Download:
pdf |
pdfOMB No. 1615-0009; Expires 07/31/2010
DRAFT - Not For Production
I-129, Petition for a
Nonimmigrant Worker
Department of Homeland Security
U.S. Citizenship and Immigration Services
START HERE - Type or print in black ink.
Part 1. Petitioner Information
Receipt
(If the employer is an individual, complete Number 1; Organizations complete
Number 2.) Use the mailing address of the petitioner.
1. Legal Name of Employer:
a. Last Name (Family Name)
b. First Name (Given Name)
c. Full Middle Name
2. Company or Organization:
Name of Company or Organization
3. Mailing Address:
a. C/O: (In Care Of, if any)
Class:
c. Suite/Apt. Number
b. Street Number and Name
# of Workers:
Job Code:
Validity Dates:
d. City
e. State/Province
From:
To:
f. Country
h. Telephone Number (include area code)
(Do not leave spaces or type any
special characters)
g. Zip/Postal Code
i. E-Mail Address
Classification Approved
Consulate/POE/PFI Notified
At
Extension Granted
COS/Extension Granted
Partial Approval (explain)
Action Block
j. Federal Employer Identification
Number
k. Individual Tax Number
l. Social Security Number
Form I-129 (Rev. 08/17/10)N
DRAFT - Not For Production
Part 2. Information About This Petition (See instructions for fee information.)
1. Requested Nonimmigrant Classification. (Write classification symbol):
2. Basis for Classification (Check one):
a. New employment.
b. Continuation of previously approved employment without change with the same employer.
c. Change in previously approved employment.
d. New concurrent employment.
e. Change of employer.
f. Amended petition.
3. Provide the most recent petition/application receipt number for the beneficiary. If none exists, indicate "N/A."
4. Requested Action (Check one):
a. Notify the office in Part 4 so each beneficiary can obtain a visa or be admitted. (NOTE: A petition is not required for an
E-1, E-2, H-1B1 Chile/Singapore, or TN visa.)
b. Change each beneficiary's status and extend their stay since he, she, or they are all now in the U.S. in another status (see
instructions for limitations). This is available only where you check "New Employment" in Item 2, above.
c. Extend the stay of each beneficiary since he, she, or they now hold this status.
d. Amend the stay of each beneficiary since he, she, or they now hold this status.
e. Extend the status of a nonimmigrant classification based on a Free Trade Agreement. (See Free Trade Supplement for TN
and H1B1 to Form I-129.)
f. Change status to a nonimmigrant classification based on a Free Trade Agreement. (See Free Trade Supplement for TN and
H1B1 to Form I-129.)
5. Total number of workers in petition (See instructions relating to when more than one worker can be included.):
Form I-129 (Rev. 08/17/10)N Page 2
DRAFT - Not For Production
Part 3. Beneficiary Information: Information about the beneficiary/beneficiaries you are filing for. Complete the
blocks below. Use the continuation sheet to name each beneficiary included in this petition.
1. If an Entertainment Group, Give the Group Name
a. Family Name (Last Name)
c. Full Middle Name
b. Given Name (First Name)
d. All Other Names Used (include aliases, maiden name and names from all previous marriages)
i. Country of Birth
h. A-Number (if any)
g. U.S. Social Security Number (if any)
e. Date of Birth (mm/dd/yyyy) f. Gender
Male
Female
k. Country of Citizenship
j. Province of Birth
2. If in the United States, complete the following:
a. Date of Last Arrival
(mm/dd/yyyy)
b. I-94 Number (Arrival/Departure Document)
c. Current Nonimmigrant Status
d. Date Status Expires
(mm/dd/yyyy) or D/S
e. Student & Exchange Visitor Information
System (SEVIS) Number (if any)
f. Employment Authorization Document
(EAD) Number (if any)
h. Date Passport Issued
(mm/dd/yyyy)
g. Passport Number
i. Date Passport Expires
(mm/dd/yyyy)
j. Current U.S. Address (if applicable)
Part 4. Processing Information
1. If the beneficiary or beneficiaries named in Part 3 is/are outside the United States or a requested extension of stay or change of
status cannot be granted, state the U.S. consulate or inspection facility you want notified if this petition is approved.
a. Type of Office (Check one):
b. Office Address (City)
Consulate
Pre-flight inspection
Port of Entry
c. U.S. State or Foreign Country
d. Beneficiary's Foreign Address
Form I-129 (Rev. 08/17/10)N Page 3
DRAFT - Not For Production
Part 4. Processing Information (Continued)
2.
Does each person in this petition have a valid passport?
Not required to have passport
Yes
No - Go to Page 7, Part 9 and write your explanation
3.
Are you filing any other petitions with this one?
No
Yes - How many?
4.
Are applications for replacement/initial I-94s being filed with this petition?
No
Yes - How many?
5.
Are applications by dependents being filed with this petition?
No
Yes - How many?
6.
Is any beneficiary in this petition in removal proceedings?
No
Yes - explain on Page 7, Part 9
7.
Have you ever filed an immigrant petition for any beneficiary in this
petition?
No
Yes - explain on Page 7, Part 9
8.
If you indicated you were filing a new petition in Part 2 within the past 7 years, has any beneficiary in this petition:
a. Ever been given the classification you are now requesting?
No
Yes - explain on Page 7, Part 9
b. Ever been denied the classification you are now requesting?
No
Yes - explain on Page 7, Part 9
Have you ever previously filed a petition for this beneficiary?
No
Yes - explain on Page 7, Part 9
10. If you are filing for an entertainment group, has any beneficiary in this
petition not been with the group for at least 1 year?
No
Yes - explain on Page 7, Part 9
11a. Has any beneficiary in this petition ever been a J-1 exchange visitor or
J-2 dependent of a J-1 exchange visitor?
No
Yes
9.
11b. If yes to 11a, provide the dates the beneficiary maintained status as a J-1 exchange visitor or J-2 dependent. Also, provide
evidence of this status by attaching a copy of either a DS-2019, Certificate of Eligibility for Exchange Visitor status, a Form
IAP-66, or a copy of the passport that includes the J visa stamp.
Part 5. Basic Information About the Proposed Employment and Employer (Attach the supplement relating to
the classification you are requesting.)
