Form I-140 Checklist (Page 2 of 4) in pdf

Form I-140 Checklist Page 2

LAW OFFICES OF HEMANT R. HABBU, INC.

A PROFESSIONAL CORPORATION

_________________________________________________________________________

5. Salary Offered Annually: $ __________________________________________________

6. Address Where Beneficiary will Work: _________________________________________

_________________________________________________________________________

III. INFORMATION ABOUT EMPLOYEE/BENEFICIARY

1. Full Name (as in passport):

Family Name ___________________ First _________________ Middle _______________

2. Current Home Address: ____________________________________________________

_________________________________________________________________________

3. Telephone: (_______) ____________________

4. E-mail Address: _________________________________________

5. Address Outside the United States: ___________________________________________

________________________________________________________________________

6. Date of Birth: __________________________________________

7. Place of Birth (City/Town, State/Province, Country): ______________________________

________________________________________________________________________

8. Social Security No. (if any): _______________ - __________ - _________________

9. Place where Beneficiary will apply for immigrant visa: U.S _____ Outside US (city/country):

____________________________________________________________

10. Has any immigrant visa petition ever been applied by or on behalf of Beneficiary: YES:

_____ NO: ______

11. If Beneficiary is in U.S.: Date of last arrival (MM/DD/YY): ________________ Form I-94#:

____________________

Current

status:

_________

Expires

(MM/DD/YY):

________________

Proprietary

Page 2 of 4

Form I-140 Checklist Page 2