Information For Filing Form I 129 Extension Of Stay

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International Visitors and Academic
Experiences Program
University of Puerto Rico, Rio Piedras Campus, Deanship of Academic Affairs
University of Puerto Rico
Rio Piedras Campus
II. Information for Filing Form I-129 (extension)
Deanship of Academic Affairs
A. Information about the person(s) you are filing for:
1.Family Name
2. Given name
3.Full Middle Name
4. All Other Names Used (include maiden name and names from all previous marriages if apply)
5. Has the visitor submitted a petition for a permanent residency?
Yes
No
If you answered yes, When? (mm/dd/yyyy)
6. If the person is in the United States, and is filing for Extension or Change of Status complete the following:
7. Date Last Arrival (mm/dd/yyyy)
8. I-94 #(Arrival/Departure Card)
9.Passport Number
10. Date passport Issued (mm/dd/yyyy)
11.Date passport expires (mm/dd/yyyy)
B. Foreign Address:
12. Visitor´s Foreign Address
13. Foreign City
14. Foreign Country
C. Current US Address:
15. Current US Address
16. City
17. Country
D. List the alien´s and any dependent family member´s prior stay in H classifcation in the United States
for the last six years. Please, ask the professor to provide this information.
Subject´s Name
Period of Stay (mm/dd/yyyy)
From (mm/dd/yyyy)
To (mm/dd/yyyy)
From (mm/dd/yyyy)
To (mm/dd/yyyy)
From(mm/dd/yyyy)
To (mm/dd/yyyy)

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