Immigrant Petition For Alien Worker 140 I
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USCIS Form I-140 Immigrant Petition for Alien Worker Department of Homeland Security U.S. Citizenship and Immigration Services Fee Stamp OMB No. 1615-0015 Expires 04/30/2018 Priority Date Consulate Action Block For USCIS Use Only Classification Certification 203(b)(1)(A) Alien of Extraordinary Ability 203(b)(2) Member of Professions with Advanced Degree/Exceptional Ability National Interest Waiver (NIW) 203(b)(1)(B) Outstanding Professor or Researcher 203(b)(3)(A)(i) Skilled Worker Schedule A, Group I 203(b)(1)(C) Multinational Executive or Manager 203(b)(3)(A)(ii) Professional 203(b)(3)(A)(iii) Other Worker Schedule A, Group II Remarks ► START HERE - Type or print in black ink. Part 1. Information About the Person or Organization Filing This Petition (If an individual is filing, use numbers 1.a. - 1.c. If a Company or Organization is filing, use number 2). 1.a. Family Name (Last Name) 1.b. Given Name (First Name) Mailing Address 5.a. In Care of Name 1.c. Middle Name 2. Company or Organization Name 5.b. Street Number and Name 5.c. Apt. IRS Tax Number must be 9 digits; no dashes 4. ► U.S. Social Security Number (if any) must be 9 digits; no dashes Ste. Flr. 5.d. City or Town Other Information 3. (USPS ZIP Code Lookup) ► 5.e. State 5.f. Zip Code 5.g. Postal Code 5.h. Province 5.i. Country Part 2. Petition Type This petition is being filed for: (Select only one box): 1.a. An alien of extraordinary ability. 1.b. An outstanding professor or researcher. 1.c. A multinational executive or manager. 1.d. A member of the professions holding an advanced degree or an alien of exceptional ability (who is NOT seeking a National Interest Waiver). 1.e. 1.f. A professional (at a minimum, possessing a bachelor's degree or a foreign degree equivalent to a U.S. bachelor's degree). A skilled worker (requiring at least 2 years of specialized training or experience). Form I-140 01/17/17 N 1.g. Any other worker (requiring less than 2 years of training or experience). 1.h. (Reserved) 1.i. An alien applying for a National Interest Waiver (who IS a member of the professions holding an advanced degree or an alien of exceptional ability). Check below if this petition is being filed: 2.a. To amend a previously filed petition. Previous Petition Receipt Number: ► 2.b. For the Schedule A, Group I or II designation. Page 1 of 6 Part 3. Information About the Person for Whom You Are Filing 1.a. Family Name (Last Name) 1.b. Given Name (First Name) 9. Country of Citizenship 10. Country of Nationality 11. Alien Registration Number (A-Number) 1.c. Middle Name Mailing Address ► A- 2.a. In Care of Name 12. 2.c. Apt. Ste. Flr. 2.f. ► If in the United States, please provide the following (complete all sections, as applicable): 2.d. City or Town 2.e. State U.S. Social Security Number (if any) must be 9 digits; no dashes 2.b. Street Number and Name 13. Zip Code Date of Arrival (mm/dd/yyyy) ► 14.a. I-94 Arrival-Departure Record Number: 2.g. Postal Code ► 2.h. Province 2.i. 14.b. Passport Number Country 14.c. Travel Document Number Other Information 3. 14.d. Country of Issuance for Passport or Travel Document E-mail Address (if any) 14.e. Expiration Date for Passport or Travel Document ( 4. Daytime Phone Number 5. Date of Birth (mm/dd/yyyy) ► 6. City/Town/Village of Birth 7. State/Province of Birth 8. Country of Birth ) (mm/dd/yyyy) ► 15. Current Nonimmigrant Status 16. Date Status Expires: (mm/dd/yyyy) ► Part 4. Processing Information Complete the following for the person named in Part 3: (Check one) 1.a. Alien will apply for a visa abroad at a U.S. Embassy or consulate at: City or Town 1.b. Alien is in the United States and will apply for adjustment of status to that of lawful permanent resident. Alien's country of current residence or, if now in the United States, last country of permanent residence abroad. Country Form I-140 01/17/17 N Page 2 of 6 Part 4. Processing Information (continued) If you provided a United States address in Part 3, provide the person's foreign address: 4. 2.a. Street Number and Name 2.b. Apt. Ste. Are any other petition(s) or application(s) being filed with this Form I-140? Yes No If you answered "Yes," check any applicable boxes: Form I-485 Flr. Form I-131 2.c. City or Town Form I-765 2.d. Postal Code Other-Attach an explanation 2.e. Province 2.f. 5. Country If the person's native alphabet is other than Roman letters, write the person's foreign name and address in the native alphabet: 6. Is the person for whom you are filing in removal proceedings? Yes - Attach an explanation Has any immigrant visa petition ever been filed by or on behalf of this person? Yes - Attach an explanation 3.a. Family Name (Last Name) 3.b. Given Name (First Name) 7. Yes - Attach an explanation 8. 3.d. Street Number and Name 3.e. Apt. 3.f. Ste. No Is the petition being filed without an original labor certification because the original labor certification was previously submitted in support of another Form I-140? 3.c. Middle Name Mailing Address No No If the petition is being filed without an original labor certification, are you requesting that USCIS request a duplicate labor certification from the Department of Labor? Yes - Attach an explanation No Flr. City or Town If you answered "Yes" to any of questions 4 through 8, provide the case number, office location, date of decision, and disposition of the decision on a separate sheet of paper. 