Incoming Overseas Scholars Application Form for Invitation Letter of Duly Authorized
Unit (Available in Tsinghua University)
Given Nationality
Surname
Name (as in passport)
Plan to apply visa in a the
Embassy of El. China in USA
( country ) / Consulate General of China in
Date of Birth (yyyy-mm-dd) January 20, 1953
New York (city)/
Office of the Commissioner of MFA of
in (HK SAR/Macao SAR)
Passport No. Gender Male
Current
Southern Trust Corporation Title President
Employer/Institution
Residential Address in
Current Occupation Banker
China
Highest Academic Degree Academic Field
From 2016-10-05 to 2016-10-15,
Arrival and Departure Date
single/two/multiple entry(ies), stay for 10 days at most each time
Have you ever bought any healthy & accident insurance for your visit in China?
Insurance
Yes
Name Sex Nationality Passport No. Date of Birth
Accompanying Person(s)
Emergency Contact Person
301 East 661h St, NY, NY 10065,
(Tel/Address/Email, etc.)
EFTA00315764