QUESTIONNAIRE for H1,H4 TXFR. / H1,H4 EXTN.

/ PERM / 140
Page 1 : Questionnaire to fill-in whatever possible
Page 2 : List of documents
page 3 : General Formats for Experience letter / Coworker affidavit
Page 4 : Questionnaire for Spouse on Dependent Status (only for married Applicants and Spouse in US at the time of Application)
Note : This Questionnaire is for internal use only; Not submitted anywhere ; Fill-in JOB DUTIES in Employment details, to avoid
RFE
So, try to fill-in details / provide documents wherever possible / applicable. ^ Kindly do not handwrite!!
Mr/Ms/Mr
s
Mr

LAST / FAMILY NAME (per latest

passport)
Ravikanti

Education (full degree

name) (College/Univ edn.
After +2)
Master of Science

Bachelor of technology

Certification ( certification
full name) if any

In Subject
Digital
communicati
on networks
Electronics
and
communicati
on
engineering

FIRST / GIVEN
NAME
Krishna Santhosh

MIDDLE NAME

University
Name, Street
Address
London
metropolitan
university

CITY STATE

Jawaharlal
Nehru
Technological
University

Hyderabad, Andhra
Pradesh

In Subject / as per
the Certificate award

ZIPCODE

Country

London, N7 8DB

Institute /
Company Name

Country

Company Name (wholl apply for

u)

United
Kingdo
m
India

Month,
Year
Started

Mon & Year of

Passing
October/ 2009

Septembe
r/ 2008
June /
2003

Month, Year Started

May / 2008

Mon & Year of

Passing

ALL EMPLOYMENT details (current Company and previous Companies) from RIGHT OUT OF COLLEGE anywhere in globe
needed
Include work experience from College (experience gained in part-time in Colllege or during summer/winter breaks)
Current Company
name
(no Client Name)

Employer Type
of Business

Indecomm Global
services

Software
company

Skillsets as per Experience letter /

CWA (if any) for Company 1
Mainframes, Foxtrot, Regression APS

Addr, City, ST,

Job Start Dt. Job End Dt.
Designation Given by Employer / as
Zip,
MON-DDYY
MON-DDYY
per LCA
(no Client
Address)
Green Valley,
Feb-16-15
Till date
QA Engineer
Banjara Hills,
Hyderabad
Skillsets used but not in
Copy / paste JOB DUTIES from Resume
Exp. letter / CWA for
Requirement gathering, Preparing design diagrams,
Company 1
define architecture of the application, developing the
modules
Understanding of Business Requirements and
specifications.
Involved in creation of test data.
Handling Mainframes applications (HOGAN, FDR,
FIDELITY, HELMS, BETA)
Managing regression data
Automating the process of data creation using
FOXTROT tool
Involved in Manual Testing and Automation Testing.
Performed Data Driven Tests.

Prev. Company
name
(no Client Name)
Orysys Technologies

Employer Type
of Business
Software
company

Addr, City, ST,

Zip,
(no Client
Address)
1-2-30/9A,
Nizampet X
roads, Andhra
Pradesh

Job Start Dt.

MON-DDYY
Jun- 03-13

Job End Dt.

MON-DDYY

Designation Given by Employer / as

per LCA

Feb-06-15

Software Tester

Skillsets as per Experience letter /

CWA (if any) for Company 1

Skillsets used but not in

Exp. letter / CWA for
Company 1

Copy / paste JOB DUTIES from Resume

Understanding of Business Requirements and

specifications.

Manual testing, Quality center, XML,

QTP

Involved in Manual Testing and Automation Testing.

Performed Data Driven Tests.
Involved in Developing Test Cases, Test Scripts,
Executed Test Cases and Test Scripts, Gathered Test
Execution Results.
Reviewing requirement and test cases.
Involved in functional testing, System testing,
Regression testing, and partly involved in Database
testing.
Involved in User Interface Testing.
Find Defects, analysis of defects, prepared defect
reports and Status reporting, defect tracking.
Prev. Company
name
(no Client Name)

Employer Type
of Business

Skillsets as per Experience letter /

CWA (if any) for Company 1

Addr, City, ST,

Zip,
(no Client
Address)

Job Start Dt.

MON-DDYY

Skillsets used but not in

Exp. letter / CWA for
Company 1

Job End Dt.

