3 4 5 9  Lawrenceville - Suwanee  Rd., Suite A,  Suwanee ,  Georgia

Tel: (770) 271-5244 ● Toll Free:  (888) 768-7252 ● Fax: (770) 271-5604 ● Cornel@PotraLawFirm.com ● www.potralawfirm.com

Attorneys:  Cornel Potra – Admitted: Georgia & Washington    Kristina F Potra – Admitted: Georgia

This questionnaire is for the exclusive use of Potra Law Firm.  Please answer all the questions.  Do not leave any questions unanswered.  If you do not have an answer to a question, please insert “N/A”.  It is your responsibility to provide true and accurate information, as well as the evidentiary documents requested.

This Document Is For The Attorney’s Office Use Only

 

 

 

QUESTIONNAIRE FOR THE H-1B VISA

I-129 PETITION FOR NONIMMIGRANT WORKER

 

Personal Information

 

1. Full Name

a. Family name

 b. First name

c. Middle name

 

 

2. Date of birth  month/day/year

 

3. Place of Birth City/State/Country
 

4. Current address:

a. Street  number

b. Apt.

c. City

d. State/Province

e. Zip code

 

f. Country

 

If it applies, please complete the following:

 5. Telephone Number  

 6. Email address

 
 7. Social Security Number

 

 8. Alien number (A#)  

 9. U.S. arrival date month/day/year

 
10. I-94 Departure Record Number
11. Current nonimmigrant status in the U.S. (type of visa)

12. Status expiration date month/day/year

 
 

13. The address in your home country (if now in the U.S.):

a. Street  number

b. Apt.

c. City

d. State/Province

e. Zip code

 

f. Country

 

14. Passport information

a. Country of issuance

b. Expiration date month/day/year

   
 

15. Information about your spouse, if it applies:

a. Family Name

b. First Name

c. Middle Name

 

 

16. Information about your children, if it applies:

 

a. Family Name

b. First Name

c. Middle Name

 1.

 2.

 3.

 4.

 5.

 6.

 7.

 8.

 9.

10.

If there are more than 10 children, please give the same details for each and every child using the space below. It is very important that you respect the order of the information requested.

   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 

Documents necessary for the petition with the U.S. Department of Homeland Security:

 

*

Birth certificates for each family member

*

Marriage certificate, if applicable;

*

Copies of the passport for each family member;

*

Copy of the visa and I-94, if applicable;

*

Documents that show the work experience and training (in original, if possible);

 
   
*

Filing Fees associated with the filing of the H-1B visa application (payable by the Petitioner, or by the Beneficiary):

 
 

-a check in the amount of $190.00, the filing fee for the I-129 Form;

 
 

-a check in the amount of $ 1,500.00 or $ 750.00 (depending upon the number of employees), this is the training fee;

 
 

-a check in the amount of $ 500.00, the fraud prevention fee; addressed to the Bureau of Citizenship and Immigration Services(BCSI);

 
 

-if you decide to file Premium Processing, you must pay the fee of $1,000.00 in the form of a Money Order or Cashier's Check, made payable to the BCSI.

 

NOTE: THIS DOCUMENT IS THE PRODUCT OF POTRA LAW FIRM. THE USE OF THIS QUESTIONNAIRE BY OTHER INDIVIDUALS OR LAW FIRMS IN ASSISTING OTHERS WITH THE COMPLETION OF DOCUMENTS, OR FOR ANY OTHER PURPOSES, IS STRICTLY PROHIBITED.   POTRA LAW FIRM MAINTAINS ITS COPYRIGHTS OVER THE TRANSLATION OF THIS DOCUMENT.  PERMISSION TO USE THIS DOCUMENT MAY BE OBTAINED ONLY FROM POTRA LAW FIRM.  COPYRIGHT © January 17, 2007.