Incoming Overseas Scholars Application Form for Invitation Letter of Duly Authorized Unit (Available in Tsinghua University) Surname Given Name Nationality (as in passport) Date of Birth (yyyy-mm-dd) January 20, 1953 Plan to apply visa in a Embassy of El. ( country ) / Consulate the China in USA General of China in of MFA of SAR) New York (city)/ Office of the Commissioner in (HK SAR/Macao Passport No. Gender Male Current Employer/Institution Southern Trust Corporation Title President 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.) 301 East 661h St, NY, NY 10065, EFTA00315764