MON-DDYY

Designation Given by Employer / as

per LCA

Copy / paste JOB DUTIES from Resume

<add more templates for more employments>

Latest Entry date to US /I-94 card

TOP

Current Status
(h1/h4/L1/L2/F1/F2/other)

Current Company H1B Receipt#

eac-99-999-99999 / EAD# if ead
active

Current Company Validity

End Date in Approval Notice

Passport
#

Passport Valid from date (dd-monyy)

Latest I-94 # total digits =

11

Current GC Status, ex. I-140

applied / approved (If any)

Passport Valid To date

Travel details : (fillin whatever details possible)

Entry Date into US
Employer
Validity date(from-to)
( from first entry to
Name
(mon/dd/yy ))
Latest entry date to
From Date
To Date
US ) (mon/dd/yy )
( from approval notice )

Current USA Address : Street

Birth Date ( MON DD

YY)

Address : city

Ssn 999-99-9999

Email

Spouse; To apply H4 ? let us

know ; for a) questionnaire fillin
b) sign i539

Country of Birth

Mention Status
(h1/h4/f1/b1/b2/
L1/other)

Valid TO date in I-94

card

Country of Citizenship

Exit Date from US

(mon/dd/yy )

Address : State

Number of
days Outside
US (to
recapture &
extend ur
stay)

Address: Zipcode

Phone #s

Current Abroad Address : Street

Address : city

Address : State

Address: Zipcode

Address : Country

LIST OF DOCUMENTS for : H Transfer / H Extension (Provide Hardcopy sets in the same order as given below)

All H Approval/Receipt notices incl. curr. & prev. from initial entry into US
Latest I-94 bothsides [color copy if entry dt. not visible (attached to passport)]
ALL Passport(s) ALL pages (Chronological order)(incl. blank pages)
Copy of SSN, student EAD (if available)
Evaluation Report (if available) (recommended for Abroad Degree Holders)
Education documents certificates & transcripts/marksheets (MS degree to 10th)
Make sure contents are shrinked to fit A4/Letter size b4 photocopying long Certs!
Certifications if any from Sun Micro, Microsoft, Brainbench etc.
Past Exp. letters (w/ skills, duration, jobduty, desig, date mentioned)(if available)
Employment letter from Current Employer (if available, not mandatory)
Paystubs for recent 2 months (2 monthly or 4 fortnight or 8 weekly)

For PERM Only (add following documents to above list)

For GC-PERM only : (If converting a Pending case )
Filing Date if seekg to utilize prev. filing date
Prev. Petitioner name

Case Number

Labor Approval documents or receipt notice (if approved or applied earlier to this appln.)
Exp. letters from all prev. Employers(w/skills,duration,jobduty,desig,date mentioned)
(OR)
Format of the exact Experience letters if not received from prev. Employers at the time of PERM application (Remember : The
same content Hardcopies to be submitted to Govt. at the time of filing I-140 Application)
No need to submit any Dependent(s) documents, theyll be added in I-140/I-485 applns.

For I-140 Only (add following documents to above list)

Employment letter from Current Employer (with Desig, Job Desc., Skillset & details)

Paystubs for recent 1 year (suggested) or minimum 6 months

Tax Return for recent 3 years (or whatever available)

W2 for recent 3 years (or whatever available)

Spouse Latest I-94 both sides[color copy if entry date is not visible]

Spouse Latest Passport First page

Kid(s) Latest I-94 both sides[color copy if entry date is not visible]

Kid(s) Latest Passport First page

From approval point of view, Kindly submit :

Kindly submit as many documents from above list ; do not staple but clip them !
Legible clear copies printed on only one side of the paper
A-4 / Letter size documents (use REDUCE option in Photocopy shops and bring to A4 size)

We thank you for your cooperation in submitting documents and wish you the best !

Note : The below mentioned formats are :

essential for PERM, I-140 and I-485 filings

optional for H1 filings

EXPERIENCE LETTER FORMAT

(Date)

Category Applied ( EB2 /

EB3..)

To Whom It May Concern

This is to certify that Ms/Mr..------------------------- has been an employee of our organization from --------------- till ---------------------.
During this period, Ms/Mr. ---------------- was designated as a ----------------------------. She/He was primarily responsible for < job duties and
responsibiities >
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------. He/She was also involved in conducting software training.
Note : JOB DUTIES AND SKILLSETS need to be included to enable one of the criteria for I-140 approval.
Her/His skills in < skill sets>, were used for all the projects undertaken.
We wish her/him good luck and success for the future.
Sincerely yours,
------------------------------------------------------------(Name and designation of authorized signatory)

* CWA : In absence of Exp ltr, get Coworker affidavit on plain paper, where ur office colleague who worked w/u during that duration will
vouch for ur work with that Employer; needs to get notarized from Notary/Bank (CWA is an optional document for H1B).
AFFIDAVIT FROM CO-WORKER FORMAT
<Name and address of the person preparing affidavit>
I, ----------------------<Person preparing the affidavit>, do hereby solemnly state and affirm as hereunder:
1.

