H-4 Questionnaire (Family Members)
Name of Spouse
(who is being sponsored for H-1 status):
Employer Name
(sponsoring your spouse for H-1 status):
Spouse Information:
First Name
Middle Name
Last Name
Gender
Male
Female
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)
Current Immigration Status
Date passport expires (Format: MM/DD/YYYY)
******** Provide the information for each child below **********
Child #1:
First Name
Middle Name
Last Name
Birth Date (Format: MM/DD/YYYY)
Country of Birth
Date passport expires (Format: MM/DD/YYYY)
Child #2:
First Name
Middle Name
Last Name
Birth Date (Format: MM/DD/YYYY)
Country of Birth
Date passport expires (Format: MM/DD/YYYY)
Child #3:
First Name
Middle Name
Last Name
Birth Date (Format: MM/DD/YYYY)
Country of Birth
Date passport expires (Format: MM/DD/YYYY)
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