Form I-129s - Nonimmigrant Petition Based On Blanket L Petition Page 2
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8Beneficiary's Full Name
Part 2. Information About the Proposed Position
and Prior Employment Periods in the United
4.a. Family Name
States
(Last Name)
4.b.
Given Name
The beneficiary will work as a:
(First Name)
1.a.
Manager or Executive (L-1A)
4.c.
Middle Name
1.b.
Specialized Knowledge Professional (L-1B)
Other Names Used
Dates of Proposed Employment
List all other names the beneficiary has ever used, including
aliases, maiden name, and names from all previous marriages.
Provide the beneficiary's dates of proposed employment.
If you need extra space to complete this section, use the space
provided in Part 10. Additional Information.
2.a.
Start Date (mm/dd/yyyy)
5.a. Family Name
2.b. End Date (mm/dd/yyyy)
(Last Name)
5.b.
Given Name
(First Name)
Prior Periods of Stay in the United States
5.c.
Middle Name
If the beneficiary was previously in the United States, provide
the dates of the beneficiary's prior periods of stay for the last
Beneficiary's Foreign Mailing Address
seven years in a work-authorized capacity and indicate the
beneficiary's immigration status and visa category (for example,
6.a. In Care Of Name (if any)
H-1B, O-1) during the period of stay. If you need extra space to
complete this section, use the space provided in Part 10.
Additional Information.
6.b.
Street Number and Name or PO Box
Period of Stay 1
3.a.
From (mm/dd/yyyy)
6.c.
Apt.
Ste.
Flr.
3.b.
To (mm/dd/yyyy)
6.d.
City or Town
4.
Nonimmigrant Status During Period of Stay
6.e.
Province
6.f.
Postal Code
Period of Stay 2
6.g.
Country
5.a.
From (mm/dd/yyyy)
5.b.
To (mm/dd/yyyy)
7.
Is this mailing address also where the beneficiary
physically resides?
6.
Nonimmigrant Status During Period of Stay
Yes
No
If you answered "No" to Item Number 7., provide the
beneficiary's physical address in Item Numbers 8.a. - 8.f.
Part 3. Information About the Beneficiary
Provide the following information about the beneficiary.
1.
Alien Registration Number (A-Number) (if any)
A-
►
2.
USCIS Online Account Number (if any)
►
3.
U.S. Social Security Number (if any)
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Form I-129S 06/02/16 N
Page 2 of 8
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