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Heading 1@ Heading 2A Heading 3B Heading 4 CInputD Linked Cell ENeutral FNormal 3 GNote HOutput ITitle JTotalK Warning TextL Mh Nh 1 Oh 2 Ph 3 Qh 4R] S8^ĉ 2 T8^ĉ 4SU'8^ĉ_ 0^E\lON@b_zt^^~z3ubh 0(uNnc[3ubON (u~ĉ  7 %yx:gg Research institutions6  7  %Ye:gg Eductional institutions   7  I. This form is applicable to non-resident individuals who claim tax treaty benefits under the articles of dependent personal services (income from employment), artistes and sportsmen, pensions, government service, teachers and researchers, students of a Double Taxation Agreement (DTA, including the DTAs with Hong Kong and Macau Special Administrative Regions) signed by China, or to non-resident taxpayers who claim treaty benefits under an international transport agreement signed by China.   7 Question 2,  Please specify the type of vehicle of international traffic in which the non-resident taxpayer carries out employment activities. : If the non-resident taxpayer exercises employment activities aboard a ship, aircraft, railway or road vehicle operated in international traffic by an enterprise of the other Contracting State, please indicate the specific type of vehicle. 7 5勥bl/f&T1u:Nz6eOS[~[eE\lvǖ;N(W-NVv8^:ggbV[W0Wb Is the remuneration borne by a permanent establishment or a fixed base which the employer of the other Contracting State has in China?6(  7 14@b_/f&TV^E\l~zNT~[e?e^bvQ0WeS_@\>NRvNNcO gR S_ Is the income derived in respect of services rendered in connection with a public institution established by the government or a political subdivision or a local authority of the other Contracting State?6*  7 3 ^E\l~zNcOYef[0xvz gR:gg/f&T&{TvQSXNXTSNSYe^TxvzNXTag>kz6eOS[_Gvĉ[Bl Does the institution meet the requirements of claiming for tax treaty treatment for its teachers and researchers?6 66  7{ 1 ^E\l~zN(W-NVf[`Nb[`Nvf[!h0:gg Ty Name of the school or instituation where the non-resident taxpayer studies or does internship6 6  7 3 ^E\l~zNVdkyf[`Nb[`N,{N!k0R-NVveg The first arrival date of the non-resident taxpayer for the sake of study or internship in China6 6  7p % (W-NV:N~cu;mNN*NNRRS_v@b_ The income gained from the personal services for the purpose of maintenance in China6 6  7 *3 Yg^E\l~zN(W-NV:N~cu;mNN*NNRR;mR S_@b_ёTNN*NNRR;mRe/f&T&{TNSz6eOS[vvsQBl If non-resident taxpayer engaged in personal services for the purpose of maintenance, do the amount of income and the time of personal services meet the relevant requirements stipulated in the applicable tax treaty ?6 6@  7Question 21,  Information of income gained by the non-resident taxpayer in the period of study or internship : If the non-resident taxpayer gains grants, scholarships or awards granted by the government or scientific, educational, cultural institutions or other tax exempt organizations, please answer the item 2 of the question. Besides the name of the issuers, please also mention the name of the grants, scholarships or awards if there is any. If non-resident taxpayer engaged in personal services for the purpose of maintenance, please judge whether the amount of income gained from and the time spent on the personal services meet the relevant requirements stipulated in the applicable tax treaty. 