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Form I-129s - Nonimmigrant Petition Based On Blanket L Petition - U.s. Citizenship And Immigration Services Page 3

Part 5. 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

are all true and correct. I am filing this on behalf of an organization, and 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 in the

prior approved petition. I authorize the release of any information from my records, or from the petitioning organizations records that

the U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought.

Signature

Date (mm/dd/yyyy)

Daytime Telephone Number (with area code)

E-Mail Address (If any.)

(

)

NOTE: If you do not completely fill out this form or fail to submit required documents listed in the instructions, the person(s)

petitioned may not be found eligible for the requested benefit and this petition may be denied.

Part 6. Signature of person preparing form, if other than above. (Sign below.)

Signature

Print or Type Your Name

Daytime Telephone Number (with area code)

E-Mail Address (If any.)

Date (mm/dd/yyyy)

(

)

Firm Name and Address

Form I-129S (Rev. 01/16/07)N Page 3

Form I-129s - Nonimmigrant Petition Based On Blanket L Petition - U.s. Citizenship And Immigration Services Page 3