2. LCA or ETA Case Number
1. Job Title
3. Address where the beneficiary(es) will work if different from address in Part 1. (Street number and name, city/town, state, zip
code)
4. Is an itinerary included with the petition?
No
Yes
5. Will the beneficiary work off-site?
No
Yes
Form I-129 (Rev. 08/17/10)N Page 4
DRAFT - Not For Production
Part 5. Basic Information About the Proposed Employment and Employer (Attach the supplement relating to
the classification you are requesting.)
(Continued)
6. Will the beneficiary(ies) work exclusively in the CNMI?
Yes
8. Wages per week or per year:
7. Is this a full-time position?
No
No
Yes If "No," Hours per week:
9. Other Compensation (Explain)
10. Dates of intended employment (mm/dd/yyyy):
From:
To:
11. Type of Business
12. Year Established
13. Current Number of Employees in the U.S.
14. Gross Annual Income
15. Net Annual Income
Part 6. Certification Regarding the Release of Controlled Technology or Technical Data to Foreign
Persons in the United States
(For H-1B, H-1B1 Chile/Singapore, L-1, and O-1A petitions only. This section of the form is not required for all other classifications.
See Page 3 of the Instructions before completing this section.)
Check Box 1 or Box 2 as appropriate:
With respect to the technology or technical data the petitioner will release or otherwise provide access to the beneficiary, the
petitioner certifies that it has reviewed the Export Administration Regulations (EAR) and the International Traffic in Arms
Regulations (ITAR) and has determined that:
1. A license is not required from either U.S. Department of Commerce or the U.S. Department of State to release such
technology or technical data to the foreign person; or
2. A license is required from the U.S. Department of Commerce and/or the U.S. Department of State to release such
technology or technical data to the beneficiary and the petitioner will prevent access to the controlled technology or
technical data by the beneficiary until and unless the petitioner has received the required license or other authorization to
release it to the beneficiary.
Form I-129 (Rev. 08/17/10)N Page 5
DRAFT - Not For Production
Part 7. Signature Read the information on penalties in the instructions before completing this section.
I certify, under penalty of perjury that this petition and the evidence submitted with it are true and correct to the best of my
knowledge. I authorize the release of any information from my records, or from the petitioning organization's records that U.S.
Citizenship and Immigration Services needs to determine eligibility for the benefit being sought. I recognize the authority of USCIS to
conduct audits of this petition using publicly available open source information. I also recognize that supporting evidence submitted
may be verified by USCIS through any means determined appropriate by USCIS, including but not limited to, on-site compliance
reviews.
If filing this petition on behalf of an organization, I certify that I am authorized to do so by the organization.
Signature
Daytime Phone Number (Area/Country Code)
Print Name
Date (mm/dd/yyyy)
NOTE: If you do not completely fill out this form and the required supplement, or fail to submit required documents listed in the
instructions, the person(s) filed for may not be found eligible for the requested benefit and this petition may be denied.
Part 8. Signature of Person Preparing Form, If Other Than Above
I declare that I prepared this petition at the request of the above person and I certify that it is true and correct to the best of my
knowledge.
Signature
Daytime Phone Number (Area/Country Code)
Print Name
Date (mm/dd/yyyy)
Firm Name and Address
Form I-129 (Rev. 08/17/10)N Page 6
DRAFT - Not For Production
Part 9. Explanation Page
Signature
Date (mm/dd/yyyy)
Print Name
Form I-129 (Rev. 08/17/10)N Page 7
OMB No. 1615-0009; Expires 07/31/2010
DRAFT - Not For Production
E-1/E-2 Classification
Supplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
1. Name of the petitioner:
2. Name of the beneficiary:
3. Classification sought (Check one):
4. Name of country signatory to treaty with U.S.:
E-1 Treaty Trader
E-2 Treaty Investor
E-2 CNMI Treaty Investor
Section 1.
Information About the Employer Outside the United States (if any)
Employer's Name
Total Number of Employees
Employer's Address (Street number and name, city/town, state/province, zip/postal code)
Principal Product, Merchandise or Service
Section 2.
Employee's Position - Title, duties and number of years employed
Additional Information About the U.S. Employer
1. The U.S. company is to the company outside the United States (Check one):
Parent
Branch
Subsidiary
Affiliate
Joint Venture
2. Date and Place of Incorporation or Establishment in the United States
3. Nationality of Ownership (Individual or Corporate)
Name (First/Middle/Last)
4. Assets
Nationality
5. Net Worth
Immigration Status
% Ownership
6. Total Annual Income
Form I-129 Supplement E (Rev. 08/17/10)N Page 8
DRAFT - Not For Production
Section 2.
Additional Information About the U.S. Employer (Continued)
7. Staff in the United States
a. How many executive and/or managerial employees does the petitioner have who are nationals of the treaty country
in either E or L nonimmigrant status?
b. How many persons with special qualifications does the petitioner employ who are in either E or L nonimmigrant
status?
c. Provide the total number of employees in executive or managerial positions in the United States.
d. Provide the total number of specialized qualifications or knowledge persons positions in the United States.
8. Total number of employees the beneficiary would supervise; or describe the nature of the specialized qualifications which are
essential to the successful or efficient operation of the treaty enterprise.
Section 3.
Complete If Filing for an E-1 Treaty Trader
1. Total Annual Gross Trade/Business
of the U.S. company
Section 4.
2. For Year Ending
(yyyy)
3. Percent of total gross trade between the United States and the
country of which the treaty trader organization is a national.
Complete If Filing for an E-2 Treaty Investor
Total Investment:
Cash
Equipment
Other
Inventory
Premises
Total
Form I-129 Supplement E (Rev. 08/17/10)N Page 9
OMB No.1615-0009; Expires 07/31/2010
DRAFT - Not For Production
Trade AgreementSupplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
1. Name of the petitioner:
2. Name of the beneficiary:
3. Employer is a (Check one):
4. If Foreign Employer, name the foreign country.
U.S. Employer
Foreign Employer
Section 1. Information About Requested Extension or Change (See instructions attached to this form.)
1. This is a request for Free Trade status based on (Check one):
a. Free Trade, Canada (TN1)
d. Free Trade, Singapore (H-1B1)
b. Free Trade, Mexico (TN2)
e. Free Trade, Other
c. Free Trade, Chile (H-1B1)
f. A sixth consecutive request for Free Trade, Chile
or Singapore (H-1B1)
Part 2. Signature Read the information on penalties in the instructions before completing this section.
I certify, under penalty of perjury under the laws of the United States of America, that this petition and the evidence submitted with it
is all true and correct. If filing this on behalf of an organization, I certify that I am empowered to do so by that organization. If this
petition is to extend a prior petition, I certify that the proposed employment is under the same terms and conditions as stated in the
prior approved petition. I authorize the release of any information from my records, or from the petitioning organization's records, that
U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought.