7(Applicable to Tax Treaty Benefits under the Article of Dependent Personal Services, Artistes and Sportsmen, Pensions, Government Service, Teachers and Researchers or Students, or Treaty Benefits under International Transport Agreement) 7% V.The non-resident taxpayer shall provide accurate and complete information to answer the questions contained in the form. Please write  N/A in the form if a situation described in a question is not applicable for a non-resident taxpayer. For a multiple-choice question, please mark  " in a corresponding box ( % ) or circle ( % ) for a choice that fits a non-resident taxpayer s situation. If a non-resident taxpayer s situation falls into the description of a question marked with  * , answers shall be provided; otherwise, it can be skipped.  : ; K L  7BIV.  Information for Use by Withholding Agent in Part III of the form is used by a withholding agent to decide if a non< -resident taxpayer is eligible for tax treaty or international transport agreement benefits in withholding at source; the rest is for the tax authority to gather information for administrative purposes. 7r 10.5 勥bl/f&T1u:Nz6eOS[~[eE\lvǖ;N(W-NVv8^:ggbV[W0Wb8^:gg/fc^E\lONb*NN(W-NVۏLhQbR%NvV[%N:W@b0V[W0W/fcNNrz*NNRR;mRvNXTNNvQNR;mRvV[:W@b0Wp 0    7%Question 14,  Is the income in respect of services rendered in connection with a public institution established by the government or a political subdivision or a local authority of the other Contracting State? :  A public institution established by the government or a political subdivision or a local authority of the other Contracting State refers to a business carried on by the government or a political subdivision or a local authority of the other Contracting State, such as state-owned highway, post offices, state-owned theaters and so on. 7 21.1u^E\l~zN*NN~{W[bRvpSz v^kXQXfeg06 7Type of income: Please select the appropriate type of income based on the facts. In Part III of the form, only relevant queations of selected income type need to be answered by the non-resident taxpayer. 7  et^N Time (year)< 7 8 6^E\l~zNvLN Occupation of the non-resident taxpayer 6  7 7^E\l~zNNNv;mR^\NN NTy`Q Type of activities exercised by the non-resident taxpayer 1 %?e^eSNAmR Cultural exchange program agreed upon by the governments of both Contracting States feSNAmR Ty Please indicate the name of the cultural exchange program 2 %?e^SONAmR Sports exchange program agreed upon by the governments of both Contracting States fSONAmR Ty Please indicate the name of the sports exchange program 3 %vQN Others 6 V6W X6c 6 6 6& 6 6 6  7B 8^E\l~zN(W-NV_U\;mRv?e^DR`Q Information of government supporting on the activities exercised by the non-resident taxpayer in China 1 % 1u~[e?e^bvQ0WeS_@\Dёb[NvlQqQWёDR fDR Ty Substantially supported by the Contracting State or other local authorities thereof, or public funds establised by them. Please indicate the name of the sponsor 2 % 1u-NV?e^DёblQqQDёDR fDR Ty Substantially supported by Government of China, or its public funds Please indicate the name of the sponsor 3 %vQN Other cases 6 ] 6 6 6 z6{ |6~ 6   /60 165  7$ 9Oё/eNN Ty Name of pension payer6  7 10Oё/f&T9hnc~[e>yOO6R^blQqQOi6R^/eN Are the pensions made by the other Contracting State under its social security system or public welfare plan?6  7d 11^E\l~zN(W-NVE\OObRE\OOe Actual or estimated residence period in China of the non-resident taxpayer6  7 12^E\l~zN/f&TT~[e?e^bvQL?e:Sb0WeS_@\cO gR S_勥bl Is the remuneration in respect of services rendered to the government or political subdivision or a local authority of the other Contracting State?6(  7i 13^E\l~zNS_@b_/f&T:NOё Shall the income received by the non-resident taxpayer be regarded as a pension?6  73 *15Y^E\l~zNNSvz6eOS[ gyrkĉ[N^E\l~zNNSyrk'`ag>k _l_agev^f^E\l~zN&{TNSag>k_GvN[`Q0 If there are special rules in the applicable tax treaty and the non-resident taxpayer indeed need to claim for treaty treatment under such rules, please quote the contents of such rules and describe the relevant supporting facts.6J  77 16^E\l~zN/f&TV[eeSNAmyvbR(W-NV\PYu Does the non-resident taxpayer stay in China under an official programme or plan of cultural exchange? 