H1b Data Sheet

H1B Data Sheet (Please Don’t change the text) Family name (Last Name):

Das

Given Name (First Name):

Dev Prasad

Middle Name: Address:

P-11 State Bank Park, Pora-asthala, Thakurpur Kolkata-700063

Date of Birth: (MM/DD/YYYY): Country of Birth:

02-03-1976 Indian

Province (STATE) of Birth:

West Bengal

Social Security # (if applicable): xxx-xx-xxxx A# (if applicable): The prior petition or application receipt # (if applicable): Passport Number:

A8830544

Date Passport Issued (MM/DD/YYYY): Date Passport Expires (MM/DD/YYYY):

27-06-2000 26-06-2010

If in the United States, complete the following: Date of Last Arrival (MM/DD/YYYY) I-94 # Current Nonimmigrant Status I-94 Expires (MM/DD/YYYY) Current U.S. Address

If you are outside the U.S., complete the following: U.S. consulate City and Foreign Country you will prefer for visa revalidation:

Kolkata and India

Your Foreign Address (country you will go for visa revalidation): Ever been given H1B classification you are now requesting? If yes then please list the durations of Approvals and the petitioner’s name.

NAME of Petitioner Redact systems Pvt. Ltd.

Valid From May 05 2001

Valid till Aug 06 2001

Redact systems Pvt. Ltd. Phoneix Computing(India)

APR 14 2003

APR 21 2004

List yours and any dependent family members' prior periods of stay in H classification in the U.S. for the last six years. Be sure to list only those periods in which you and/or family members were actually in the U.S. in an H classification. If more space is needed, add more columns. NAME of Petitioner

Valid From

Valid till

Ever been denied the H1B classification? If yes then please mention when and who was the petitioner. NAME of Petitioner

Receipt #

Date of Denial

Beneficiary's Highest Level of Education: Major/Primary Field of Study: Has the beneficiary of this petition earned a master's or higher degree from a U.S. institution of higher education? (YES/NO) If Yes then: Name of the U.S. institution of higher education: Date Degree Awarded: Type of U.S. Degree: Address of the U.S. institution of higher education:

We prefer scanning and emailing your document as a PDF file. Scan passport as its own file, Degree certificates as a separate file, and mark sheets as a separate file and so on. Upload your files to any online storage place, like megaupload or xdrive or others, and send the link by mail to [email protected] with copy to [email protected] If you are going to send the document by mail, send it to: Droisys, Inc. 4800 Patrick Henry Dr., Santa Clara, CA 95054