Form I-129 - Petition For A Nonimmigrant Worker - Department Of Homeland Security

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OMB No. 1615-0009; Expires 07/31/2010
I-129, Petition for a
Department of Homeland Security
Nonimmigrant Worker
U.S. Citizenship and Immigration Services
START HERE - Type or print in black ink.
For USCIS Use Only
Returned
Receipt
Part 1. Information about the employer filing this petition
(If the employer
is an individual, complete Number 1. Organizations should complete Number 2.)
Date
Date
1. Family Name (Last Name)
Given Name (First Name)
Resubmitted
Date
Full Middle Name
Telephone No. w/Area Code
(
)
Date
2. Company or Organization Name
Telephone No. w/Area Code
Reloc Sent
(
)
Date
Mailing Address: (Street Number and Name)
Suite #
Date
Reloc Rec'd
C/O: (In Care Of)
Date
City
State/Province
Date
Petitioner
Country
Zip/Postal Code
E-Mail Address (If Any)
Interviewed
on
Beneficiary
Federal Employer Identification #
U.S. Social Security #
Individual Tax #
Interviewed
on
Class:
Part 2. Information about this petition
(See instructions for fee information.)
# of Workers:
Priority Number:
1.
Requested Nonimmigrant Classification. (Write classification symbol):
Validity Dates:
From:
2.
Basis for Classification (Check one):
To:
a.
New employment (including new employer filing H-1B extension).
Classification Approved
Continuation of previously approved employment without change with the
b.
Consulate/POE/PFI Notified
same employer.
At
c.
Change in previously approved employment.
Extension Granted
d.
New concurrent employment.
COS/Extension Granted
e.
Change of employer.
Partial Approval (explain)
f.
Amended petition.
3.
If you checked Box 2b, 2c, 2d, 2e, or 2f, give the petition receipt number.
Action Block
4.
Prior Petition. If the beneficiary is in the U.S. as a nonimmigrant and is applying to
change and/or extend his or her status, give the prior petition or application receipt #:
5.
Requested Action (Check one):
a.
Notify the office in Part 4 so the person(s) can obtain a visa or be admitted.
(NOTE: a petition is not required for an E-1 or E-2 visa).
b.
Change the person(s)' status and extend their stay since the person(s) are all
To Be Completed by
now in the U.S. in another status (see instructions for limitations). This is
Attorney or Representative, if any.
available only where you check "New Employment" in Item 2, above.
Fill in box if G-28 is attached to
c.
Extend the stay of the person(s) since they now hold this status.
represent the applicant.
ATTY State License #
Form I-129 (Rev. 06/12/09)Y

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