December 15, 2003（填开证明日期）

Embassy of the United States of America

Attn：Visa Section

This is to certify that Mr./Ms. is of Second Xiangya Hospital of Central South University（单位名称）, he/she has been working in our foryears. We grant him/her with a trip to the United States, he is scheduled to depart on , with the duration of days.

During visit, all international air fare, hotel accommodation, local transportation and daily meals etc. will be borne by

We guarantee that will obey the local laws and return to China immediately after his/her trip. He will not work or apply for residence in the United States. We would appreciated your help if you could grant the visa.

NAME SEX DATE OF BIRTH PASSPORT NO. ANNUAL INCOME Yuan Chongwen M 26 APR 1965 G07629759 ￥50,000

Your Faithfully

主管签字

公司盖章

Tang Zengnan

President

Tel:0731-553352

The Second Xiangya Hospital of Central South University

证明信

兹证明***(姓名)为我公司职员，现任**(职务)，年收入为公司批准其于赴美国旅游，为期天。

本公司声明：

1、担保其会遵守当地法律法规；

2、担保其如期归国，不会滞留不归；

3、在其出国期间本公司将保留其职务；

4、其本人将承担其此次赴美的全部费用。.

董事长：

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公司盖章 电话： 传真： 年 月 日