6  7: 17^E\l~zN(W-NVcOYef[0xvz gR:gg`Q Information of the institution where the non-resident taxpayer renders services of teaching or research 6  7O 18^E\l~zN(W-NV]\O`Q Working information of the non-resident taxpayer in China 6  7 19^E\l~zN/f&TN1uNcSYe0WbSyr+Rvb/g~vvv\PYu(W-NV Is the non-resident taxpayer present in China for the purpose of receiving education, training or access to special technical experience? 6*  7] 20^E\l~zN(W-NVf[`Nb[`N`Q Study or internship information of the non-resident taxpayer in China6  7z 21^E\l~zN(Wf[`Nb[`NgS_@b_`Q Information of income gained by the non-resident taxpayer in the period of study or internship6  7s 22_~zNNSVEЏOS[vvsQl_age Pl< ease quote relevant provisions of the applicable international transport agreement< 7Y 23{f~zNSNSvsQVEЏOS[ag>kvN[`Q Please briefly describe the relevant supporting facts < 7X 24^E\l~zNя Nt^/f&T gegnN-NVXQvQN0W:Sv T{|@b_ Has the non-resident taxpayer received any income of the same type sourced in other regions within China over the past three years?<! 7 *25^E\l~zNя Nt^/f&T1\egnN-NVXQvQN0W:Sv T{|@b_NSǏz6eOS[_G Has the non-resident taxpayer claimed tax treaty benefits for the income of the same type sourced in other regions within China over the past three years?<+ 7 *26f^E\l~zNя Nt^1\egnN-NVXQvQN0W:Sv T{|@b_NSz6eOS[_Gv`Q Please indicate the details of any tax treaty benefits claimed by the non-resident taxpayer for the same type of income sourced in other regions within China over the past three years.<- 7 27^E\l~zNL bcOvYfvQ&{TNSOS[_GvvQNDenUS List of other documents provided by the non-resident taxpayer on a voluntary basis to justify entitlement to treaty benefits<% 7] 13.15Y^E\l~zNNSvz6eOS[-N gNyr[;NSOS_vblMQzvĉ[ N^E\lNSyrkĉ[ (W,gv-N_vsQOS[age v^f^E\l~zN&{TNSag>k_GvN[`Q0 (? 7} N0,gh(uNS_egnNbVv@b_ NSbV~{rvMQS͑_zOS[+TN/noMQS͑_z[c -Nv^rz*NNRRSǖ@b_ 0ozNXTTЏRXT0Oё0?e^ gR0Ye^TxvzNXT0f[uag>kvz6eOS[_G bVEЏOS[_Gv*NN@b_z^E\l~zN0Q?i 74 NS^rz*NNRR0ozNXTTЏRXT0Oё0?e^ gR0Ye^TxvzNXT0f[uag>k bVEЏOS[(u 9;(9 7) 2 ^E\l~zN(W-NVf[`Nb[`Nv_Ye Starting date     7A ^E\l~zN(W-NVf[`Nb[`Nv~_gb~_ge Ending date or estimated ending date  7. ~_gbR~_g(W-NVE\OOe Ending or estimated ending date  Tax refund N ^E\l~zNW,gOo`Name of the applicable tax treaty or international transport agreement: Please fill in the full name of the applicable tax treaty or international transport agreement. Question 23,  Please briefly describe the relevant supporting facts : Please fill in the relevant facts supporting the claims for treatment under international transport agreement, for example, whether the taxpayer is a national of the other Contracting State (Region).Tax identification number of withholding agent: The withholding agent should provide its identification number as shown in the tax registration certificate.}Name of withholding agent: The withholding agent should provide its full name as shown in its tax registration certificate. # 1.cb4INRN Ty1ucb4INRNkXQzR{v@b}cb4INRNvhQy0. (I) Basic Information of Withholding Agent , (IV) Information for Use by Tax Authority   V List of Documents Attached  (VI) Additional Notes(VII) Declaration$ Withholding declaration 7. 2.cb4INRN~zNƋ+RS1ucb4INRNkXQcb4INRNzR{v Nlfv ~zNƋ+RS 0% &, - 7J N0,gh,{NR1ucb4INRNkXQ Y^E\l~zNL3ub~zRekXQ0,ghvQYOR1u^E\l~zNkXQ0^E\l~zNkXb,gheS9hncXRDu0  0^E\l~zNNSz6eOS[_G`QbJTh*NN@b_zDh 0878 kXhf9 N cb4INRNW,gOo`  N cb4INRNO(uOo` 7 V zR:gsQ{tO(uOo` N DbDenUS@ 19.