Form I-129 - Petition For A Nonimmigrant Worker - Department Of Homeland Security Page 6
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36Part 7. Declaration, Signature, and Contact Information of Petitioner or Authorized Signatory (Read
the information on penalties in the instructions before completing this section.)
Copies of any documents submitted are exact photocopies of unaltered, original documents, and I understand that, as the petitioner, I
may be required to submit original documents to U.S. Citizenship and Immigration Services (USCIS) at a later date.
I authorize the release of any information from my records, or from the petitioning organization's records that USCIS needs to
determine eligibility for the immigration benefit sought. I recognize the authority of USCIS to conduct audits of this petition using
publicly available open source information. I also recognize that any supporting evidence submitted in support of this petition may be
verified by USCIS through any means determined appropriate by USCIS, including but not limited to, on-site compliance reviews.
If filing this petition on behalf of an organization, I certify that I am authorized to do so by the organization.
I certify, under penalty of perjury, that I have reviewed this petition and that all of the information contained in the petition, including
all responses to specific questions, and in the supporting documents, is complete, true, and correct.
1.
Name and Title of Authorized Signatory
Family Name (last name)
Given Name (first name)
Title
2.
Signature and Date
Signature of Authorized Signatory
Date of Signature
(mm/dd/yyyy)
3.
Signatory's Contact Information
Daytime Telephone Number
Email Address (if any)
NOTE: If you do not fully complete this form or fail to submit the required documents listed in the instructions, a final decision on your
petition may be delayed or the petition may be denied.
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than
Petitioner
Provide the following information concerning the preparer:
1.
Name of Preparer
Family Name (last name)
Given Name (first name)
2.
Preparer's Business or Organization Name (if any)
(If applicable, provide the name of your accredited organization recognized by the Board of Immigration Appeals (BIA).)
Form I-129 08/13/15 Y
Page 6 of 36
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