Signature
Daytime Phone Number (Area/Country Code)
Print Name
Date (mm/dd/yyyy)
NOTE: If you do not completely fill out this form and the required supplement, or fail to submit required documents listed in the
instructions, the person(s) filed for may not be found eligible for the requested benefit and this petition may be denied.
Part 3. Signature of Person Preparing Form, If Other Than Above
I declare that I prepared this petition at the request of the above person and it is based on all information of which I have any
knowledge.
Signature
Daytime Phone Number (Area/Country Code)
Print Name
Date (mm/dd/yyyy)
Firm Name and Address
Form I-129 Supplement FT (Rev. 08/17/10)N Page 10
DRAFT - Not For Production
OMB No.1615-0009; Expires 07/31/2010
H Classification
Supplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
1. Name of the petitioner:
2. Name of the beneficiary or if this petition includes multiple
beneficiaries, the total number of beneficiaries:
3. List each beneficiary's prior periods of stay in H or L classification in the United States for the last 6 years (beneficiaries
requesting H-2A or H-2B classification need only list the last 3 years). Be sure to only list those periods in which each beneficiary
was actually in the United States in an H or L classification. Do not include periods in which the beneficiary was in a dependent
status, for example, H-4 or L-2 status.
NOTE: Submit photocopies of Forms I-94, I-797, and/or other USCIS issued documents noting these periods of stay in the H or L
classification. If more space is needed, attach an additional sheet.
Subject's Name
From
Period of Stay (mm/dd/yyyy)
To
4. Classification sought (Check one):
a. H-1B Specialty Occupation
e. H-2A Agricultural worker
b. H-1B2 Exceptional services relating to a cooperative
f. H-2B Non-agricultural worker
research and development project administered by the
U.S. Department of Defense (DOD)
c. H-1B3 Fashion model of national or international acclaim
g. H-3 Trainee
h. H-3 Special education exchange visitor program
d. H-1C Registered Nurse
5. Are you filing this petition on behalf of an alien subject to the
Guam-CNMI cap exemption under Public Law 110-229?
No
Yes
Section 1. Complete This Section If Filing for H-1B Classification
1. Describe the proposed duties
2. Beneficiary's present occupation and summary of prior work experience
Form I-129 Supplement H (Rev. 08/17/10)N Page 11
DRAFT - Not For Production
Section 1. Complete This Section If Filing for H-1B Classification (Continued)
Statement for H-1B specialty occupations only:
By filing this petition, I agree to, and will abide by, the terms of the labor condition application (LCA) for the duration of the
beneficiary's authorized period of stay for H-1B employment. I certify that I will maintain a valid employer-employee relationship
with the beneficiary at all times. If the beneficiary is assigned to a position in a new location I will obtain and post an LCA for that site
prior to reassignment.
I further understand that I cannot charge the beneficiary the ACWIA fee, and that any other required reimbursement will be considered
an offset against wages and benefits paid relative to the LCA.
Petitioner's Signature
Date (mm/dd/yyyy)
Print or Type Name
Statement for H-1B specialty occupations and U.S. Department of Defense projects:
As an authorized official of the employer, I certify that the employer will be liable for the reasonable costs of return transportation of
the alien abroad if the beneficiary is dismissed from employment by the employer before the end of the period of authorized stay.
Signature of Authorized Official of Employer
Date (mm/dd/yyyy)
Print or Type Name
Statement for H-1B U.S. Department of Defense projects only:
I certify that the beneficiary will be working on a cooperative research and development project or a co-production project under a
reciprocal government-to-government agreement administered by the U.S. Department of Defense.
DOD Project Manager's Signature
Date (mm/dd/yyyy)
Print or Type Name
Section 2. Complete This Section If Filing For H-1C Classification
I certify under penalty of perjury, under the laws of the United States of America, that this attachment and the evidence submitted with
it is true and correct. If filing this petition on behalf of an organization or entity, I certify that I am empowered to do so by that
organization or entity. I authorize the release of any information from my records, or from the petitioning organization or entity's
records, that U.S. Citizenship and Immigration Services may need to determine eligibility for the benefit being sought.
Signature
Print or Type Name
Title
Date (mm/dd/yyyy)
Firm Name and Address
Form I-129 Supplement H (Rev. 08/17/10)N Page 12
DRAFT - Not For Production
Section 3. Complete This Section If Filing for H-2A or H-2B Classification
1. Employment is: (Check one)
2. Temporary need is: (Check one)
a. Seasonal
c. Intermittent
a. Unpredictable
b. PeakLoad
d. One-time occurrence
b. Periodic
c. Recurrent annually
3. Explain your temporary need for the beneficiary or beneficiaries' services (Attach a separate sheet if additional space is needed.)
4. List the country(ies) of citizenship of the H-2A/H-2B worker(s) you plan to hire.
Name of country(ies):
5. If the H-2A or H-2B workers you plan to hire are not from a country that has been designated as a participating country in
accordance with 8 CFR 214.2(h)(5)(i)(F)(1) or 214.2(h)(6)(i)(E)(1), you must provide all the information requested below. See
www.uscis.gov Web site for the list of participating countries. (Attach a separate sheet if additional space is needed.)
Family Name (Last Name):
Given Name (First Name):
Full Middle Name:
Date of Birth (mm/dd/yyyy)
All Other Names Used:
Country of Birth:
Country of Citizenship:
Form I-129 Supplement H (Rev. 08/17/10)N Page 13
DRAFT - Not For Production
Section 3. Complete This Section If Filing for H-2A or H-2B Classification (Continued)
6a. Have any of the workers listed in Number 5 above ever been admitted to the United States
previously in H-2A/H-2B status ?
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
Visa Classification (H-2A or H-2B):
b. If you answered question 6a "Yes," did they comply with the terms of their status?
If you answered question 6b "Yes," attach evidence of the workers' compliance.
c. If the H-2A or H-2B worker(s) you plan to hire are from a country not on the list of eligible
countries, and you want the petition to be considered for approval, you must also provide
evidence that: (1) a worker with the required skills is not available from a country on the list
of eligible countries; (2) there is no potential for abuse, fraud, or other harm to the integrity
of the H-2A/H-2B visa program through the potential admission of these worker(s) that you
plan to hire; and (3) there are other factors that would serve the U.S. interest (if any).
