Family Name

Given Name (First Name)

Full Middle Name

Employer

Sponsor Email Address

Home Phone

Work Phone

Cell Phone

Email Address

Date of Birth (Month, Date, Year)

Pan Card , Addhar Card

Alien #

Country of Birth

State of Birth

Country of Citizenship

Date of Last Arrival in the U.S. (mm/dd/yyyy)

I-94 # (Arrival/Departure Document)

Current Nonimmigrant Status

Date Status Expires (mm/dd/yyyy)

Passport Number

Date Passport Issued: (mm/dd/yyyy)

Date Passport Expires (mm/dd/yyyy)

Current U.S. Address

Foreign Address

Apt. #

City

State

Country

Zip Code

U.S. Consulate closest to Person’s foreign address

Does each person in this petition have a valid passport?

Is any person in this petition in removal proceedings?

Have you ever applied for a Permanent Residency Labor Certification Application?

Have you ever filed an immigrant visa petition?

Within the past seven years, has any person in this petition ever been given any H or L visa classification? If so, please provide the dates

Within the past seven years, has any person in this petition ever been denied any H or L visa classification?

List your prior periods of stay in the H classification in the United States for the last six years. Be sure to list only those periods in which you were physically present in the United States in an H classification. If lengthy, please indicate that you will submit this information with your documents.

Spouse and Dependents Information

If you would like to file for an H-4 visa or would like to extend the H-4 status of your spouse and/or children, please complete the H-4 questionnaire listed in our website under the Questionnaires category. If the H-4 Questionnaire is not completed, our office will not be able to process the necessary paperwork to complete that application. It is the H-4 visa holder's responsibility to ensure that they are maintaining their status in the United States at all times.