Date:
To Whom It May Concern:
I,
Name: ________________________________________________________________________
Date of Birth: __________________________ Country of Citizenship: _____________________
Passport Number: ________________________________ Visa Status: _____________________
School Name: ___________________________________ Degree: ________________________
Field of Study: __________________________________________________________________
Date of Initial Entry to U.S.: _______________________________________________________
I am living at (address): __________________________________________________________
In the city of: ________________________________ In the State of: ______________________
I would like to invite my ________________________________________________________________
Name: ________________________________________________________________________
Date of Birth: __________________________ Country of Citizenship: _____________________
Occupation: ____________________________________________________________________
Living at (address): ______________________________________________________________
In the city of: ________________________________ In the Country of: ___________________
Reason and date for Visit: _______________________________________________________________
______________________________________________________________________________
_____________________________________
Student’s Signature
_______________________________