^E\l~zNSL bcOYf^E\l~zN&{TNSOS[_GvvQNDe0Y^E\l~zNcOvQNDe (WnUS NhQRf0 mQ YlJ 20.SkXQ^E\l~zN:N;N{zR:gsQN㉄vvQN gRNf^E\l~zN&{TNSOS[_GagNvOo`0Y^E\l~zN gyrk`Q _N(WYl-Nlf0 N Xf5 kXheg t^ g e Filling date: Y M D << <  < 7 '^USMOCQNl^ Currency unit: RMB<  0z < 74 N0cb4INRNW,gOo` `!.Basic Information of Withholding Agent9 ! cb4INRN Ty Name of withholding agent6 : cb4INRN~zNƋ+RS Tax identification number of withholding agent6  7\ ^E\l~zNNSz6eOS[bVEЏOS[ Ty Name of the applicable tax treaty or international transport agreement< @b_{|W Type of Income<6  N0cb4INRNO(uOo` b!.Information for Use by Withholding Agent;  7 (N)NS^rz*NNRRSǖ@b_ ag>k_G (`!) Claiming Tax Treaty Benefits under the Article of Dependent Personal Services (Income from Employment)9 9 9  7  %/f Yes %&T No6 6  0R-NVeg Arrival date in China6 y_-NVeg Departure date from China6  \PYu)Ype Days present in China6  7^ (N)NSozNXTTЏRXTag>k_G (a!)Claiming Tax Treaty Benefits under the Article of Artistes and Sportsmen 9 9 9  7q ( N)NSOёag>k_G (b!)Claiming Tax Treaty Benefits under the Article of Pensions 9 9 9  7 _Y(W-NVE\OOe Starting date6 d (V)NS?e^ gRag>k_G (c!)Claiming Tax Treaty Benefits under the Article of Government Services 9 9 9  7 %ZSir Museums 6 , %vQNeS:gg Other type of cultural institutions 6   %/f Yes %&T No< < : 2 ^E\l~zNX(uT T_Yeg Starting date of the employment contract6 6 5 ^E\l~zNX(uT T~bkeg Ending date of the employment contract6 G mQ NSf[u< ag>k e! Claiming Tax Treaty Benefits under the Article of Students9  7T N NSVEЏOS[_G f! Claiming Treaty Benefits under an International Transport Agreement;  7 ;N{zR:gsQ In-charge tax authority< @b_ё Amount of income6  1 << 7 2 << 7 3 << 7 4 << 7 5 << 7% N0DbDenUS d!.List of Documents Attached;  1 << 2 << 3 << 4 << 5 << cNe Submission date< 7 mQ0Yl VI. Additional Notes9  N0Xf f!.Declaration; ( cb4INRNlQz Seal of the withholding agent: <  7" Nt3ub-NN:gglQz Seal of the tax agent:< ; ;N{zR:gsQStN(uz Dedicated seal of the in-charge tax authority:<  7# ~RN Signature of the case handler:< 7 StN Received by:< V[zR;`@\v6R< 7iReporting Form for Non-resident Taxpayer Claiming Tax Treaty Benefits (Form D for Individual Income Tax) 7 DN 10 Appendix 109  7^E\l~zNNSz6eOS[_G`QbJTh*NN@b_zDh  7$ NS^rz*NNRR0ozNXTTЏRXT0Oё0?e^ gR0 Ye^TxvzNXT0f[uag>k bVEЏOS[_G(u (Applicable to Tax Treaty Benefits under the Article of Dependent Personal Services, Artistes and Sportsmen, Pensions, Government Service, Teachers and Researchers or Students, or Treaty Benefits under International Transport Agreement);8  7  %L3ub <  7! Self-declaration  7  0cb43ub < 79 N0^E\l~zNW,gOo` a!.Basic Information of Non-resident Taxpayer;  71 ^E\l~zN-Ne Ty Chinese name of non-resident taxpayer  7I ^E\l~zN(WE\lV0W:S Y T Name of non-resident taxpayer in resident state (region)< 7# ^E\l~zNNN{|W Type of ID certificate  7% ^E\l~zNNNSx Number of ID certificate<  78  % ^rz*NNRR Dependent personal services <<  7%  % ozNXTTЏRXT Artistes and sportsmen<<  7%  % Oё Pensions<< 7,  % ?e^ gR Government service<< 7&  % Ye^TxvzNXT Teachers and researchers<< 7(  % f[u Students<< 71  % VEЏ International transport<< 7Y  %/f kXQN]wQwQSO{|W Yes. Please indicate the specific type of the traffic vehicle %&T No6 6 T6V  7V 1 NNlQSt^^(W-NVXQ[E\PYue Actual presence period in China in the last calendar year6 6  7j 2 ,gt^^(W-NVXQ[E\PYueb\PYue Actual or estimated presence period in China in the current calendar year6 6  7Y 3 NNlQSt^^(W-NVXQ\PYue Estimated presence period in China in the next calendar year6 6  7.  *NAmR Ty Name of the exchange program6  7"  *DR Ty Name of the sponsor6  7]  % /f f@b gR:gg Ty Yes. Please indicate the name of the government institution % &T No6 6 6 W6X Y6Z  7>  *^E\l~zN@b gRv?e^:gg Ty Name of the government institution6  7O  %/f VT{ NN Yes. Please answer the next question. %&T No6 6 J6L  7  *Oё/f&T/f1u~VNe?e^0L?e:S00WeS_@\/eNvbNvQ^zvWё-N/eNv Is the pension paid by, or out of funds created by, the government or a political subdivision or a local authority of the other Contracting State?6/  7 c:yYg~zN9hnc-NVvz6el_ĉ[]b:N-NVvE\l~zN N N/fN1uNcOy?e^ gR b:N-NVz6eE\lv HN~zNvdkyё0]DTvQ[{|k_G (d!)Claiming Tax Treaty Benefits under the Article of Teachers and Researchers 9 9 9  7R  %/f fyvbR Ty Yes. Please indicate the name of the programme or plan. %&T No<<M<O 7T  *[eeSNAmyvbR Ty Name of the official programme or plan of cultural exchange6  7 1 ^E\l~zN(W-NVcOYef[0xvz gRv:gg^\N NTy`Q Please indicate the ty< pe of the institution where the non-resident taxpayer renders services of teaching or research.6 6!  77 2 ^E\l~zNcOYef[0xvz gR:gg Ty Name of the institution 6 6  7 1 ^E\l~zN/f&TN-NVXQYebxvz:gg gX(usQ| Is there any employment relationship between the non-resident taxpayer and the educational or research institution in China?<< 7 3 ^E\l~zNVcOdkyYef[0xvz gR,{N!k0R-NVveg The first arrival date of the non-resident taxpayer for the sake of rendering services of teaching or research in China6 6  7 4 ^E\l~zN(WX(uUSMO;NNNv;mRv{|W Type of activity carried out by the non-resident taxpayer in the institution %Yef[ Teaching %^ Giving Lectures %xvz Research %ĉR0TbL?e{t;mR Planning, consulting or administrative activities %vQN Others 6 6 w6z 6 6 6 6  7 *5 Yg^E\l~zNNNxvz;mR xvz;mR/f&T/f gRNlQqQ)Rv N/f;N:NNg*NNbgNNvyN)Rv _U\ If the non-resident taxpayer carries out research activities, is the research undertaken in the public interest instead of primarily for the private benefit of a specific person or persons?6 6;  7 1 ^E\l~zNS_@b_^\NN NTy`QY Please indicate type(s) of the income gained by the non-resident taxpayer (maybe more than one answer)6 6  7 % ?e^byf[0Ye0eS:ggbvQNMQz~~~NvRf[ё0VYf[ёbVYё Grants, scholarships or awards granted by the government or scientific, educational, cultural institutions or other tax exempt organizations6 6#  7 % :N~cu;m0cSYe0f[`N0xvzbWvvv N-NVXYS_v>ky The income gained outside China for the purpose of maintenance, study, research, education or training 6 6#  7 % vQN Others6 6  7Z *2 Yg^E\l~zNS_?e^byf[0Ye0eS:ggbvQNMQz~~~NvRf[ё0VYf[ёbVYё f NRf[ё0VYf[ёbVYёvS>e Ty If the non-resident taxpayer gains grants, scholarships or awards granted by the government or scientific, educational, cultural institutions or other tax exempt organizations, please indicate the name of the issuers of the first-mentioned grants, scholarships or awards.6 6F  76 V0zR:gsQ{tO(uOo` c!. Information for Use by Tax Authorities9  7V kXheg t^ g e Date of filing: Y M D<<<$<& 7X 3ubeg t^ g e Date of filing: Y M D0<<<$<&W< 7V Steg t^ g e Date of case acceptance: Y M D<<!<"(<* 7II. This form can be used for self-declaration or withholding declaration, as well as for the non-resident taxpayer s application for tax refund. The non-resident taxpayer initiating the self-declaration for claiming tax treaty or international transport agreement benefits, or applying for tax refund, shall complete two copies of the form: one form is to be submitted to the in-charge tax authority at the time of such declaration or application, and the other form is to be kept by the non-resident taxpayer. Where the non-resident taxpayer s China sourced income is subject to withholding tax, administered at source or by means of a designated withholding agent, and the non-resident taxpayer is entitled to tax treaty or international transport agreement benefits, the latter shall complete three copies of the form: one is to be given to the withholding agent to submit to the in-charge tax authority at the time of the withholding declaration, one is to be kept by the withholding agent and another is to be kept by the non-resident taxpayer.  