Form I-129cw - Petition For A Cnmi-Only Nonimmigrant Transitional Worker
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11OMB No. 1615-0111; Expires 10/31/2012
Form I-129CW, Petition for a CNMI-Only
Department of Homeland Security
Nonimmigrant Transitional Worker
U.S. Citizenship and Immigration Services
For USCIS Use Only
START HERE - Type or print in black ink.
Receipt
Part 1. Information About the Employer Filing This Petition
1. Name of Representative for Employer/Organization
a. Family Name (Last Name)
b. Given Name (First Name)
c. Middle Name
2. Telephone Number (include area
code, no spaces or dashes):
3. Name of Employer/Organization and Address
a. Name of Employer/Organization:
b. C/O (In Care Of):
Class:
c. Street Number and Name
# of Workers:
Job Code:
Priority Number:
d. Suite/Apartment Number
Validity Dates: From:
To:
e. City or Town
Classification Approved
f. State
g. Zip Code
Consulate/POE/PFI Notified
At
h. Postal Code
Extension Granted
COS/Extension Granted
i. Province
Partial Approval (explain)
j. Country
Action Block
4. E-Mail Address (if any):
5. Federal Employer Identification Number:
Part 2. Information About This Petition
(See instructions for fee
information)
1. Requested Nonimmigrant Classification
(Write classification symbol):
Form I-129CW 10/07/11
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