Part 2. Information About This Petition (See instructions for fee information)
1. Requested Nonimmigrant Classification (Write classification symbol):
2. Basis for Classification (select only one box):
a.
New employment.
b.
Continuation of previously approved employment without change with the same employer.
c.
Change in previously approved employment.
d.
New concurrent employment.
e.
Change of employer.
f.
Amended petition.
3. Provide the most recent petition/application receipt number for the
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beneficiary. If none exists, indicate "None."
4. Requested Action (select only one box):
a.
Notify the office in Part 4. so each beneficiary can obtain a visa or be admitted. (NOTE: A petition is not required for
E-1, E-2, E-3, H-1B1 Chile/Singapore, or TN visa beneficiaries.)
Change the status and extend the stay of each beneficiary because the beneficiary(ies) is/are now in the United States in
b.
another status (see instructions for limitations). This is available only when you check "New Employment" in Item
Number 2., above.
c.
Extend the stay of each beneficiary because the beneficiary(ies) now hold(s) this status.
d.
Amend the stay of each beneficiary because the beneficiary(ies) now hold(s) this status.
Extend the status of a nonimmigrant classification based on a free trade agreement. (See Trade Agreement Supplement
e.
to Form I-129 for TN and H-1B1.)
Change status to a nonimmigrant classification based on a free trade agreement. (See Trade Agreement Supplement to
f.
Form I-129 for TN and H-1B1.)
5. Total number of workers included in this petition. (See instructions relating to
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when more than one worker can be included.)
Part 3. Beneficiary Information
(Information about the beneficiary/beneficiaries you are filing for. Complete the
blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition.)
1. If an Entertainment Group, Provide the Group Name
2. Provide Name of Beneficiary
Family Name (last name)
Given Name (first name)
Middle Name
3.
Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages.
Family Name (last name)
Given Name (first name)
Middle Name
4. Other Information
Date of birth
Gender
U.S. Social Security Number (if any)
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(mm/dd/yyyy)
Male
Female
Form I-129 08/13/15 Y
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