H-1B Questionnaire

First Name
Middle Name
Last Name
Gender Male Female
Email
Employer Name (filing the H-1B Petition)
US Home Address:
Address1
Address2
City
State
Zip
Foreign Address:
Address1
Address2
City
State
Zip
Contact Information:
Work Phone
Home Phone
Cell Phone
Fax
Personal Information:
Birth Date (Format MM/DD/YYYY)
City of Birth
Country of Birth
Social Security Number (If Available)
Marital Status Single Married
Current Immigration Status
Date first entered US on H status/Changed status to H (Format MM/DD/YYYY)
Family Members Information: (Family members must complete the H-4 questionnaire)
Name of Spouse:
Child #1
Child #2
Child #3
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