I am over twenty-one years of age and otherwise competent to make this affidavit;

2.

During the period from ------------- till ------------, I have been employed with ---------------------<Name of the Company> located at
----------------------------------------------<Address of the company>, in the capacity of a---------------------<Person preparing the
affidavits Position>;

3.

During this time I was co-worker of <Your name> who was employed by -------------------<Name of the Company as above>
located at ----------------------------------------<Address of the Company as above>, from ------------ till -----------------<Your duration of
employment>, in the position of a --------------------<Your position> working no less than 40 hours per week;

4.

I certify that as a ---------------<Your position>, -------------<your name> performed the following duties: <Job duties and skills
used>

Date: -----------------

------------------------------Signature of person preparing

Affidavit

Sworn to and subscribed before me, a Notary Public of the State of ------------------------, this ----------------day of -------------------, and 200 #.
--------------------------------------------Seal and signature of notary public

Note : Make sure # of coworker affidavits are < # of experience letters

NOTE : ^ Kindly make sure to send updated Questionnaire when there is change in any of the above mentioned details (ex. I94#,
certifications etc.)
(HIGHLIGHT in different color when updations are made)

QUESTIONNAIRE for Spouse (this application is not to be filled-in by GC Applicants )

Note : This H4 Application is valid for Spouse of Married Employed Candidate already in US.
Note : This Questionnaire is for internal use only; Not submitted anywhere; So, try to fill-in details / provide documents wherever
possible / applicable;
No separate Questionnaire for kids if applied with S ^ Kindly do not handwrite !!

Mr/Ms/Mr
s

LAST / FAMILY NAME (per latest

passport)

Country of birth

Passport : issued in
Country

FIRST / GIVEN
NAME

Countty of citizenship

Passport Valid To : MON - DD YY

Abroad (Outside US) Address : Street

Address : City

KID-1 LAST / FAMILY NAME (as per latest

passport)

Country of birth

Current Status

KID-2 LAST / FAMILY NAME (as per latest

passport)

Country of birth

Current Status Valid To : MON - DD

YY

Current Status

Current USA Address : Street

Latest Arrival Date into

USA
Address : State

Address : city

# of Kids (in US) applying H4 with

you

Latest I-94 # total digits = 11

Address : Zipcode

Middle Name

Last Arrival Date into USA

Passport : issued in
Country

First / Given Name

Countty of citizenship

Current Status in US

Date of Birth MON - DD YY

First / Given Name

Countty of citizenship

Current Status Valid To : MON - DD

YY

MIDDLE
NAME

Date of Birth : MON - DD

YY

Latest I-94 # total digits = 11

Passport Valid To : MON - DD - YY

Middle Name

Last Arrival Date into USA

Passport : issued in
Country

Address : Country

Date of Birth : MON - DD

YY

Latest I-94 # total digits = 11

Passport Valid To : MON - DD - YY

Address : State

Address : Zipcode

LIST OF DOCUMENTS for SPOUSE (Married and in US) (Provide Hardcopy 2 sets)
Access USCIS website ; look for I-539 form ; sign blue ink pen in Part 5 Signature column (opposite ur name) Dont fax/ scan copy;
We need ORIGINAL signed page HARDCOPY

All H Approval/Receipt notices incl. curr. & prev. from initial entry into US

Latest I-94 f&b [color cp needed if entry dt not visible (attached to passport)]

Passport all pages (Chronological order)(incl. blank pgs);& prev.passport if any

Copy of Marriage certificate A4/letter size (if available)

Paystub cp (from Spouse on H1) for past 2 mths/fortnights (if h4 applied separately)

Passport and I-94 pages copies (from Spouse on H1) / first and last page
Kid (H4): Latest I-94, (US Entry & expiry date clear; take color copy if date in I-94 is not clear);
a) whitecard (both sides) tagged to passport; b) Kid(s) : copy of ALL PAGES OF passport (Pages 0-37); (Include blank
pages ) ; Copy of Birth Certificate of kid(s) (A4 size
From approval point of view, Kindly submit :

As many documents from above list ; do not staple but clip them
Legible clear copies printed on only one side of the paper
A-4 / Letter size documents (use REDUCE option in Photocopy shops and bring to A4 size)

We thank you for your cooperation in submitting documents and wish you the best !