7-III.Part I of the form shall be filled in by the withholding agent, and will not be required in the case of self-declaration. The rest of the form shall be filled in by the non-resident taxpayer. When filling in the form, the non-resident taxpayer can attach separate sheets to the form if necessary. 7J V0,gh,{ NR cb4INRNO(uOo` (uN(Wnlcb4`Q N cb4INRN8h[^E\l~zN/f&T&{TNSOS[_GagNvQNR(uNzR:gsQǑƖ{tOo`0      7 N0^E\l~zN^Y[[tekXQ,gh@bR0Y^E\l~zNl g@bR`Q (WhVII. Instructions on how to fill in each item are as follows:  72 (II) Basic Information of Non-resident Taxpayer 7 Name of non-resident taxpayer in resident state (region): Fill in the full English name of the non-resident taxpayer as shown in his/her ID document, such as the full English < name on the passport.  7Type of ID certificate: Fill in the name of the valid certificate that can identify the sole identity of the non-resident taxpayer, such as a passport. 7zNumber of ID certificate: Fill in the number of the ID document of the non-resident taxpayer, such as the passport number. 71  (III) Information for Use by Withholding Agent  7U 17.23 {f~zNSNSvsQVEЏOS[ag>kvN[`Q(Wdkh-NkXQ~zN&{TNSvsQVEЏOS[vwQSON[0OY~zN/f&T/f~[eV[0W:S vVlI{0  7 18.24 ^E\l~zNя Nt^/f&T gegnN-NVXQvQN0W:Sv T{|@b_Yg^E\l~zNя Nt^(W-NVvQN0W:SS_ T{|@b_ S N TzR;N{:gsQ{t ^ b /f v^kXQ250260(W26-NRf^E\l~zNя Nt^egnN-NVXQvQN0W:Sv@b g T{|@b_NSz6eOS[_G`Q SSDfDe0 M NO PV XY [` b 7Question 1: The remuneration derived in respect of an employment refers to salaries, wages and other similar remuneration derived by the non-resident taxpayer in respect of an employment. 7Question 5,  Is the remuneration borne by a permanent establishment or a fixed base which the employer of the other Contracting State has in China? :  Permanent establishment refers to a fixed place in China through which the business of non-resident enterprises or individuals is wholly or partly carried on;  Fixed base refers to a fixed place through which an independent personal service of non-resident individuals is carried on. 7Question 6,  Occupation of the non-resident taxpayer : Please indicate the specific type of occupation, such as actors/actresses, models, football players, cameramen, film producers and so on. 7CQuestion 15: If there are special rules on tax exemption for remunerations derived from specific government institutions in the applicable tax treaty and the non-resident taxpayer indeed need to claim for treaty treatment under such rules, please quote the contents of such rules and describe the relevant supporting facts. 7Question 18,  Working information of the non-resident taxpayer in China : Only if it is the case that the non-resident taxpayer does research in China, please answer the item 5 of this question. There is no need to answer this item in other cases. 7Question 22,  Please quote relevant provisions of the applicable international transport agreement : Please specify the name of the law, the number of the relevant clauses, and specific provisions. 