Form I-129 - Petition For A Nonimmigrant Worker - Department Of Homeland Security Page 25

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Attachment - 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.)
Date of Birth
Family Name (Last Name)
Given Name (First Name)
Full Middle Name
mm/dd/yyyy
Address in the United States Where You Intend to Live (Complete Address)
Foreign Address (Complete Address)
Country of Birth
Country of Citizenship
U.S. Social Security # (if any) A # (if any)
Date of Arrival (mm/dd/yyyy) I-94 # (Arrival-Departure Document)
Current Nonimmigrant Status
Date Status Expires (mm/dd/yyyy)
IF
IN
Date Passport Expires
Date Started With
THE
Country Where Passport Issued
Passport Number
(mm/dd/yyyy)
Group (mm/dd/yyyy)
U.S.
Date of Birth
Family Name (Last Name)
Given Name (First Name)
Full Middle Name
mm/dd/yyyy
Address in the United States Where You Intend to Live (Complete Address)
Foreign Address (Complete Address)
Country of Birth
Country of Citizenship
U.S. Social Security # (if any) A # (if any)
Date of Arrival (mm/dd/yyyy) I-94 # (Arrival-Departure Document)
Current Nonimmigrant Status Date Status Expires (mm/dd/yyyy)
IF
IN
Date Passport Expires
Date Started With
THE
Country Where Passport Issued
Passport Number
(mm/dd/yyyy)
Group (mm/dd/yyyy)
U.S.
Form I-129 Attachment - 1 (Rev. 06/12/09)Y Page 25

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