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efta-efta00315764DOJ Data Set 9Other

Incoming Overseas Scholars Application Form for Invitation Letter of Duly Authorized

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DOJ Data Set 9
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efta-efta00315764
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
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

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