7.
Did you or do you plan to use a staffing, recruiting, or similar placement service or agent to
locate the H-2A/H-2B workers that you intend to hire by filing this petition?
If "Yes," list the name and address of service used.
Name:
Address:
8a. Did any of the H-2A/H-2B workers that you have located or plan to hire pay you, the above
service, or any service or agent, any form of compensation as a condition of the employment or
do they have an agreement to pay you or the service at a later date? (Do not include reasonable
travel expenses, government visa fees, or other reasonable fees for which the worker is
responsible.) See 8 CFR 214.2(h)(5)(xi)(A) or 214.2(h)(6)(i)(B).
b. If the workers paid a fee, have they been reimbursed for such fees or compensation, or if the
workers had an agreement to pay a fee that has not been paid, has that agreement been
terminated before being paid by the workers?
(Attach evidence of termination or reimbursement to this petition.)
9a. Have you ever had an H-2A/H-2B petition denied or revoked because an employee paid a job
placement fee or other similar compensation as a condition of the job offer?
If "Yes,"
When?
Receipt Number:
b. Was the worker reimbursed for such fees and compensation?
(Attach evidence of reimbursement.) If you answered "No" because of a failure to locate the
worker, attach evidence of the efforts to locate the worker.
10. If you are an H-2A petitioner, are you a participant in the E-Verify program?
If "Yes," E-Verify Company ID or Client Company ID:
Form I-129 Supplement H (Rev. 08/17/10)N Page 14
DRAFT - Not For Production
The H-2A/H-2B petitioner and each employer consent to allow Government access to the site where the labor is being performed for
the purpose of determining compliance with H-2A/H-2B requirements. The petitioner further agrees to notify DHS beginning on a
date and in a manner specified in a notice published in the Federal Register within 2 workdays if: an H-2A/H-2B worker fails to report
for work within 5 workdays after the employment start date stated on the petition or, applicable to H-2A petitioners only, within 5
workdays of the start date established by the petitioner, whichever is later; the agricultural labor or services for which H-2A/H-2B
workers were hired is completed more than 30 days early; or the H-2A/H-2B worker absconds from the worksite or is terminated prior
to the completion of agricultural labor or services for which he or she was hired. The petitioner agrees to retain evidence of such
notification and make it available for inspection by DHS officers for a 1-year period. "Workday" means the period between the time
on any particular day when such employee commences his or her principal activity and the time on that day at which he or she ceases
such principal activity or activities.
For H-2A petitioners only: The petitioner agrees to pay $10 in liquidated damages for each instance where it cannot demonstrate it is
in compliance with the notification requirement.
The petitioner must execute Part A. If the petitioner is the employer's agent, the employer must execute Part B. If there are joint
employers, they must each execute Part C.
Part A. Petitioner:
By filing this petition, I agree to the conditions of H-2A/H-2B employment and agree to the notification requirements. For H-2A
petitioners: I also agree to the liquidated damages requirements defined in 8 CFR 214.2(h)(5)(vi)(B)(3).
Petitioner's Signature
Print or Type Name
Date (mm/dd/yyyy)
Part B. Employer who is not the petitioner:
I certify that I have authorized the party filing this petition to act as my agent in this regard. I assume full responsibility for all
representations made by this agent on my behalf and agree to the conditions of H-2A/H-2B eligibility.
Employer's Signature
Print or Type Name
Date (mm/dd/yyyy)
Part C. Joint Employers:
I agree to the conditions of H-2A eligibility.
Joint Employer's Signature(s)
Print or Type Name
Date (mm/dd/yyyy)
Joint Employer's Signature(s)
Print or Type Name
Date (mm/dd/yyyy)
Joint Employer's Signature(s)
Print or Type Name
Date (mm/dd/yyyy)
Joint Employer's Signature(s)
Print or Type Name
Date (mm/dd/yyyy)
Form I-129 Supplement H (Rev. 08/17/10)N Page 15
DRAFT - Not For Production
Section 4. Complete This Section If Filing for H-3 Classification
1. If you answer "yes" to any of the following questions, attach a full explanation.
a. Is the training you intend to provide, or similar training, available in the beneficiary's country?
No
Yes
b. Will the training benefit the beneficiary in pursuing a career abroad?
No
Yes
No
Yes
d. Does the beneficiary already have skills related to the training?
No
Yes
e. Is this training an effort to overcome a labor shortage?
No
Yes
f. Do you intend to employ the beneficiary abroad at the end of this training?
No
Yes
c. Does the training involve productive employment incidental to training? If yes, explain the
amount of compensation the beneficiary will receive and what percentage of time he or she will
spend in employment versus the classroom on Page 7, Part 9.
2. If you do not intend to employ the beneficiary abroad at the end of this training, explain why you wish to incur the cost of
providing this training and your expected return from this training.
Form I-129 Supplement H (Rev. 08/17/10)N Page 16
OMB No.1615-0009; Expires 07/31/2010
DRAFT - Not For Production
H-1B Data Collection and
Filing Fee Exemption Supplement
Department of Homeland Security
U.S. Citizenship and Immigration Services
1. Name of the petitioner:
Part A.
2. Name of the beneficiary:
General Information
1. Employer Information - (check all items that apply)
a. Is the petitioner an H-1B dependent employer?
No
Yes
b. Has the petitioner ever been found to be a willful violator?
No
Yes
c. Is the beneficiary an H-1B nonimmigrant exempt from the Dept. of Labor attestation requirements?
No
Yes
1. If yes, is it because the beneficiary's annual rate of pay is equal to at least $60,000?
No
Yes
2. Or is it because the beneficiary has a master's or higher degree in a specialty related to the employment?
No
Yes
No
Yes
No
Yes
No
Yes
d. Has the petitioner received TARP funding (provide explanation on Page 7, Part 9 if the petitioner has
subsequently repaid all TARP funding)?
e. Does the petitioner employ 50 or more individuals in the U.S.?
If yes, are more than 50% of those employees in H-1B or L nonimmigrant status?
2. Beneficiary's Highest Level of Education (Check one box below)
a. NO DIPLOMA
f. Bachelor's degree (for example: BA, AB, BS)
b. HIGH SCHOOL GRADUATE DIPLOMA
or the equivalent (example: GED)
g. Master's degree (for example: MA, MS, MEng, MEd,
MSW, MBA)
c. Some college credit, but less than 1 year
d. One or more years of college, no degree
h. Professional degree (for example: MD, DDS, DVM,
LLB, JD)
e. Associate's degree (for example: AA, AS)
i. Doctorate degree (for example: PhD, EdD)
3. Major/Primary Field of Study
4. Rate of Pay Per Year
Part B.
