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Petition for Alien Worker – Information Sheet

TO BE FILLED IN BY EMPLOYER

EMPLOYER: Please fill out all applicable information. Note that IF REQUESTED all of this information will be kept confidential and will be released only to the relevant Government agencies for the purposes of securing a VISA.

  1. Petitioner/Employer/Company's Full Legal Name
  2. ________________________________________________________________

  3. Address (include City, State, Zip Code)
  4. ________________________________________________________________

  5. Nature of Employer's Business Activity
  6. ________________________________________________________________

  7. Petitioner/Employer/Company's Date of Establishment
  8. ________________________________________________________________

  9. Current total number of Employees at Company/Organization
  10. ________________________________________________________________

  11. Total number of Employees on H-1 Temporary Work Visa
  12. ________________________________________________________________

  13. Name of official authorized to sign INS documents, Title, phone #'s
  14. ________________________________________________________________

  15. IRS Tax ID Number (TIN Number)
  16. ________________________________________________________________

  17. Gross Annual Income of Company/Organization
  18. ________________________________________________________________

  19. Net Annual Income of Company/Organization
  20. ________________________________________________________________

    If individual, give the following information:

    Occupation Annual Income___________________

  21. Name of employee being hired
  22. ________________________________________________________________

  23. Address where employee will work (include city, state, zip code)
  24. ________________________________________________________________

  25. Name of the “county” for the address in Number 12
  26. ________________________________________________________________

  27. Present occupation of employee
  28. ________________________________________________________________

  29. Job Title of proposed employment
  30. ________________________________________________________________

  31. Please give a description of job duties to be performed, in as much detail as possible – attach separate sheet if necessary.
  32. Full time position? # of hrs/week Wages/week $___________

Also, please submit to our office the following materials:

-Any Company brochures or information – we will be writing a two-page letter about the company, so anything you can give us to help with this.

-Tax Returns for last year for a company if less than 100 employees or if more than 100 employees Letter from Financial Officer stating Net and Gross Income of the Company for the year 2000.

If you have any questions, please feel free to contact our office:
Durrani Law Office
1.866.DURRANI (1.866.387.7264)

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