UDAI V. SINGH, Attorney
2282 Birdie Lane, NW                             
Duluth, GA 30096                           
Phone:  770-300-0894                   Fax: 770-300-0893 


INFORMATION REQUEST FORM 

Dear Employer/Employee:

Let's get down to serious work!

Pursuant to your inquiry about filing procedure of  Labor Certification Application (for immigrant visa through permanent employment in the USA). Please fill out information requested in the enclosed Request Form and mail it to your home office.  You may use a separate sheet if needed. Also, if you don't understand the question, give information as best as you
can.  We will work it with your company and you.  Once your company receives the information you sent, It will fill the information pertaining to the company information and send it back to us.  Incomplete or partial information will slow the processing. Thank you for your cooperation.


Information About the Employer

 1.  Name:

 2:  Address:

 3:  Location of alien's work place (if different than employer's address):

4. Phone No:                                  

5. 5.  Fax No:

 6.  Federal Income Tax I.D. No. (or IRS Tax #):

 7.  Social Security Num. :

 8.  Contact Person of Employer:

9. Date Employer Started the business:                           

10. Current No. of Employees:

11.  Gross Annual Income (latest figures available):

12.  Net Annual Income (latest figures available):

Information  About The Employment
 
 1.  Job Title:

 2.  Is job full-time or part-time:
 
 3.  Location of job-site:

 4.  Hours of work schedule:

 5.  Rate of pay:

 6.  Employment Benefits (other than salary):

 7.  Date of Intended Employment:  From:                              To:                      

 8.  Job Duties (in detail, use/attach separate sheet, if needed):









 9.  Qualifications required for performing the job:

      (A) Educational Requirement:



      (B)  Experience Requirement:




      (C)  Special or Unique Requirement:


Name and title of Supervisor:

No.  of other workers alien will supervise:

Is this job permanent or temporary (please give details, if necessary):

Information About The Employee (Alien)

 1.  Name:

 2.  Current Address (if in US):

 3.  Foreign Address (i.e. permanent address abroad):

 4.  Phone No.:  Work:                                         Home:           

 5. Fax No.:

 6.  Birth-Date and Place (city and country):

 7.  Nationality/Citzenship:

 8.  Name of US Consulate abroad (where employee will apply for visa):

 9.  Social Security No.:

10.  I-94 #:                                 A #(immigration file #)

11. Last Date of Arrival in U.S.:                      

12.  Current visa status:

13. Expiration date of current visa:







Educational History:(use separate sheet if needed)

A.  (i) Name & Address of College/University( please give full address)

    (ii) Field of Study:

    (iii) Date of Study:  From (M/YY):         	To (MM/YY):

    (iv) What degree/certificate received:

B.  (i)  Name & Address of College/University:

     (ii)  Field of Study:

    (iii)  Date of Study:  From:                                To:

    (iv)  What degree/certificate received:

C.  (i)  Name & Address of College/University:

(ii) Field of Study:

     (iii)  	Date of Study:  From:                      	To:

(iii) What degree/certificate received:

Note: For details of additional education, please use separate sheet

Employment  History( at least for last 3 year)

A.  (i)  Name & Address of Employer:

     (ii)  Name/title of Job:

    (iii)  Date Started:  From (MM/YY):                 To: (MM/YY):

     (iv)  Kind of Business:                            	No. of hours per week:

(v)  Describe in detail the duties performed, including the use of tools, machines or                      equipment:
                                                                           
                                                            
        
                                                                           
                                                            

B.  (i)  Name & Address of Employer:

     (ii)  Name of Job:

    (iii)  Date Started:  From (MM/YY):                 To: (MM/YY):

    (iv)  Kind of Business:                             	No. of hours per week:


(v)  Describe in detail the duties performed, including the use of tools, machines or                           equipment:
                                                                           
                                                            
        
                                                                           
                                                            

                                                                           
                                                            

C.  (i)  Name & Address of Employer:

     (ii)  Name of Job:

    (iii)  Date Started:  From (MM/YY):                 To: (MM/YY):

    (iv)  Kind of Business:                             	No. of hours per week:

(v)  Describe in detail the duties performed, including the use of tools, machines or                           equipment:

                                                            

                                                                           
                                                            
Note: For details of additional employment history, please use separate sheet

Employee's  Dependents: spouse and children 
( use additional sheet for more information)

Name 1:

Current Address:

Phone No.s:                                     Social Security #

Immigration status:                                Date of Birth:          

Place of Birth:

Full Immigration History (if you are in US or were in US before)

1.  Immigration Status:                              From:            	To:

        
2.  Immigration Status                              Form:               To

Congratulations! You have done it.  It wasn't that bad, was it!  Now! mail this to your home office as soon as possible.  I will call you when I receive to discuss any question you have.
Thanks again!


DOCUMENTS  NEEDED

1.   Letter size copies of all degrees, diplomas, certificates, and  transcripts.

2.  Copy of work experience letters: Must describe full address of employer, your job title, starting and ending dates of the employment,detailed job description including computer skills and software used or other knowledge, techniques, equipments etc.; full name and job title of person signing the letter. 

3. Copy of updated resume

4. Copy of all I-94, I-20, and all other visa/ immigration documents 

5. Copy of biographical pages of the passport and visa pages.

6. Copy of Social security card

7.  Passport and I-94 of your dependents - wife and children


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