3.g. Postal Code 3.h. Province 3.i. Country Part 5. Additional Information About the Petitioner Type of petitioner (Select only one box): 2.c. Current Number of U.S. Employees 1.a. Employer 1.b. Self 2.d. Gross Annual Income 1.c. Other (Explain, e.g., Permanent Resident, U.S. citizen or any other person filing on behalf of the alien) 2.e. Net Annual Income 2.f. NAICS Code ► If a company, give the following: 2.a. Type of Business 2.g. Labor Certification DOL/ETA Case Number 2.b. Date Established (mm/dd/yyyy) ► Form I-140 01/17/17 N Page 3 of 6 Part 5. Additional Information About the Petitioner (continued) 2.h. Labor Certification DOL/ETA Filing Date If an individual, give following: (mm/dd/yyyy) ► 2.i. 3.a. Occupation Labor Certification Expiration Date 3.b. Annual Income (mm/dd/yyyy) ► Part 6. Basic Information About the Proposed Employment 1. Job Title 2. SOC Code 3. Nontechnical Description of Job ► - 6. Is this a permanent position? Yes No 7. Is this a new position? Yes No 8. Wages: $ per (Specify hour, week, month, or year) Address where the person will work if different from address in Part 1. 9.a. Street Number and Name 4. Is this a full-time position? Yes No 5. If the answer to Number 4 is "No," how many hours per week for the position? 9.b. Apt. Ste. Flr. 9.c. City or Town 9.d. State 9.e. Zip Code Part 7. Information on Spouse and All Children of the Person for Whom You Are Filing List husband/wife and all children related to the individual for whom the petition is being filed. Also, note if the individual will be applying for a visa abroad or for adjustment of status as the dependent of the individual for whom the petition is filed. Provide an attachment of additional family members, if needed. Person 1 Person 2 1.a. Family Name (Last Name) 1.b. Given Name (First Name) 2.a. Family Name (Last Name) 2.b. Given Name (First Name) 1.c. Middle Name 2.c. Middle Name 1.d. Date of Birth (mm/dd/yyyy) ► 2.d. Date of Birth (mm/dd/yyyy) ► 1.e. Country of Birth 2.e. Country of Birth 1.f. 2.f. Relationship Relationship 1.g. Applying for Adjustment of Status? Yes No 2.g. Applying for Adjustment of Status? Yes No 1.h. Applying for Visa Abroad? Yes No 2.h. Applying for Visa Abroad? Yes No Form I-140 01/17/17 N Page 4 of 6 Part 7. Information on Spouse and All Children of the Person for Whom You Are Filing (continued) Person 3 Person 5 3.a. Family Name (Last Name) 3.b. Given Name (First Name) 5.a. Family Name (Last Name) 5.b. Given Name (First Name) 3.c. Middle Name 5.c. Middle Name 3.d. Date of Birth (mm/dd/yyyy) ► 5.d. Date of Birth (mm/dd/yyyy) ► 3.e. Country of Birth 5.e. Country of Birth 3.f. 5.f. Relationship Relationship 3.g. Applying for Adjustment of Status? Yes No 5.g. Applying for Adjustment of Status? Yes No 3.h. Applying for Visa Abroad? Yes No 5.h. Applying for Visa Abroad? Yes No Person 4 Person 6 4.a. Family Name (Last Name) 4.b. Given Name (First Name) 6.a. Family Name (Last Name) 6.b. Given Name (First Name) 4.c. Middle Name 6.c. Middle Name 4.d. Date of Birth (mm/dd/yyyy) ► 6.d. Date of Birth (mm/dd/yyyy) ► 4.e. Country of Birth 6.e. Country of Birth 4.f. 6.f. Relationship Relationship 4.g. Applying for Adjustment of Status? Yes No 6.g. Applying for Adjustment of Status? Yes No 4.h. Applying for Visa Abroad? Yes No 6.h. Applying for Visa Abroad? Yes No Part 8. Signature of Petitioner I certify, under penalty of perjury under the laws of the United States of America, that this petition and the evidence submitted with it are all true and correct. I authorize U.S. Citizenship and Immigration Services (USCIS) to release to other government agencies any information from my USCIS records, if USCIS determines that such action is necessary to determine eligibility for the benefit sought. 1.a. Signature of Petitioner 1.b. Date of Signature (mm/dd/yyyy) ► Form I-140 01/17/17 N 2. Daytime Phone Number ( ) - 3. Mobile Phone Number ( ) - 4. E-mail Address (if any) 5. Job Title of Position with Petitioning Employer, If the Petition Is Being Filed by an Employer NOTE: If you do not fully complete this form or fail to submit the required documents listed in the instructions, a final decision on your petition may be delayed or the petition may be denied. Page 5 of 6 Part 9. Signature of Person Preparing This Petition, If Other Than the Petitioner 1. Attorney or Representative: In the event of a Request for Evidence (RFE), may USCIS contact you by e-mail? Yes No Preparer's Mailing Address 6.a. Street Number and Name Preparer's Full Name 6.b. Apt. Provide the following information concerning the preparer: 6.c. City or Town 2.a. Preparer's Family Name (Last Name) Ste. 6.d. State 6.f. 2.b. Preparer's Given Name (First Name) Flr. 6.e. Zip Code Postal Code 6.g. Province 3. Preparer's Business or Organization Name 6.h. Country Declaration Preparer's Contact Information 4. Preparer's Daytime Phone Number ( 5. ) - Preparer's E-mail Address (if any) Extension To be completed by all preparers, including attorneys and authorized representatives: I declare that I prepared this petition at the request of the petitioner, that it is based on all the information of which I have knowledge, and that the information is true to the best of my knowledge. 7.a. Signature of Preparer 7.b. Date of Signature (mm/dd/yyyy) ► Form I-140 01/17/17 N Page 6 of 6
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