Incoming Overseas Scholars Application Form for Invitation Letter of Duly Authorized Unit (Available in Tsinghua University) Surname Nationality (as in passport) Given Name Date of Birth (yyyy-mm-dd) Plan to apply visa in at the Embassy of [J China in USA (country )_/ Consulate General of i. China in New York (city)/ Office of the Commissioner of MFA of EE January 20, 1953 in (HK SAR/Macao SAR) Passport No. | Gender Male Current Southern Trust Corporation Title President Employer/ Institution Residential Address in China Current Occupation | Banker Highest Academic Degree Academic Field Arrival and Departure Date From 2016-10-05 to 2016-10-15, single/two/multiple entry(ies), stay for __10 days at most each time Insurance Have you ever bought any healthy & accident insurance for your visit in China? Yes Accompanying Person(s) Name | Sex Nationality Passport No. Date of Birth Emergency Contact Person (Tel/Address/Email, etc.) EE 301 ast 66" St, NY, NY 10065, EFTA00315764