H-1B - Employee Questionnaire  Information required from TN or H-1B Applicant
Name
First
Last
Middle
Date of Birth
Month (mm)
Day (dd)
Year (yyyy)
Place of Birth
City
State
Country of Birth
Country of Citizenship
Present Address
Address
City
State
Zip
Country
Phone
Home
Work
Cell
Email
Email Id
Second Email Id (If any)
Current Visa Information
Current non immigrant status	H1B H4 F1 F2 B1,B2 L1 L2 P1 P3 O1
If Other:
Date of last arrival (mm/dd/yyyy)
I-94 #
Date current Status Expires (mm/dd/yyyy)
Social Security No (if any)
List all periods you have been on H1B/H4 classification
From	H1B H4
To
From	H1B H4
To
From	H1B H4
To
From	H1B H4
To
This H1B is a:	New H1-B (never beenon H1-B) Extension with the same employer Change of employer
Passport Details
Passport Number
Passport Issued Date
Passport Expiration Date
Country Where Passport Issued
Education
U.S Highest Level of Education	None High School Associate Bachelors Masters Doctorate Other
Major
University Name and Address
Date Degree Awarded
Foreign Education
Major
University Name and Address
Has this employer ever applied for your   I-140  /   I-485 petition before?	Yes No
Nature of your Employment
Name of employer who intends to hire you
Name and title of Company Offical who will sign the forms
Employer Address
Address
City
State
ZipCode
Phone
Email
Employers' Contact
Name
Title
Phone
Email
Nature of Employer's Business
Address Where you will be employed at
Primary Address
Phone
State
Zip
Secondary Address (If Applicable)
Phone
State
Zip
Job Description
Job Title
Salary	Yearly Monthly Hourly
Describe fully the job to be performed
Special Requirements for this Job (If any)
Number of employees you will supervise (If any)
Additional Qualification and skills (If any)
Spouse (Please, complete this part only if you are applying for H-4 Visa)
First Name
Last Name
Middle Name
Date of Birth (mm/dd/yyyy)
Current Status	H1B H4 F1 F2 B1,B2 L1 L2 P1 P3 O1
If Other
Country of Birth
Date of last arrival (mm/dd/yyyy)
Social Security # (if any)
Date of current status Expires
Country of Citizenship
I - 94 #
Foreign Address
List all periods you have been on H1B/H4 classification
From	H1B H4
To
From	H1B H4
To
From	H1B H4
To
From	H1B H4
To
Passport Expiration Date (mm/dd/yyyy)
Country Where Passport Issued
Children
First Last Middle Date of Birth Current Visa Status Expiration Date Country of birth Country of citizenship Date of last arrival Latest I - 94 #
List all periods your Children (Please, complete this part only if you are applying for H4 Visa)have been on H classification in the U.S.
1) Name
From
To
2) Name
From
To
3) Name
From
To
4) Name
From
To

Please provide the following documents & Click the items submitted with this application:

1. All degree certificates (BS, MS, Ph.D) including transcripts (mark sheets)
2. Education evaluation reports (if any)
3. Applicant’s Resume
4. Copies of current immigration status documents (Form I-797s/I-20s/OPT Card)
5. Copy of I-94 (front and back)
6. Copy of non-blanks pages of passport(s) including all entry stamps & Visa page
7. Recent pay stubs (If applying for a H1-B extension or transfer)
8. Copies of I-140 receipt/approvals (if any)
9. Copy of I-485 receipt notice (if any)

If you are applying for H-4 Visa, Please, provide the following:

1. Copy of the marriage certificate
2. Copy of the birth certificate(s)if applying for children's H-4
3. Copy of non-blank pages of passport(s)
4. I-94 of the spouse and children  (if applicable)