Form I-140 - Immigrant Petition For Alien Worker Page 2
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3Part 4. Processing Information
1. Complete the following for the person named in Part 3: (Check one)
Alien will apply for a visa abroad at a U.S. Embassy or consulate at:
City
Foreign Country
Alien is in the United States and will apply for adjustment of status to that of lawful permanent resident.
Alien's country of current residence or, if now in the U.S., last permanent residence abroad.
2. If you provided a United States address in Part 3, print the person's foreign address:
3. If the person's native alphabet is other than Roman letters, write the person's foreign name and address in the native alphabet:
4. Are any other petition(s) or application(s) being filed with this Form I-140?
Form I-485
Form I-765
Yes (check all that apply)
No
Form I-131
Other - Attach an explanation
5. Is the person for whom you are filing in removal proceedings?
No
Yes-Attach an explanation
6. Has any immigrant visa petition ever been filed by or on behalf of this person?
No
Yes-Attach an explanation
If you answered "Yes" to any of these questions, provide the case number, office location, date of decision, and disposition of the decision on a
separate sheet of paper.
.
Part 5
Additional Information About the Petitioner
1. Type of petitioner (Check one)
Employer
Self
Other (Explain, e.g., Permanent Resident, U.S. citizen or any other person filing on behalf of the alien)
2. If a company, give the following:
Type of Business
Date Established (mm/dd/yyyy)
Current Number of Employees
Gross Annual Income
Net Annual Income
NAICS Code
DOL/ETA Case Number
3. If an individual, give the following:
Occupation
Annual Income
.
Part 6
Basic Information About the Proposed Employment
1. Job Title
2. SOC Code
3. Nontechnical Description of Job
4. Address where the person will work if different from address in Part 1.
5. Is this a full-time position?
6. If the answer to Number 5 is "No," how many hours per week for the position?
Yes
No
7. Is this a permanent position?
8. Is this a new position?
9. Wages per week
Yes
No
Yes
No
$
Form I-140 (Rev. 06/12/09) Y Page 2
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