Form I-129 - Petition For A Nonimmigrant Worker - Department Of Homeland Security Page 13
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26OMB No.1615-0009; Expires 07/31/2010
H-1B Data Collection and
Department of Homeland Security
Filing Fee Exemption Supplement
U.S. Citizenship and Immigration Services
Petitioner's Full Name
Part A. General Information
1.
Employer Information - (check all items that apply)
No
Yes
Is the petitioner a dependent employer?
a.
No
Yes
b.
Has the petitioner ever been found to be a willful violator?
No
Yes
c.
Is the beneficiary an exempt H-1B nonimmigrant?
No
Yes
1.
If yes, is it because the beneficiary's annual rate of pay is equal to at least $60,000?
2.
Or is it because the beneficiary has a master's or higher degree in a speciality related to the employment?
No
Yes
No
Yes
Has the petitioner received TARP funding?
d.
2.
Beneficiary' s Last Name
First Name
Middle Name
Apt. #
Attention To or In Care Of
Current Residential Address - Street Number and Name
City
State
Zip/Postal Code
U.S. Social Security # (If Any)
I-94 # (Arrival/Departure Document)
Previous Receipt # (If Any)
3.
Beneficiary's Highest Level of Education (Check one box below)
NO DIPLOMA
Associate's degree (for example: AA, AS)
Bachelor's degree (for example: BA, AB, BS)
HIGH SCHOOL GRADUATE - high school
DIPLOMA or the equivalent (example: GED)
Master's degree (for example: MA, MS, MEng, MEd, MSW, MBA)
Some college credit, but less than one year
Professional degree (for example: MD, DDS, DVM, LLB, JD)
One or more years of college, no degree
Doctorate degree (for example: PhD, EdD)
4.
Major/Primary Field of Study
5.
Has the beneficiary of this petition earned a master's or higher degree from a U.S. institution of higher education as defined in 20
U.S.C. section 1001(a)?
No
Yes
(If "Yes" provide the following information):
Name of the U.S. institution of higher education
Date Degree Awarded
Type of U.S. Degree
Address of the U.S. institution of higher education
NAICS Code
6.
Rate of Pay Per Year
7.
LCA Code
8.
Form I-129 H-1B Data Collection Supplement (Rev. 06/12/09)Y Page 13
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