7Question 24,  Has the non-resident taxpayer received any income of the same type sourced in other regions within China over the past three years? : If the non-resident taxpayer has any income of the same type sourced in other regions within China over the past three years, and this is under the jurisdiction of a different in-charge tax authority,  Yes shall be selected, and Question 25 and 26 shall be answered. Please specify all tax treaty or international transport agreement benefits claimed by the non-resident taxpayer for any income of the same type sourced in other regions within China over the past three years in Question 26. Supporting materials can be attached separately. 7Non-resident taxpayer can provide, on a voluntary basis, other materials to justify the non-resident taxpayer s entitlement to the tax treaty or international transport agreement benefits. When providing such materials, please identify all of them on the list.  7`Non-resident taxpayer can provide other information that the non-resident taxpayer believes should be considered by the in-charge tax authority and may be beneficial to justify the non-resident taxpayer s entitlement to the tax treaty or international transport agreement benefits. Please specify the special situations in the additional notes, if any. 7The declaration shall be signed or sealed by non-resident taxpayer personally, and the date of the statement shall be provided. 7> 16.22 _~zNNSVEЏOS[vvsQl_ageQfl_age@b^\l_lĉ TyTag>k^S v^_vsQl_age0  7: 14.18 ^E\l~zN(W-NV]\O`Q:5 Yg^E\l~zN(W-NVNNxvz;mR VT{dk vQN`QekXQ0        7c 12.14 @b_/f&TV^E\l~zNT~[e?e^bvQ0WeS_@\>NRvNNcO gR S_~[e?e^bvQ0WeS_@\>NRvNN c?e^b0WeS_@\NNvN%N gsQvNN YV glQ0@\0V ggRbI{0    74 11.6 ^E\l~zNvLNf^E\l~zN/foXT0!jyr0tЏRXT0Ddq_^b6RGrNI{wQSOLN0    7] 9.2 ^E\l~zNNNSǖ;mRvVEЏN]wQvwQSO{|WYg^E\l~zN/f(W~[eON~%vVEЏN]wQ NSǖ fwQSON]\O{|W/fޘ:g0960fblQfI{0    7+ 8.1NNSǖ;mRS_vbl c^E\l~zNVSǖS_vё0]DTvQN{|kv@b_ Is the remuneration derived in respect of an employment, but not covered by the articles of directors' fees, artistes and sportsmen, pensions, teachers and researchers, and students?6F  7 4勥bl/f&T1u:Nz6eOS[~[eE\lvǖ;N/eNbNhǖ;N/eN Is the remuneration paid by, or on behalf of, an employer who is a resident of the other Contracting State?6"  7  *^E\l~zNNNSǖ;mRvVEЏN]wQvwQSO{|W Please specify the type of vehicle of international traffic in which the non-resident taxpayer carries out employment activities6  7 kQ0-NVzR:gsQ\[^E\l~zNcNvOo`DeO[0 7VIII. Any information and materials provided by the non-resident taxpayer will be kept confidential by China s tax authorities. 7 N0,ghS(uNL3ubbcb43ub _NS(uN^E\l~zN3uz0^E\l~zNL3ubNSOS[_Gb3uzv ^kXQ,ghN_$NN NN(W3ubNSOS[_Gb3uzeN;N{zR:gsQ NN1u^E\l~zNYuX[[^E\l~zNegnN-NVv@b_[enlcb4v ^E\l~zNYNSz6eOS[_G ^kXQ,ghN_ NN NNN1ucb4INRN(Wcb43ubeN;N{zR:gsQ NN1ucb4INRNYuX[Yg NN1u^E\l~zNYuX[0  78 7.@b_{|W9hnc^E\l~zNS_[E@b_{|W b0,gh,{ NR ^E\l~zNNkXQN b@b_{|WvsQvv0 7 15.21 ^E\l~zN(Wf[`Nb[`NgS_@b_`QYg^E\l~zNS_?e^byf[0Ye0eS:ggbvQNMQz~~~NvRf[ё0VYf[ёbVYё VT{2 dfRf[ё0VYf[ёbVYёvS>e TyY Y勩Rf[ё0VYf[ёbVYё gwQSO Ty _N TekXQ勩Rf[ё0VYf[ёbVYёv Ty0Yg^E\l~zN(W-NV:N~cu;mNN*NNRR;mR ^E\l~zN8h[S_@b_ёTNN*NNRR;mRe/f&T&{Tz6eOS[vvsQBl0   O P  7>+ 9i4L\fofNw {~X~6xp -k\` ho پ#@ 7cc  ,&.6q>E}KQR  dMbP?_*+%2$1<FO[h ,{ &P u qQ &N u&x@?F@ T  U  V !"# $$ %T% %U% %V%&'( ) ) )S) * * *S* +W+ ,, -- .. // 00 1X1 22 3 3 3S3 44 5~Y 5 5~/ 5 6Z6 7 7 77 88 9 9 99 : : :S: ; ; ;S; << == >> ? ? ??DzlH"H66""""""""6"8"6"666"""@@AV@BV@C@D@E`@F@G@Hs@I&@J @K@L@M@N@Of@P@Q@RU@S@T@U@V@W@X@Y @Z@[@\" @]" @^@_G@ @@ AA BB C C C C D[ D D\ D EE F F F]F G G H H H]H I^ I I_ I JJ KK L L L]L M`M N! 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