1. Name

      First  

      Middle

      Last

2. Name of U.S. employer

3. Title of the U.S. position offered (if known)

4. Salary offered by U.S. employer (if known)

5.  Date of hire at foreign affiliate

Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Year 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

6.  Title of position at foreign affiliate

7. Date of birth

Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Year 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

8. Country of Birth

9. Province of Birth

10. Citizen of

11. Telephone

12. E-mail Address

13. Foreign Address

      City

      State

      Zip

      Country

14. Passport Information

      Passport Number

      Issue Date

      Expiration Date

 15. Have you previously entered the U.S. on an H or L visa?

PROVIDE COPIES OF THE FOLLOWING:

1. All Educational documents (degree certificates, transcripts/marks sheets and any course certificates). If your education has already been evaluated, please provide a copy.
2. Experience letters from previous employers (if you have them).
3. Detailed resume (Bio-data) explaining job duties and projects worked on.
4. Copy of passport (blank pages are not required).
5. Currently dated letter from supervisor at foreign affiliate indicating date of hire and job title.

If any documents are not in English, please provide a translation.

SEND A PRINT OUT OF THIS QUESTIONAIRE AND ALL REQUIRED DOCUMENTS TO THE ADDRESS LISTED ABOVE.

WE MAY NEED TO REQUEST ADDITIONAL DOCUMENTS AS WE PROCEED WITH YOUR CASE