Form I-129 - Petition For A Nonimmigrant Worker - Department Of Homeland Security Page 13
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36H Classification Supplement to Form I-129
USCIS
Form I-129
Department of Homeland Security
OMB No. 1615-0009
U.S. Citizenship and Immigration Services
Expires 10/31/2016
1.
Name of the Petitioner
Name of the beneficiary or if this petition includes multiple beneficiaries, the total number of beneficiaries
2.a.
Name of the Beneficiary
OR
2.b.
Provide the total number of beneficiaries
3. List each beneficiary's prior periods of stay in H or L classification in the United States for the last six years (beneficiaries
requesting H-2A or H-2B classification need only list the last three years). Be sure to only list those periods in which each
beneficiary was actually in the United States in an H or L classification. Do not include periods in which the beneficiary was in a
dependent status, for example, H-4 or L-2 status.
NOTE: Submit photocopies of Forms I-94, I-797, and/or other USCIS issued documents noting these periods of stay in the H or
L classification. (If more space is needed, attach an additional sheet.)
Period of Stay (mm/dd/yyyy)
Subject's Name
From
To
4. Classification sought (select only one box):
a.
H-1B Specialty Occupation
b.
H-1B1 Chile and Singapore
c.
H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S.
Department of Defense (DOD)
d.
H-1B3 Fashion model of distinguished merit and ability
e.
H-2A Agricultural worker
f.
H-2B Non-agricultural worker
g.
H-3 Trainee
h.
H-3 Special education exchange visitor program
5. Are you filing this petition on behalf of a beneficiary subject to the Guam-CNMI cap exemption under Public Law 110-229?
Yes
No
6. Are you requesting a change of employer and was the beneficiary previously subject to the Guam-CNMI cap exemption under
Public Law 110-229?
Yes
No
7.a. Does any beneficiary in this petition have ownership interest in the petitioning organization?
Yes. If yes, please explain in Item Number 7.b.
No
Form I-129 08/13/15 Y
H Classification Supplement
Page 13 of 36
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