Form I-129 - Petition For A Nonimmigrant Worker - Department Of Homeland Security Page 7
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26OMB No.1615-0009; Expires 07/31/2010
Nonimmigrant Classification Based on Free Trade
Department of Homeland Security
Agreement-Supplement to Form I-129
U.S. Citizenship and Immigration Services
1.
Name of person or organization filing petition:
2.
Name of person you are filing for:
3.
Employer is a (Check one):
4.
If Foreign Employer, name the foreign country.
U.S. Employer
Foreign Employer
Section 1. Information about requested extension or change
(See instructions attached to this form.)
1.
This is a request for an extension of Free Trade status
This is a request for a change of nonimmigrant status to
Or
2.
based on (Check one):
(Check one):
a.
Free Trade, Canada (TN)
a.
Free Trade, Canada (TN)
b.
Free Trade, Chile (H1B1)
b.
Free Trade, Chile (H1B1)
c.
Free Trade, Mexico (TN)
c.
Free Trade, Mexico (TN)
d.
Free Trade, Singapore (H1B1)
d.
Free Trade, Singapore (H1B1)
e.
Free Trade, Other
e.
Free Trade, Other
f.
I am an H-1B1 Free Trade Nonimmigrant from
f.
I am an H-1B1 Free Trade Nonimmigrant from
Chile or Singapore and this is my sixth consecutive
Chile or Singapore and this is my first request for a
request for an extension.
change of status to H-1B1 within the past six years.
Part 2. Signature
Read the information on penalties in the instructions before completing this section.
I certify, under penalty of perjury under the laws of the United States of America, that this petition and the evidence submitted with it
is all true and correct. If filing this on behalf of an organization, I certify that I am empowered to do so by that organization. If this
petition is to extend a prior petition, I certify that the proposed employment is under the same terms and conditions as stated in the
prior approved petition. I authorize the release of any information from my records, or from the petitioning organization's records, that
the U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought.
Signature
Daytime Phone Number (Area/Country Code)
(
)
Print Name
Date (mm/dd/yyyy)
NOTE: If you do not completely fill out this form and the required supplement, or fail to submit required documents listed in the
instructions, the person(s) filed for may not be found eligible for the requested benefit and this petition may be denied.
Part 3. Signature of person preparing form, if other than above
I declare that I prepared this petition at the request of the above person and it is based on all information of which I have any
knowledge.
Signature
Daytime Phone Number (Area/Country Code)
(
)
Print Name
Date (mm/dd/yyyy)
Firm Name and Address
Form I-129 Supplement FT (Rev. 06/12/09)Y Page 7
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