LAW OFFICES

KAMLESH TEWARY, P.C.

A PROFESSIONAL CORPORATION
1974 HIGHWAY 27
P. O. BOX 996
EDISON, NEW JERSEY 08818-0996
FACSIMILE (732) 287-3836

TELEPHONE (732) 287-0080

Employee Questionnaire
H-1B Petition for a Nonimmigrant Worker
(I-129)

Complete Questionnaire and return to our office via postal mail, along with all supporting
documentation. All information is required. Please mention N/A, if not applicable. If you
should have any questions, do not hesitate to contact our office at 732-287-0080.

NAME OF EMPLOYEE: _______________________________________________________

(Last)
(First)
(Middle)

NAME OF EMPLOYER: _______________________________________________________

POSITION OFFERRED: _______________________________________________________

SALARY OFFERED: __________________________________________________________

WORK LOCATION (name and full address): ____________________________________

______________________________________________________________________________
______________________________________________________________________________

PART A
Your Documents and Information
1.

DOCUMENTS NEEDED:
(If employee is in the United States...)

Copy of your resume;

Copy of your undergraduate/graduate degree(s) along with transcripts, as well as any
diploma(s), and certificates, including certificates for pre-college education;
Copy of experience letters from prior employers;
Copy of all Prior Notice(s) of Approval issued by INS (any valid status held so far);
Clear Copy of your Passport, along with Visa and Form I-94 (clearly showing the dates
of first and last entry into the United States);
Copy of current pay stubs and social security card;
Copy of state professional license (if applicable);
Copy of both sides of your Form I 20, if currently on F-1 status, and EAD;

(If you are currently in H-4 status, please provide copies of the following of your spouse:

Notice of Approval of H-1 status, along with visa, Form I-94, and recent pay stubs;
Marriage Certificate;

(If employee is outside the United States)

Copy of your resume;

Copy of your undergraduate/graduate diploma(s), certificates, degrees along with the
transcripts, and copies of high school and other pre-college certificates and transcripts;
Copies of experience letters from prior/current employer(s). This is especially important
where the college degree certificate is of a three year degree program. For H-1B
purposes, equivalence to a baccalaureate ( 4 year degree program) degree is required, and
equivalence can be obtained through a combination of education and experience;
Copy of your passport, all stamped pages.

2.

INFORMATION NEEDED: [type or print]

If you are outside the United States

Foreign Address:

____________________________________________________________

________________________________________________________________
_________________________________________________________________
_________________________________________________________________

Employee Questionnaire

If you are in the United States

Your U.S. home address:

___________________________________________________
___________________________________________________

Your home phone number: _________________________

Your fax phone number (if any): _________________________
Work phone number: __________________________________________________________
Cell phone number: ___________________________________________________________
Email Address: _______________________________________________________________
*

Personal Information:

Your date of birth:

Your Social Security number (if any) ____________________________________

Your EAD number (if any) ____________________________________________

I-94 # (if in the United States): _________________________________________

Consulate to Notify upon Approval of your petition (if outside the USA):

_____________________________________________________
(Month)
(Date)
(Year)

_________________________________________________________________

Date of First entry in H-1 status into the United States or change of status to H-1B
status:
_________________________________________________________________

Date of Last entry into the United States: ________________________________

Has an I-140/I-130 immigrant petition been filed on your behalf? Details:

_________________________________________________________________

Have you received a Masters degree from a United States college or university? (If you
have a letter from the registrar or dean stating that you have actually completed all
requirements for the degree, state Yes) Details:
______________________________________________________________________
3

Employee Questionnaire

All Prior Periods Of Stay In The U.S. Over The Last Seven Years:
Date entered U.S.
(mm/dd/yy)

Date departed U.S.

(mm/dd/yy)

Status (e.g. H-1B, L-1, B-1)

* Job related information: (if not on resume)

Computer Languages Known:
Software:
Hardware:
Experience:
Current Employer:
Job Position:
Employed since:
Previous employers and job positions:

Employee Questionnaire

Part B
Information about Dependents
Your spouse and children will need to apply for H-4 status (only if they are currently in the
USA on a valid status), or an extension of their current H-4 status. PLEASE NOTE THAT
THEIR STATUS MUST BE EXTENDED THROUGH A SEPARATE APPLICATION,
AND IS NOT AUTOMATICALLY EXTENDED UPON APPROVAL OF THE H-1B
PETITION.
Provide copies of the following for all dependents:

Passport, along with visa and Form I-94 (dark enough so that the date of arrival is visible
copies of entry stamps of both the first date and the last date of entry into the United
States are required);
Marriage Certificate;
Birth Certificate (if available).

Also, we need the following information: [type or print]

Foreign address:

________________________________________________________
________________________________________________________
________________________________________________________

Name of Spouse: _________________________________________________________

(Last)
(First)
(Middle)
Spouses date of birth: _____________________________________________________
(MM/DD/YYYY)
Country of birth: _________________________________________________________

Passport Expiry date: ______________________________________________________

Spouses I-94 # (if in the United States): _______________________________________

Date Visa issued (if applicable): _____________________________________________

Spouses current Status (if in the United States):_________________________________

When spouses status expires (if in the United States):____________________________

Spouses Social Security # (if in the United States): ______________________________

Date of Last Arrival (if in the United Sates): ____________________________________

Did the Spouse ever file a Form I-485 Adjustment of Status?: ______________________

Employee Questionnaire

If you have children, please provide a copy of each childs Form I 94 and fill in the following
information [use additional sheet(s) for more than two children]: [type or print]

Name of child: _________________________________________________________

(Last)
(First)
(Middle)

Childs date of birth: ____________________________________________________

Country of birth: ________________________________________________________

Childs Passport number: _________________ Expiration date: ____________________

Childs I 94 # (if in the United States): _______________________________________

Childs current status (if in the United States): __________________________________

When childs status expires (if in the United States): _____________________________

Did the child ever file a Form I-485 Adjustment of Status? ________________________

Name of child: ___________________________________________________________

(Last)
(First)
(Middle)

Childs date of birth: ______________________________________________________

Country of birth: _________________________________________________________

Childs Passport #: __________________ Expiration date: ________________________

Childs I 94 # (if in the United States): _______________________________________

Childs current status (if in the United States): __________________________________

Childs status expiration date (if in the United States): ____________________________

Did the child ever file a Form I-485 Adjustment of Status? ________________________

Employee Questionnaire