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