5. DOT Code
6. NAICS Code
Fee Exemption Determination
In order for USCIS to determine if you must pay the additional $1,500 or $750 American Competitiveness and Workforce
Improvement Act (ACWIA) fee, answer all of the following questions:
1. Are you an institution of higher education as defined in section 101(a) of the Higher Education Act of
No
Yes
1965, 20 U.S.C. 1001(a)?
No
Yes
2. Are you a nonprofit organization or entity related to or affiliated with an institution of higher education,
as defined in section 101(a) of the Higher Education Act of 1965, 20 U.S.C. 1001(a)?
No
Yes
3. Are you a nonprofit research organization or a governmental research organization, as defined in 8 CFR
214.2(h)(19)(iii)(C)?
No
Yes
4. Is this the second or subsequent request for an extension of stay that this petitioner has filed for this alien?
No
Yes
5. Is this an amended petition that does not contain any request for extensions of stay?
Form I-129 H-1B Data Collection Supplement (Rev. 08/17/10)N Page 17
DRAFT - Not For Production
Part B.
Fee Exemption and/or Determination (Continued)
No
Yes
6. Are you filing this petition to correct a USCIS error?
No
Yes
7. Is the petitioner a primary or secondary education institution?
No
Yes
8. Is the petitioner a nonprofit entity that engages in an established curriculum-related clinical training of
students registered at such an institution?
If you answered "Yes" to any of the questions above, you are only required to submit the fee for your H-1B
Form I-129 petition. If you answered "No" to all questions, answer Question 9.
Yes
No
9. Do you currently employ a total of 25 or fewer full-time equivalent employees in the United States,
including all affiliates or subsidiaries of this company/organization?
If you answered "Yes," to Question 9 above, you are required to pay an additional ACWIA fee of $750.
If you answered "No," then you are required to pay an additional ACWIA fee of $1,500.
NOTE: On or after March 8, 2005, a U.S. employer seeking initial approval of H-1B nonimmigrant status for a beneficiary, or
seeking approval to employ an H-1B nonimmigrant currently working for another U.S. employer, must submit an additional $500
fee. This additional $500 Fraud Prevention and Detection fee was mandated by the provisions of the H-1B Visa Reform Act of 2004.
There is no exemption from this fee. You must include payment of this $500 fee with your submission of this form. Failure to
submit the fee when required will result in rejection or denial of your submission. This $500 fee must be paid by separate check or
money order.
For petitions postmarked on or after August 14, 2010, through September 30, 2014, an additional fee of $2,000 must be submitted if
you responded “yes” to both questions in 1e of Part A of this supplement. This $2,000 fee was mandated by the provisions of Public
Law 111-230 and should be submitted by separate check or money order.
The Fraud Prevention and Detection Fee and the Public Law 111-230 fee do not apply to H-1B1 petitions. These fees, when
applicable, may not be waived. You must include payment of the fee(s) with your submission of this form. Failure to submit the fee
(s) when required will result in rejection or denial of your submission. Each of these fee(s) should be paid by separate check(s) or
money order(s).
Part C.
Numerical Limitation Information
1. Specify how this petition should be counted against the H-1B numerical limitation (a.k.a. the H-1B "Cap"). (Check one):
a. CAP H-1B Bachelor's Degree
c. CAP H-1B1 Chile/Singapore
b. CAP H-1B U.S. Master's Degree or Higher
d. CAP Exempt
2. If you answered question 1b "CAP H-1B U.S. Master's Degree or Higher," provide the following information regarding the
master's or higher degree the beneficiary has earned from a U.S. institution as defined in 20 U.S.C. 1001(a):
a. Name of the U.S. institution of higher education
b. Date Degree Awarded
c. Type of U.S. Degree
d. Address of the U.S. institution of higher education
3. If you answered question 1d "CAP Exempt," you must specify the reason(s) this petition is exempt from the numerical limitation
for H-1B classification:
a. The petitioner is an institution of higher education as defined in section 101(a) of the Higher Education Act, of 1965,
20 U.S.C. 1001(a).
Form I-129 H-1B Data Collection Supplement (Rev. 08/17/10)N Page 18
DRAFT - Not For Production
Part C.
Numerical Limitation Exemption Information (Continued)
b. The petitioner is a nonprofit entity related to or affiliated with an institution of higher education as defined in section 101(a)
of the Higher Education Act of 1965, 20 U.S.C. 1001(a).
c. The petitioner is a nonprofit research organization or a governmental research organization as defined in
8 CFR 214.2(h)(19)(iii)(C).
d. The petitioner will employ the beneficiary to perform job duties at a qualifying institution (see a - c above) that
directly and predominately furthers the normal, primary, or essential purpose, mission, objectives, or function of the
qualifying institution, namely higher education or nonprofit or government research.
e. The petitioner is requesting an amendment to or extension of stay for the beneficiary's current H-1B classification.
f. The beneficiary of this petition is a J-1 nonimmigrant physician who has received a waiver based on section 214(1)(1)(B) or
(C) of the Act (commonly called a Conrad Medical Waiver).
g. The beneficiary of this petition: (1) was previously granted status as an H-1B nonimmigrant in the past 6 years, (2) is
applying from abroad to reclaim the remaining portion of the six years, or (3) is seeking a 7th year extension based upon
AC21 and the beneficiary's previous H-1B petitioner/employer was not a CAP exempt organization as defined above in a.,
b., and c.
h. The petitioner is an employer subject to the Guam-CNMI cap exemption pursuant to Public Law 110-229.
i. The petitioner is requesting a change of employer and the beneficiary previously worked as an H-1B for an employer
subject to Guam-CNMI cap exemption pursuant to Public Law 110-229.
Part D. Off-Site Assignment of H-1B Beneficiaries
No
Yes
a. The beneficiary of this petition will be assigned to work at an off-site location for all or part of the period for
which H-1B classification sought.
No
Yes
b. Placement of the beneficiary off-site during the period of employment will comply with the statutory and
regulatory requirements of the H-1B nonimmigrant classification.
No
Yes
c. The beneficiary will be paid the higher of the prevailing or actual wage at any and all off-site locations.
