H1b Biodata Form Page 3
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4If you answered yes to of the any questions in this section, you must attach to this form legible copies (front and back) of all
immigration documents issued to you and your dependents, such as passport showing expiration date and personal information,
Form I-94, or Form I-797.
Permanent Residency Information:
Have you filed an application for permanent residency (green card) with the U.S. government?
Yes
No
If yes, under what category?
Family
Employment
Lottery
_______________________________________________
If yes, what is the status of the application?
If employment based, what category (e.g. Outstanding, National Interest, etc.)?
____________________________________________________________________________
If employment based, was the application self petition or employer petition?
Self
Employer
If employment based, please provide a copy of the USCIS receipt notice.
Have you filed an I-485 Adjustment of Status Application with the U.S. government?
Yes
No
If yes, do you have an Advance Parole (I-131)?
Yes
No
If yes, do you have an Employment Authorization Document (EAD)?
Yes
No
If yes, please provide copies of all of the above (e.g. I-485, Advance Parole, EAD)
Section III: Dependent Information
Do you currently have a spouse or unmarried child (under the age of 21) in the U.S. who will require H-4 status?
Yes
No
Will you be accompanied by your spouse or unmarried child (under the age of 21) who will seek H-4 status abroad?
Yes
No
If you answered yes to either of the two preceding questions, please provide the following information:
Spouse
______________________
______________________
______________________
LAST/FAMILY NAME
First/Given Name
Middle
______________________
______________________
______________________
Date of Birth (MM/DD/YYYY)
City of Birth
Country of Birth
______________________
______________________
Country of Citizenship
Country of Legal Permanent Residence
Has your spouse ever been on J-1 or J-2 status?
Yes
No
If yes, has your spouse been recommended for and/or granted a waiver of the two-year home residency obligation?
Yes
No
If yes, please attach to this form a copy of the waiver recommendation and/or waiver approval.
o
_________________________________________________________________________
Office of International Affairs
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