Form I-140 Checklist

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LAW OFFICES OF HEMANT R. HABBU, INC.
A PROFESSIONAL CORPORATION
95 South Market Street, Suite 530
San Jose, California 95113
Telephone: (408) 993-9577
Facsimile: (408) 881-0456
FORM I-140 CHECKLIST
I. INFORMATION ABOUT CORPORATION/PETITIONER:
1. Company Name and Address:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Telephone: (_____) ___________________________
Facsimile: (_____) ____________________________
2. IRS Tax or Employment Identification No: ____________-_________________________
3. Date of Establishment: _____________________________________________________
4. Number of Employees: _____________________________________________________
5. Gross Annual Income: ______________________________________________________
6. Net Annual income: ________________________________________________________
7. Nature of Business Activity: __________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
8. Name & Title of Officer Signing Documents: _____________________________________
_________________________________________________________________________
9. E-mail address of signatory: __________________________________________________
10. If is an individual sponsor (Social Security number): __________ - ______ _____________
II. INFORMATION ABOUT POSITION OFFERED TO EMPLOYEE/BENEFICIARY
1. Job Title: ________________________________________________________________
2. Describe Job Duties (be specific and job description should be consistent with any labor
certification, H-1B/L-1/E-1/E-2 petition filed for Employee): _________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3. Please indicate the minimum qualifications for the job in terms of education and
experience: ______________________________________________________________
4. Please indicate the minimum percentage of time spent in each of the job duties: ________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

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