H1 B Checklist
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PART A: EMPLOYEE INFORMATION Please fill all the information requested and send this via email: Any information that is not filled will delay in the process 1. First Name 2. Last Name 3. Middle Name 4. Maiden Name 5. Date of Birth 6. Country of Birth 7. City of Birth 8. Nationality 9. Marital Status 10. Email 11. SSN # 12. Current US Residence Address
: : : : : : : : : : : :
Kirubanandam Swayamprakasam 09-Aug-1977 India Thanjavur Indian Single [email protected] 611-51-4107 536 Glennburry Way, San Jose, California, USA-95136 408-228-3126 408-528-2852 480-747-0543
13. Home Phone Number : 14. Office Phone Number : 15. Mobile Phone Number : 16. Fax Number : 17. Foreign Contact Address : 18. Foreign Contact Phone : 19. Foreign Contact Name : 20. I – 94# : (The one on the Passport at the time of Entry) 21. I-94 Expiration Date : 7-Jan-2007 22. US Arriving State : California 23. US Arrival Date (Latest) : 24. US Arrival City(Airport) : Los Angeles 25. Passport # : A3294641 26. Passport Issue Date : 21-Jul-1997 27. Passport Expiration Date : 20-Jul-2007 28. Passport Issuing Country : India 29. Education Acquired : B.E (Electronics and Communication Engg0 30. Previous H1B visas with US employers with Duration: Exact approval dates that are present on the H1B (Not Duration With Employers) From : To: 31. Previous H1-B visa Receipt Number: 32. Exact dates of entry and exists from US Should be very specific: ENTRY EXIT 01-May-2005 05-Apr-2006
PART B: REQUIRED DOCUMENTS: PROVIDE THREE (3) COPIES DO NOT STAPLE ALL COPIES SHOULD BE ON 8 ½ INCHES X 11 INCHES PAPER (OTHER SIZES WILL NOT BE ACCEPTED BY USCIS) EACH SET SHOULD CONSIST OF THE FOLLOWING DOCUMENTS 1. 2. 3. 4. 5. 6. 7.
Copy of recent 3 Salary Slips/Stubs Copy of ALL Approved H-1B’s (if applicable) Copy of Experience Letters Current Resume Copy of College Educational Degree Certificate(s) Copy of College Mark Sheets Copy of Higher Secondary/High School Mark Sheets: (more documents provided the better) 8. Copy of U.S. Educational Evaluation (if available) 9. Copy of Passport (PROVIDE EVERY PAGE INCLUDING EMPTY PAGES) 10. Copy of I-94 (One attached to the Passport) MAIL THREE (3) COPIES OF THE AFOREMENTIONED APPLICABLE DOCUMENTS TO: SOFTWARE GALAXY SYSTEMS, LLC 4390 U.S. ROUTE 1 NORTH SUITE # 210 PRINCETON, NEW JERSEY 08540
: : : : : : : : : : : :
Kirubanandam Swayamprakasam 09-Aug-1977 India Thanjavur Indian Single [email protected] 611-51-4107 536 Glennburry Way, San Jose, California, USA-95136 408-228-3126 408-528-2852 480-747-0543
13. Home Phone Number : 14. Office Phone Number : 15. Mobile Phone Number : 16. Fax Number : 17. Foreign Contact Address : 18. Foreign Contact Phone : 19. Foreign Contact Name : 20. I – 94# : (The one on the Passport at the time of Entry) 21. I-94 Expiration Date : 7-Jan-2007 22. US Arriving State : California 23. US Arrival Date (Latest) : 24. US Arrival City(Airport) : Los Angeles 25. Passport # : A3294641 26. Passport Issue Date : 21-Jul-1997 27. Passport Expiration Date : 20-Jul-2007 28. Passport Issuing Country : India 29. Education Acquired : B.E (Electronics and Communication Engg0 30. Previous H1B visas with US employers with Duration: Exact approval dates that are present on the H1B (Not Duration With Employers) From : To: 31. Previous H1-B visa Receipt Number: 32. Exact dates of entry and exists from US Should be very specific: ENTRY EXIT 01-May-2005 05-Apr-2006
PART B: REQUIRED DOCUMENTS: PROVIDE THREE (3) COPIES DO NOT STAPLE ALL COPIES SHOULD BE ON 8 ½ INCHES X 11 INCHES PAPER (OTHER SIZES WILL NOT BE ACCEPTED BY USCIS) EACH SET SHOULD CONSIST OF THE FOLLOWING DOCUMENTS 1. 2. 3. 4. 5. 6. 7.
Copy of recent 3 Salary Slips/Stubs Copy of ALL Approved H-1B’s (if applicable) Copy of Experience Letters Current Resume Copy of College Educational Degree Certificate(s) Copy of College Mark Sheets Copy of Higher Secondary/High School Mark Sheets: (more documents provided the better) 8. Copy of U.S. Educational Evaluation (if available) 9. Copy of Passport (PROVIDE EVERY PAGE INCLUDING EMPTY PAGES) 10. Copy of I-94 (One attached to the Passport) MAIL THREE (3) COPIES OF THE AFOREMENTIONED APPLICABLE DOCUMENTS TO: SOFTWARE GALAXY SYSTEMS, LLC 4390 U.S. ROUTE 1 NORTH SUITE # 210 PRINCETON, NEW JERSEY 08540