Form I-129 H-1B Data Collection Supplement (Rev. 08/17/10)N Page 19
OMB No.1615-0009; Expires 07/31/2010
DRAFT - Not For Production
L Classification
Supplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
1. Name of the petitioner:
2. Name of the beneficiary:
3. This petition is (Check one):
a. An individual petition
b. A blanket petition
4a. Does the petitioner employ 50 or more individuals in the U.S.?
b. If yes, are more than 50% of those employees in H-1B or L nonimmigrant status?
Section 1.
No
Yes
No
Yes
Complete This Section If Filing For An Individual Petition
1. Classification sought (Check one):
a. L-1A manager or executive
b. L-1B specialized knowledge
2. List the beneficiary's and any dependent family member's prior periods of stay in an H or L classification in the United States for
the last 7 years. Be sure to list only those periods in which the beneficiary and/or family members were physically present in the
U.S. in an H or L classification. NOTE: Submit photocopies of Forms I-94, I-797 and/or other USCIS issued documents noting
these periods of stay in the H or L classification. If more space is needed, attach an additional sheet(s).
Subject's Name
From
Period of Stay (mm/dd/yyyy)
To
3. Name of employer abroad
4. Address of employer abroad (Street number and name)
Street Number and Name
City/Town
Country
Zip/Postal Code
State/Province
5. Dates of beneficiary's employment with this employer. Explain any interruptions in employment.
Dates of Employment (mm/dd/yyyy)
From
To
Explanation of Interruptions
Form I-129 Supplement L (Rev. 08/17/10)N Page 20
DRAFT - Not For Production
Section 1.
Complete This Section If Filing For An Individual Petition (Continued)
6. Description of the beneficiary's duties abroad for the 3 years preceding the filing of the petition. (If the beneficiary is currently
employed by the petitioner, describe the beneficiary's duties abroad for the 3 years preceding the beneficiary's admission to the
U.S.)
7. Description of the beneficiary's proposed duties in the United States.
8. Summary of the beneficiary's education and work experience.
Form I-129 Supplement L (Rev. 08/17/10)N Page 21
DRAFT - Not For Production
Section 1.
Complete This Section If Filing For An Individual Petition (Continued)
9. The U.S. company is to the company abroad: (Check one)
a. Parent
b. Branch
c. Subsidiary
e. Joint Venture
d. Affiliate
10. Describe the stock ownership and managerial control of each company that has a qualifying relationship. Provide the Federal
Employer Identification Number for each U.S. company that has a qualifying relationship.
Company stock ownership and managerial control of each company that has a
qualifying relationship
Federal Employer Identification
Number for each U.S. company
that has a qualifying relationship
11. Do the companies currently have the same qualifying relationship as they did during the one-year period of the alien's employment
with the company abroad?
No (Attach explanation)
Yes
12. Is the beneficiary coming to the United States to open a new office?
No (Attach explanation)
Yes (Attach explanation)
13. If you are seeking L-1B specialized knowledge status for an individual, answer the following question:
a. Will the beneficiary be stationed primarily offsite (at the worksite of an employer other than the petitioner or its affiliate,
subsidiary, or parent)?
No
Yes
If you answered "Yes" to the preceding question, describe how and by whom the beneficiary's work will be controlled and
supervised. Include a description of the amount of time each supervisor is expected to control and supervise the work. Use an
attachment if needed.
If you answered "Yes" to the preceding question, also describe the reasons why placement at another worksite outside the
petitioner, subsidiary or parent is needed. Include a description of how the beneficiary's duties at another worksite relate to the
need for the specialized knowledge he or she possesses. Use an attachment if needed.
Form I-129 Supplement L (Rev. 08/17/10)N Page 22
DRAFT - Not For Production
Section 2.
Complete This Section If Filing A Blanket Petition
List all U.S. and foreign parent, branches, subsidiaries and affiliates included in this petition. (Attach a separate sheet(s) of paper if
additional space is needed.)
Name and Address
Section 3.
Relationship
Additional Fees
NOTE: On or after March 8, 2005, a U.S. employer seeking initial approval of L nonimmigrant status for a beneficiary, or seeking
approval to employ an L nonimmigrant currently working for another U.S. employer, must submit an additional $500 fee. This
additional $500 Fraud Prevention and Detection fee was mandated by the provisions of the H-1B Visa Reform Act of 2004.
For petitions postmarked on or after August 14, 2010, through September 30, 2014, an additional fee of $2,250 must be submitted if
you responded “yes” to both questions 4a and 4b at the top of this supplement. This $2,250 fee was mandated by the provisions of
Public Law 111-230 and must be submitted by separate check or money order.
These fees, when applicable, may not be waived. You must include payment of the applicable fee(s) with your submission of this
form. Failure to submit the fee(s), when required, will result in rejection or denial of your submission. Each of these fee(s), if
applicable, must be paid by separate check(s) or money order(s).
Form I-129 Supplement L (Rev. 08/17/10)N Page 23
DRAFT - Not For Production
OMB No.1615-0009; Expires 07/31/2010
O and P Classifications
Supplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
Section 1.
Complete This Section if Filing for O or P Classification
1. Name of the petitioner:
2. Name of the beneficiary or total number of workers you are
filing for:
3. Classification sought (Check one):
a. O-1A Alien of extraordinary ability in sciences, education, business or athletics (not including the arts, motion picture or
television industry.)
b. O-1B Alien of extraordinary ability in the arts or extraordinary achievement in the motion picture or television industry.
c. O-2 Accompanying alien who is coming to the U.S. to assist in the performance of the O-1.
d. P-1 Major League Sports
e. P-1 Athletic/Entertainment Group (includes minor league sports)
f. P-1S Essential Support Personnel for P-1
g. P-2 Artist or entertainer for reciprocal exchange program
h. P-2S Essential Support Personnel for P-2
i. P-3 Artist/Entertainer coming to the United States to perform, teach or coach under a program that is culturally unique
j. P-3S Essential Support Personnel for P-3
4. Explain the nature of the event
5. Describe the duties to be performed
6. If filing for an O-2 or P support classification, list dates of the beneficiary's prior work experience under the principal O-1 or P alien
7. Does an appropriate labor organization exist for the petition?
No - explain on Page 7, Part 9
Yes
8. Is the required consultation or written advisory opinion being
submitted with this petition?
No - Copy of request attached
Yes - Attached
N/A
If not, give the following information about the organization(s) to which you have sent a duplicate of this petition.
