residence permit (please only use numbers 1 to 3, 5 and 6 as well as 9

fill out up to 12)

in the procedure for approving a residence permit that requires employment

not allowed

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

Initial grant renewal Change of employer

1. Employee

Name: First name/s: _

female 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 number 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 additional sheet [B].

3. Start and duration of employment

3.1 The employment relationship in Germany

starts on exists since

3.2 The employment relationship is unlimited

until

4. Employment as a temporary worker should

be passed on to third parties: And No.

5. Place of work
Employee is employed at busy.
changing work/places.

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

description of the activity; specialty, functional area and industry; if necessary, continue on a separate sheet)

7. Qualifications of the employee

(Please include proof and translation into German)

7.1 no graduation

7.2 University degree

as

The degree was completed in acquired.

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

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

7.3 Vocational training as

The vocational training was in acquired.

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

And No Partially

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

(please attach)

(If only partial equivalence of the foreign qualification and the need for a qualification measure have
been established, it is possible to apply for a residence permit to carry out the recognition procedure (Section
16d Residence Act). Please fill out additional sheet [A] for this purpose.

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

___________________________________________________________________________

*As far as I know, the job does not require any qualified vocational training (regular training duration of 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 based on a specific provision of the Employment Ordinance, according to
which a specific qualification is not required.

*Voluntary information:

8. Permit to practice the profession Is

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

Yes, the required qualification or permission is:

(please attach proof)

No

9. Working hours

Full time: hours/week Part-time: hours/week

Marginal employment: hours/week

10. Overtime

The employee is obliged to work overtime And No

If yes: To the extent of

Overtime is compensated by

11. Holiday entitlement

Working days per vacation year

12. Remuneration (please state in EURO gross)

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

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12.1 Wages are based on

Collective agreement:

Pay group

Agreement through employment contract

Salary Salary

12.2 Calculation of the fee amount

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 Is the employee required to have social insurance in Germany?

Yes, in the following insurance lines:
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 cases).
There is no obligation to be insured in any of the insurance sectors):

__________________________________________________________________________________

13.2 Does the social insurance obligation in Germany not exist in whole or in part because there is an exception
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 at the tax office that have been determined by a final official
decision or a legally binding court ruling?
And No

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

And No

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If so, when? How often? How much was the fine, fine or prison sentence?

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

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

And No

The employer's company was founded in the year ________. The company has averaged over the last calendar year
_______________ employees employed.

There are family relationships between a business owner or managing director and the future foreign employee:

And No

If applicable, information on the commercial/association register/

craft role District court/Chamber of
Crafts Register no.

15. Space for additional information:

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

Please take note of the following guidelines:

The form is intended to be submitted to the responsible diplomatic mission or immigration authority to apply for a
residence permit for the purpose of employment, for advance approval from the Federal Employment Agency or for the
issuance of an employment permit for those permitted or tolerated or for holders of a residence permit that does not
permit employment by law. In order to issue the residence permit, the foreign mission or
The 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 foreign
mission or immigration authority will forward this information to the Federal Employment Agency for verification.
With this declaration, the employer confirms bindingly that it is offering the foreign employee named under 1 a specific
job (Section 18 Paragraph 2 No. 1 Residence Act). Submission of the employment contract is only required in the event
of a special request from the foreign mission or immigration authority.
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In the event of an extension or change of employer, please provide: Copies of payslips for the first two and last two months.
In the case of extensions, proof of qualifications must not be submitted again.

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

Anyone who employs a foreign worker in Germany must inform the immigration authorities within four weeks if the
employment has been terminated prematurely (Section 4a Paragraph 5 Sentence 3 No. 3 Residence Act).

I am aware that the employer by which a foreigner is to be employed or is employed and who requires or has received
approval for this must provide the Federal Employment Agency with information about wages, working hours and other
working conditions (§ 39 Para. 4 Residence Act). Employers who employ foreigners must provide the Federal Employment
Agency with this information upon request, even if the consent of the Federal Employment Agency was not required.

I am aware that foreign workers may only be employed if they have a residence permit, a work permit for the purpose of
seasonal employment or a residence permit or
Toleration, which shows that the employment is permitted.

Anyone who intentionally or negligently provides incorrect, incomplete, late or no information in the process to obtain
approval from the Federal Employment Agency is acting unlawfully (Section 404 Paragraph 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 someone else or to prevent it from expiring will be punished with a fine or a prison
sentence (Section 95 Para. 2 No. 2 Residence Act).

The data protection information from the Federal Employment Agency can be found at

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

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

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

place, date Signature

______________________________ _______________________________

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