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Tadmor & Tadmor LLP

Attorneys at Law
340 Main Street, Suite 610
Worcester, MA 01608
Tel. (508) 791-9400
Fax. (508) 791-7914

Rachel C. Tadmor* *Admitted in MA


Yoav Tadmor Admitted in DC
Admitted in PA
Admitted in MD

H-1B – EMPLOYEE QUESTIONNAIRE

INFORMATION ABOUT THE SPONSORED INVIDVIDUAL:

1. Sponsoring Company:

2. Employee’s Last Name: PONNAPATI

3. Employee’s First Name: PRABHAKAR REDDY

4. Employee’s Middle Name:

5. Current address: SRT – 18, NEAR SANATHNAGAR BUS STAND,


SANATHNAGAR, HYDERABAD 500018, STATE TELANGANA,
INDIA

6. Cell Number: +919949934992

7. Home Telephone number: +919949934992

8. Work Telephone number: +919949934992

9. E-mail address: pponnapati@gmail.com

10. Date of birth: 01/01/1972

11. City/country of birth: INDIA

12. Marital status: MARRIED


13. Current citizenship: INDIA

14. Social security number: 351-08-4795

15. A# (Alien Registration Number, if applicable): NA

16. If in U.S., current visa classification: NA

17. Date of last arrival: September 12, 2009

18. Port of entry of last arrival: Chicago, Illinois

19. Visa: where issued, date and expiration: CHENNAI, Issued 19 NOV
2009, Expiration 30 SEP 2011

20. I-94# and expiration: 0963, 08 NOV 2009

21. Permanent address outside the U.S., to which the individual will return at
the expiration of temporary stay in the U.S.: SRT – 18, NEAR
SANATHNAGAR BUS STAND, SANATHNAGAR, HYDERABAD,
TELANGANA STATE, INDIA, PIN CODE 500018

22. Please list ALL your periods of stay in H-1B or L-1 classification in the
United States. Please list only those periods in which you were
ACTUALLY IN the United States:

Period of Stay (mm/dd/yyyy): Status:

From: 12 SEP 2009 To: 8 NOV 2009 H1B


From: To:
From: To:
From: To:
From: To:

23. If you are presently on an H-1b, was this H filed as cap exempt? NA

24. Please provide a list of all periods of stay in the United States in H-4
status: NA

25. Please provide a list of all periods of stay in the United States in J status, if
any: NA

26. Have you ever been in any deportation or exclusion proceeding? If so,
explain: NA
27. Has an immigrant visa (I-140) ever been filed on your behalf, or on behalf
of your spouse? If so, explain and provide a copy of the I-140 approval or
denial notice. NA

28. Has a labor certification/PERM ever been filed on your behalf, or on


behalf of your spouse? If so, explain and provide a copy of the approval or
denial. NA

29. Has an H-1B filed on your behalf ever been denied? If so, please explain.
NO

30. Have you ever been arrested for any reason, anywhere in the world? If so,
explain, to include the results of any court appearances: NO

31. Are you married? YES

32. Do you have any children? How many? YES, 2 CHILDREN

33. Dependent information: If applicable, please provide the following


information for any spouse or children, and advise if currently in the U.S.:
(use additional paper if necessary)

DEPENDENT 1 DEPENDENT 2

Name: Soundarya Reddy P Mokshitha Reddy P, Harshavardhan Reddy P


Relationship: Wife Daughter Son
Social Sec. #: NA NA NA
Date of Birth: 12/06/1984 28/10/2005 17/06/2007
Place of Birth: Narasaraopet Narasaraopet Hyderabad
Current Status: NA NA NA
I-94 #: NA NA NA
Date of Last Entry: NA NA NA
Place of Last Entry: NA NA NA
I-94 Expiration Date: NA NA NA
DOCUMENTS CONCERNING THE PERSON FILING FOR:

Please attach a copy of the following documents (some may not be applicable to you
depending on your current status), together with English translation, if necessary.

34. Copy of all H-1B approval notices (Form I-797).

35. Copy of all I-140 approval notices.

36. If in the US, copy of passport (please do not copy blank pages), including
both sides of I-94.

37. If the dependents are in the US and will accompany, copy of each passport
(not blank pages), including I-94, and marriage certificate and birth
certificate(s) of children.

38. If dependents are to accompany, copy of marriage certificate and birth


certificate(s) of child(ren).

39. Degree and Transcripts of all University level education (Both foreign and
US - if applicable), and Educational Evaluation, if applicable.

40. If your position requires a license (for example: Teacher, Doctor, etc)
please provide a copy.

41. Resume.

42. Optional Practical Training (OPT) card if on F-1 Visa.

43. Sevis (I-20) if on F-1 Visa.

44. If currently working under an employment authorization document


(EAD), a copy of both sides of the card.

45. If currently working in a non-immigrant visa status, a copy of both sides


of current approval notice granting work authorization. Also include
copies of any prior approval notices that granted a legal non-immigrant
status.

46. Three most recent paystubs (if currently working).

47. Most recent W-2, if applicable.

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