O-1 Extraordinary Ability
Name of Recognized Peer Group
Daytime Telephone # (Area/Country Code)
Complete Address
Date Sent (mm/dd/yyyy)
Form I-129 Supplement O/P (Rev. 08/17/10)N Page 24
DRAFT - Not For Production
Section 1.
Complete This Section if Filing for O or P Classification
O-1 Extraordinary achievement in motion pictures or television:
Name of Labor Organization
Daytime Telephone # (Area/Country Code)
Complete Address
Date Sent (mm/dd/yyyy)
Name of Management Organization
Daytime Telephone # (Area/Country Code)
Complete Address
Date sent (mm/dd/yyyy)
O-2 or P alien:
Name of Labor Organization
Daytime Telephone # (Area/Country Code)
Complete Address
Date Sent (mm/dd/yyyy)
Section 2.
Statement by the Petitioner
I certify that I, the petitioner, and the employer whose offer of employment formed the basis of status (if different from the petitioner)
will be jointly and severally liable for the reasonable costs of return transportation of the beneficiary abroad if the beneficiary is
dismissed from employment by the employer before the end of the period of authorized stay.
Petitioner's Signature
Date (mm/dd/yyyy)
Print or Type Name
Form I-129 Supplement O/P (Rev. 08/17/10)N Page 25
DRAFT - Not For Production
OMB No.1615-0009; Expires 07/31/2010
Q-1 Classification
Supplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
1. Name of the petitioner:
2. Name of the beneficiary:
Complete if you are filing for a Q-1 international cultural exchange alien
I hereby certify that the participant(s) in the international cultural exchange program:
A. Is at least 18 years of age,
B. Is qualified to perform the service or labor or receive the type of training stated in the petition,
C. Has the ability to communicate effectively about the cultural attributes of his or her country of nationality to the American
public, and
D. Has resided and been physically present outside the United States for the immediate prior year, if he or she was previously
admitted as a Q-1.
I also certify that I will offer the alien(s) the same wages and working conditions comparable to those accorded local domestic
workers similarly employed.
Petitioner's Signature
Date (mm/dd/yyyy)
Print or Type Name
Form I-129 Supplement Q (Rev. 08/17/10)N Page 26
DRAFT - Not For Production
OMB No.1615-0009; Expires 07/31/2010
R-1 Classification
Supplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
2. Name of the beneficiary:
1. Name of the petitioner:
Section 1.
Complete This Section If You Are Filing For An R-1 Religious Worker
Employer Attestation
1. Provide the following information about the petitioner.
a. Number of members of the petitioner
b. Number of employees working at the same location where the beneficiary will be employed
c. Number of aliens holding special immigrant or nonimmigrant religious worker status currently
employed or employed within the past 5 years
d. Number of special immigrant religious worker petition(s) (I-360) and nonimmigrant religious
worker petition(s) (I-129) filed by the petitioner within the past 5 years
2. Has the beneficiary or any of the beneficiary's dependent family members previously been admitted to
the United States for a period of stay in the R visa classification for the last 5 years?
No
Yes
If yes, complete the blanks below. List the beneficiary and any dependent family member’s prior periods of stay in the R visa
classification in the United States for the last 5 years. Be sure to list only those periods in which the beneficiary and/or family
members were actually in the United States in an R classification.
NOTE: Submit photocopies of Forms I-94 (Arrival-Departure Record), I-797 (Notice of Action), and/or other USCIS documents
identifying these periods of stay in the R visa classification(s). If more space is needed, provide the information on additional sheets of
paper.
Alien or Dependent Family Member's Name
Period of Stay (mm/dd/yyyy)
From:
To:
Form I-129 Supplement R (Rev. 08/17/10)N Page 27
DRAFT - Not For Production
Section 1.
Complete This Section If You Are Filing For An R-1 Religious Worker (Continued)
3. Provide a summary of the type of responsibilities of those employees who work at the same location where the beneficiary will be
employed. If additional space is needed, provide the information on additional paper.
Position
Summary of the Type of Responsibilities for That Position
4. Describe the relationship, if any, between the religious organization in the United States and the organization abroad of which the
beneficiary is a member.
Form I-129 Supplement R (Rev. 08/17/10)N Page 28
DRAFT - Not For Production
Section 1.
Complete This Section If You Are Filing For An R-1 Religious Worker (Continued)
5. Provide the following information about the prospective employment:
a. Title of position offered.
b. Detailed description of the beneficiary's proposed daily duties.
c. Description of the beneficiary's qualifications for the position offered.
d. Description of the proposed salaried compensation or non-salaried compensation. If the beneficiary will be self-supporting,
the petitioner must submit documentation establishing that the position the beneficiary will hold is part of an established
program for temporary, uncompensated missionary work, which is part of a broader international program of missionary work
sponsored by the denomination.
e. List of the specific address(es) or location(s) where the beneficiary will be working.
Form I-129 Supplement R (Rev. 08/17/10)N Page 29
DRAFT - Not For Production
Section 1.
Complete This Section If You Are Filing For An R-1 Religious Worker (Continued)
Does the petitioner attest to all of the requirements described in statements 6 through 12 below?
6. The petitioner is a bona fide non-profit religious organization or a bona fide organization that is affiliated with the religious
denomination and is tax-exempt as described in section 501(c)(3) of the Internal Revenue Code of 1986, subsequent amendment,
or equivalent sections of prior enactments of the Internal Revenue Code. If the petitioner is affiliated with the religious
denomination, complete the Religious Denomination Certification included in this supplement.
No
Yes
If "No," provide explanation, if more space is needed attach a separate sheet.
7. The petitioner is willing and able to provide salaried or non-salaried compensation to the beneficiary. If the beneficiary will be
self-supporting, the petitioner must submit documentation establishing that the position the beneficiary will hold is part of an
established program for temporary, uncompensated missionary work, which is part of a broader international program of
missionary work sponsored by the denomination.
No
Yes
If "No," provide explanation, if more space is needed attach a separate sheet.
8. If the beneficiary worked in the United States in an R-1 status during the 2 years immediately before the petition was filed, the
beneficiary received verifiable salaried or non-salaried compensation, or provided uncompensated self-support.
No
Yes
If "No," provide explanation, if more space is needed attach a separate sheet.
9. If the position is not a religious vocation, the beneficiary will not engage in secular employment, and the petitioner will provide
salaried or non-salaried compensation. If the position is a traditionally uncompensated and not a religious vocation, the beneficiary
will not engage in secular employment, and the beneficiary will provide self-support.
