Form I-129 - Petition For A Nonimmigrant Worker - Department Of Homeland Security Page 22
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36L 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
2.
Name of the Beneficiary
3. This petition is (select only one box):
a. An individual petition
b. A blanket petition
4.a. Does the petitioner employ 50 or more individuals in the U.S.?
Yes
No
4.b. If yes, are more than 50 percent of those employee in H-1B, L-1A or L-1B nonimmigrant status?
Yes
No
Section 1. Complete This Section If Filing For An Individual Petition
1. Classification sought (select only one box):
a. L-1A manager or executive
b. L-1B specialized knowledge
2.
List the beneficiary's and any dependent family member's prior periods of stay in an H or L classification in the United States for
the last seven years. Be sure to list only those periods in which the beneficiary and/or family members were physically present in
the U.S. 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. If more space is needed, go to Part 9. of Form I-129.
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
3. Name of employer abroad
4. Address of employer abroad
Street Number and Name
Apt.
Ste.
Flr.
Number
City or Town
State
ZIP Code
Province
Postal Code
Country
Form I-129 08/13/15 Y
L Classification Supplement
Page 22 of 36
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