Form I-129 - Petition For A Nonimmigrant Worker - Department Of Homeland Security Page 35
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36Attachment-1
Attach to Form I-129 when more than one person is included in the petition. (List each person separately. Do not
include the person you named on the Form I-129.)
Family Name (last name)
Given Name (first name)
Middle Name
U.S. Social Security Number (if any)
A-Number (if any)
Date of birth (mm/dd/yyyy)
Gender
►
Male
Female
A-
All Other Names Used (include aliases, maiden name and names from previous Marriages)
Family Name (last name)
Given Name (first name)
Middle Name
Address in the United States Where You Intend to Live (Complete Address)
Street Number and Name
Apt.
Ste.
Flr.
Number
City or Town
State
ZIP Code
Foreign Address (Complete Address)
Street Number and Name
Apt.
Ste.
Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
Country of Birth
Country of Citizenship or Nationality
IF IN THE UNITED STATES:
Date of Last Arrival
I-94 Arrival-Departure Record
Passport or Travel Document
(mm/dd/yyyy)
Number
Number
Date Passport or Travel Document
Date Passport or Travel Document
Country of Issuance for Passport
Issued (mm/dd/yyyy)
Expires (mm/dd/yyyy)
or Travel Document
Current Nonimmigrant Status
Date Status Expires or D/S
(mm/dd/yyyy)
Student and Exchange Visitor Information System (SEVIS) Number
Employment Authorization Document (EAD) Number
(if any)
(if any)
Form I-129 08/13/15 Y
Attachment-1
Page 35 of 36
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