Form I-129s - Nonimmigrant Petition Based On Blanket L Petition - U.s. Citizenship And Immigration Services

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OMB No. 1615-0010; Expires 12/31/09
I-129S, Nonimmigrant Petition
Department of Homeland Security
Based on Blanket L Petition
U.S. Citizenship and Immigration Services
START HERE - Please type or print in black ink.
For USCIS Use Only
Part 1. Information about employer.
Receipt
Returned
Sponsoring Company of Organization's Name
Date
Date
Resubmitted
Address - ATTN:
Date
Room/Suite #
Street Number and Name
Date
Reloc Sent
Zip/Postal Code
City or Town
State or Province
Country
Date
Date
Reloc Sent
Part 2. Information about employment.
Date
This alien will be a:
Date
Manager/Executive
a.
Petitioner
Interviewed
Specialized knowledge professional
b.
on
Blanket petition approval number:
Beneficiary
Interviewed
on
Part 3. Information about employee.
Approved as:
Given Name
Middle Name
Manager/executive
Family Name
Specialized knowledge
on
Foreign Address: Street Number and Name
Room/Suite #
Validity Dates:
From:
Zip/Postal Code
City or Town
State or Province
Country
To:
Denied (Give reason)
Country of Birth
Country of Citizenship/Nationality
Date of Birth (mm/dd/yyyy)
Action Block
Part 4. Additional information about the employment.
Room/Suite #
Address: Street Number and Name
City or Town
State or Province
To Be Completed by
Attorney or Representative, if any.
Fill in box if G-28 is attached to represent the
Country
Zip/Postal Code
petition.
ATTY State License #
Form I-129S (Rev. 01/16/07)N

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