BIOGRAPHIC DATA FOR APPLICATION OF H1B, EXTENSION, TRANSFER
The following information is needed to prepare any paperwork that may be filed on your behalf. This sheet must be filled in its entirety and returned for both the principal applicant and any dependents applying for either H1B status or H4. If an H4 petition is to be filed, an I-539 form must be filled out with the dependants information (not the primary applicant) I-539 forms can be located at
Applicant’s Personal Information:
I. Sponsored employee’s personal information:
First Name:Middle Name: Last Name:
Social Security #: A #:Date of birth:
City/ State/ Country of Birth______
Passport #: Issue Date: Expiration Date:
Home Telephone #: Work Telephone #:
Your E-mail ID for correspondence: ______
Date of First arrival to U.S on H1B status: ______
Date of lastArrival to U.S: (attach I-94 card) I-94#______I-94 date of expiration ______
Current non-immigrant status: ______Date Status Expires ______EAD # if any ______
U.S. address:
Street addressCityStateZip Code
Please indicate nearest U.S consulate: (New Delhi, Chennai, Hyderabad, Mumbai, Kolkata) ______
Foreign address:
Street addressCityStateCountry
Please list all Entry and Exit Dates while in the US in either H status or L status during the last 6 years:
Period of Stay:
In United States from______departed United States on ______
In United States from______departed United States on ______
In United States from______departed United States on ______
In United States from______departed United States on ______
In United States from______departed United States on ______
In United States from______departed United States on ______
II. Employment information:
Job Title:
Client Work Location:
Street addressCityStateZip Code
III. Document checklist:
All degrees beyond secondary school
All corresponding transcripts for each degree received beyond secondary school
All training/continuing education certificates
Copy of current, valid passport with visa(s) and corresponding I-94 card(s)
Current resume/curriculum vitae
Credential evaluation if previously performed
Copies of current paycheck stubs (no more than 30 days old)
Copies of current/prior approval notices
IV. Family dependents’ personal information:
a. Do you have a spouse?Yes No (If NO, go to section IV. b.)
______
Last nameFirstMiddle initial Date of birth Country of birth
Foreign Address:
Street addressCityStateCountryZip codeFrom (mo./yr.)To (mo./yr.)
Social Security #: A #:
Date of spouse’s last arrival into the U.S.: (attach I-94 card)
Checklist:
Copy of spouse’s current, valid passport with visa(s) and corresponding I-94 card(s)
Copy of marriage certificate
Copies of current/prior approval notices
b. Do you have Children?Yes No
Child 1:
Last nameFirstMiddle initial Date of birth Country of birth
Social Security #: A #:
Date of child’s last arrival into the U.S.: (attach I-94 card)
Child 2:
Last nameFirstMiddle initial Date of birth Country of birth
Social Security #: A #:
Date of child’s last arrival into the U.S.: (attach I-94 card)
Child 3:
Last nameFirstMiddle initial Date of birth Country of birth
Social Security #: A #:
Date of child’s last arrival into the U.S.: (attach I-94 card)
Checklist:
Copy of children’s current, valid passports with visa(s) and corresponding I-94 card(s)
____ Copy of Marriage Certificate if applicable, children’s birth certificate