7/23/2019 Nonimmigrant Visa Extension Questionnaire

1/4

Nonimmigrant Visa Extension Questionnaire

GENERAL AND CONTACT INFORMATION

COMPANY OR ORGANIZATIONS NAME (Petitioning Entit!"

COMPANY OR ORGANIZATIONS A##RESS"

EMP$OYEES %&$$ NAME"

EMP$OYEES C&RRENT A##RESS"

EMP$OYEES C&RRENT 'OME TE$EP'ONE N&MER"

EMP$OYEES C&RRENT &SINESS TE$EP'ONE N&MER"

EMP$OYEES C&RRENT EMAI$ A##RESS"

#ATE O% IRT'"

PROVINCE ) CO&NTRY O% IRT'"

SOCIA$ SEC&RITY N&MER"

C&RRENT ANN&A$ SA$ARY"

A* (if applicable):

I+,- #EPART&RE RECOR# N&MER"

#ATE O% $AST ARRIVA$ IN &NITE# STATES"

#ATE O% INITIA$ ENTRY INTO T'E &NITE# STATES IN NONIMMIGRANT STAT&S"

C&RRENT NONIMMIGRANT STAT&S"

E.PIRATION #ATE O% C&RRENT NONIMMIGRANT STAT&S"

EMP$OYEES %OREIGN A##RESS OR CARE O% A##RESS"

#O YO& 'AVE A VA$I# PASSPORT/"

CO&NTRY ) #ATE O% ISS&ANCE"

E.PIRATION #ATE"

ARE YO& %I$ING %OR ANY #EPEN#ANTS/"

'AVE YO& EVER EEN IN E.C$&SION OR #EPORTATION PROCEE#INGS/"

7/23/2019 Nonimmigrant Visa Extension Questionnaire

2/4

DEPENDENTS

%&$$ NAME O% SPO&SE (if applicable)"

SPO&SES C&RRENT A##RESS"

#ATE O% IRT'"

PROVINCE ) CO&NTRY O% IRT'"

SOCIA$ SEC&RITY N&MER"

A* (If Applicable)"

#ATE O% $AST ARRIVA$ IN &NITE# STATES"

#ATE O% INITIA$ ENTRY INTO T'E &NITE# STATES IN NONIMMIGRANT STAT&S"

I+,- #EPART&RE RECOR# N&MER"

C&RRENT NONIMMIGRANT STAT&S"

E.PIRATION #ATE O% C&RRENT NONIMMIGRANT STAT&S"

PASSPORT N&MER AN# CO&NTRY O% ISS&ANCE""

E.PIRATION #ATE"

SPO&SES %OREIGN A##RESS OR CARE O% A##RESS"

ARE YO& AN APP$ICANT %OR AN IMMIGRANT VISA OR A#0&STMENT O% STAT&S TOPERMANENT RESI#ENCE/

'AS AN IMMIGRANT PETITION (%ORM I+1-2! EVER EEN %I$E# %OR YO&/

'AVE YO& EVER EEN ARRESTE# OR CONVICTE# O% ANY CRIMINA$ O%%ENSE SINCE $ASTENTERING T'E &SA/

'AVE YO& #ONE ANYT'ING 3'IC' VIO$ATE# T'E TERMS O% T'E NONIMMIGRANT STAT&SYO& NO3 'O$#/

'AVE YO& EVER EEN IN E.C$&SION OR #EPORTATION PROCEE#INGS/"

'AVE YO& EEN EMP$OYE# IN T'E &4S4 SINCE $AST A#MITTE# OR GRANTE# ANE.TENSION OR C'ANGE O% STAT&S/"

CHILDREN

%&$$ NAME O% C'I$# (if applicable)"

C'I$#S C&RRENT A##RESS"

#ATE O% IRT'"

CO&NTRY O% IRT'"

7/23/2019 Nonimmigrant Visa Extension Questionnaire

3/4

DEPENDENTS

SOCIA$ SEC&RITY N&MER"

A* (If Applicable)"

#ATE O% $AST ARRIVA$ IN &NITE# STATES"

I+,- #EPART&RE RECOR# N&MER"

C&RRENT NONIMMIGRANT STAT&S"

E.PIRATION #ATE O% C&RRENT NONIMMIGRANT STAT&S"

PASSPORT CO&NTRY O% ISS&ANCE ) #ATE"

E.PIRATION #ATE"

SPO&SES %OREIGN A##RESS OR CARE O% A##RESS"

ARE YO& AN APP$ICANT %OR AN IMMIGRANT VISA OR A#0&STMENT O% STAT&S TO

PERMANENT RESI#ENCE/

'AS AN IMMIGRANT PETITION EVER EEN %I$E# %OR YO&/

'AVE YO& EVER EEN ARRESTE# OR CONVICTE# O% ANY CRIMINA$ O%%ENSE SINCE $ASTENTERING T'E &SA/

'AVE YO& #ONE ANYT'ING 3'IC' VIO$ATE# T'E TERMS O% T'E NONIMMIGRANT STAT&SYO& NO3 'O$#/

'AVE YO& EVER EEN IN E.C$&SION OR #EPORTATION PROCEE#INGS/

'AVE YO& EEN EMP$OYE# IN T'E &4S4 SINCE $AST A#MITTE# OR GRANTE# ANE.TENSION OR C'ANGE O% STAT&S/

%&$$ NAME O% C'I$# (if applicable)"

C'I$#S C&RRENT A##RESS"

#ATE O% IRT'"

CO&NTRY O% IRT'"

SOCIA$ SEC&RITY N&MER"

A* (If Applicable)"

#ATE O% $AST ARRIVA$ IN &NITE# STATES"

I+,- #EPART&RE RECOR# N&MER"

C&RRENT NONIMMIGRANT STAT&S"

E.PIRATION #ATE O% C&RRENT NONIMMIGRANT STAT&S"

7/23/2019 Nonimmigrant Visa Extension Questionnaire

4/4

DEPENDENTS

PASSPORT (CO&NTY O% ISS&ANCE!"

E.PIRATION #ATE"

SPO&SES %OREIGN A##RESS OR CARE O% A##RESS"

ARE YO& AN APP$ICANT %OR AN IMMIGRANT VISA OR A#0&STMENT O% STAT&S TOPERMANENT RESI#ENCE/

'AS AN IMMIGRANT PETITION EVER EEN %I$E# %OR YO&/

'AVE YO& EVER EEN ARRESTE# OR CONVICTE# O% ANY CRIMINA$ O%%ENSE SINCE $ASTENTERING T'E &SA/

'AVE YO& #ONE ANYT'ING 3'IC' VIO$ATE# T'E TERMS O% T'E NONIMMIGRANT STAT&SYO& NO3 'O$#/

'AVE YO& EVER EEN IN E.C$&SION OR #EPORTATION PROCEE#INGS/

'AVE YO& EEN EMP$OYE# IN T'E &4S4 SINCE $AST A#MITTE# OR GRANTE# ANE.TENSION OR C'ANGE O% STAT&S/

NONIMMIGRANT VISA EXTENSION DOCUMENT CHECKLIST

Copy of each family members passport biographical page

Copy of each family members I-94 Departure Record.

Copies of each family members current visa

Copy of principal applicants updated resume

Copy of partys marriage certificate (if applicable)

Copy of childrens birth certificates containing parents full names (if applicable)