No
Yes
If "No," provide explanation, if more space is needed attach a separate sheet.
10. The offered position requires at least 20 hours of work per week. If the offered position at the petitioning organization requires
fewer than 20 hours per week, the compensated service for another religious organization and the compensated service at the
petitioning organization will total 20 hours per week. If the beneficiary will be self-supporting, the petitioner must submit
documentation establishing that the position the beneficiary will hold is part of an established program for temporary,
uncompensated missionary work, which is part of a broader international program of missionary work sponsored by the
denomination.
No
Yes
If "No," provide explanation, if more space is needed attach a separate sheet.
Form I-129 Supplement R (Rev. 08/17/10)N Page 30
DRAFT - Not For Production
Section 1.
Complete This Section If You Are Filing For An R-1 Religious Worker (Continued)
11. The beneficiary has been a member of the petitioner's denomination for at least 2 years immediately before Form I-129 was filed
and is otherwise qualified to perform the duties of the offered position.
No
Yes
If "No," provide explanation, if more space is needed attach a separate sheet.
12. The petitioner will notify USCIS within 14 days if an R-1 alien is working less than the required number of hours or has been
released from or has otherwise terminated employment before the expiration of a period of authorized R-1 stay.
No
Yes
If "No," provide explanation, if more space is needed attach a separate sheet.
I certify under penalty of perjury under the laws of the United States of America that the contents of this attestation and the
evidence submitted with it are true and correct.
Signature
Date (mm/dd/yyyy)
Printed Name
Title
Employer/Organization Name
Employer/Organization Street Address (do not use a post office or private mail box)
City
Daytime Phone Number (with area code)
State
Fax Number (if any)
Suite Number
Zip Code
E-mail Address (if any)
Form I-129 Supplement R (Rev. 08/17/10)N Page 31
DRAFT - Not For Production
Section 2.
This Section Is Required For Petitioners Affiliated with the Religious Denomination
Religious Denomination Certification
I certify under penalty of perjury under the laws of the United States of America that:
Name of Employing Organization
is affiliated with:
Name of Religious Denomination
and that the attesting organization within the religious denomination is tax-exempt as described in section under 501(c)(3) of the
Internal Revenue Code of 1986, subsequent amendment, or equivalent sections of prior enactments of the Internal Revenue Code. The
contents of this certification are true and correct to the best of my knowledge.
Signature
Printed Name
Title
Date (mm/dd/yyyy)
Attesting Organization Name
Attesting Organization Street Address
(do not use a post office or private mail box)
Suite Number
City
State
Zip Code
Daytime Phone Number (with area code)
Fax Number (if any)
E-mail Address (if any)
Form I-129 Supplement R (Rev. 08/17/10)N Page 32
DRAFT - Not For Production
Attachment - 1
Attach to Form I-129 when more than one person is included in the petition. (List each person separately. Do not include the
person you named on the Form I-129.)
Given Name (First Name)
Family Name (Last Name)
Date of Birth
mm/dd/yyyy
Gender
Male
Full Middle Name
U.S. Social Security Nimber (if any)
A-Number (if any)
Female
All Other Names Used (include aliases, maiden name and names from previous Marriages)
Address in the United States Where You Intend to Live (Complete Address)
Foreign Address (Complete Address)
Country of Birth
Country of Citizenship
Date of Arrival (mm/dd/yyyy) I-94 # (Arrival-Departure Document)
IF
IN
THE Student & ExchangeVisitor Information
U.S. System (SEVIS) Number (if any)
Country Where Passport Issued
Current Nonimmigrant Status
Date Status Expires (mm/dd/yyyy)
or D/S
Employment Authorization Document (EAD)
Number (mm/dd/yyyy) (if any)
Passport Number
Date Passport Expires
(mm/dd/yyyy)
Date Started With
Group (mm/dd/yyyy)
Form I-129 Attachment - 1 (Rev. 08/17/10)N Page 33
DRAFT - Not For Production
Attachment - 1
Attach to Form I-129 when more than one person is included in the petition. (List each person separately. Do not include the
person you named on the Form I-129.)
Given Name (First Name)
Family Name (Last Name)
Date of Birth
mm/dd/yyyy
Gender
Male
Full Middle Name
U.S. Social Security Nimber (if any)
A-Number (if any)
Female
All Other Names Used (include aliases, maiden name and names from previous Marriages)
Address in the United States Where You Intend to Live (Complete Address)
Foreign Address (Complete Address)
Country of Birth
Country of Citizenship
Date of Arrival (mm/dd/yyyy) I-94 # (Arrival-Departure Document)
IF
IN
THE Student & ExchangeVisitor Information
U.S. System (SEVIS) Number (if any)
Country Where Passport Issued
Current Nonimmigrant Status
Date Status Expires (mm/dd/yyyy)
or D/S
Employment Authorization Document (EAD)
Number (mm/dd/yyyy) (if any)
Passport Number
Date Passport Expires
(mm/dd/yyyy)
Date Started With
Group (mm/dd/yyyy)
Form I-129 Attachment - 1 (Rev. 08/17/10)N Page 34
DRAFT - Not For Production
Attachment - 1
Attach to Form I-129 when more than one person is included in the petition. (List each person separately. Do not include the
person you named on the Form I-129.)
Given Name (First Name)
Family Name (Last Name)
Date of Birth
mm/dd/yyyy
A-Number (if any)
U.S. Social Security Nimber (if any)
Gender
Male
Full Middle Name
Female
All Other Names Used (include aliases, maiden name and names from previous Marriages)
Address in the United States Where You Intend to Live (Complete Address)
Foreign Address (Complete Address)
Country of Birth
Country of Citizenship
Date of Arrival (mm/dd/yyyy) I-94 # (Arrival-Departure Document)
IF
IN
THE Student & ExchangeVisitor Information
U.S. System (SEVIS) Number (if any)
Country Where Passport Issued
Current Nonimmigrant Status
Date Status Expires (mm/dd/yyyy)
or D/S
Employment Authorization Document (EAD)
Number (mm/dd/yyyy) (if any)
Passport Number
Date Passport Expires
(mm/dd/yyyy)
Date Started With
Group (mm/dd/yyyy)
Form I-129 Attachment - 1 (Rev. 08/17/10)N Page 35
| File Type | application/pdf |
| File Title | Petition for Nonimmigrant Worker |
| Author | USCIS |
| File Modified | 2010-09-01 |
| File Created | 2009-05-22 |