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H-1B QUESTIONNAIRE for Employee

Please type your answers into the right column

BIOGRAPHICAL DATA REGARDING EMPLOYEE
First Name
Middle Name
Last Name (Surname)
Foreign address (Present Address in India or where they want to go for stamping)
Present U.S. address (if in USA):
Home telephone number:
Work telephone number:
Email address:
Date of birth (MM/DD/YY):
City and Country of birth:
Social security number (if any):
Alien registration number (if any):
The U.S. consulate (city and country) you would apply for your visa:
Passport number: Date of Issue and expiration date (MM/DD/YY):
If you are currently in the U.S. please provide your I-94 number and date of expiration (MM/DD/YY)
______
Also specify your first date of entry to the USA if you have entered on an H-1B visa OR the day you changed to an H-1B status if you were already in the USA. / Passport Number :
Date of Issue:
Date of Expiry:
Have you been refused/denied a non-immigrant visa. If yes, please provide a reason for denial
Have you ever filed an application for an immigrant visa/permanent residency status: (this includes family or employment based petitions)
Do you have/had a visa to the USA? If yes, provide details by filling the table given below:
All prior periods of stay in the last seven years (list dates): (if applicable)
Date Entered U.S. (MM/DD/YY) / Date Departed U.S. (MM/DD/YY) / Non-Immigrant Status (example: H1 / L1 / B1 / F1
Do you have dependents (Spouse/children under 21) for whom you want to apply for an extension/change of status along with you: If yes, state their name, relation, current status

Check List – please mail the following documents along with the completed questionnaire to us:

·  Completed Questionnaire

·  Copy of academic Degrees / diplomas and Mark sheets / transcript.

·  Copy of foreign education evaluation (for degrees earned outside USA), if available.

·  Copy of offer letters (Previous employment), letters of recommendation, training certificates, awards etc. (if available)

·  Joining Letter / Contract from Current US employee

·  Detailed and updated resume.

·  Copy of current I-94 card, front and back (if applicable)

·  Copy of all pages of passport (ID page and U.S. visas)

·  Copy of all previously issued INS Approval Notices (I-797 Notice of Action) (if applicable)

·  Copy of all I-20s, front and back (if previously in F-1 status), and EAD (Employment Authorization Document)

·  Copy of pay-stubs for the past 2 months

·  Copy of Social Security Card (if applicable)

·  License to practice the profession

·  Memberships in professional associations

·  Articles by or about applicant

If applying for dependents

·  Relevant passport pages for all accompanying dependants

·  Marriage certificate

Birth certificates for dependant children

4882 Mayde Ct, Fairfax, VA 22030. Phone: 571-235-4705. Email: ,

Fax: 703-997-8857.