I-140 Checklist for Beneficiary

LAW OFFICE OF
KESHAB RAJ SEADIE, P.C.

ATTORNEY & COUNSELOR AT LAW
146 West 29
th
Street, 10
th
Floor, New Yor, NY 10001 || !ho"e# $212% &'1(6002 || F)*# $212%
&'1('+02
I-140 CHECK LIST FOR BENEFICIARY
WE UNDERSTAND THAT YOU MAY HAVE SUBMITTED SOME OF THE DOCUMENTATIONS TO OUR
OFFICE BEFORE, HOWEVER, FOR BETTER QUALITY DOCUMENTATIONS TO BE SUBMITTED TO THE
IMMIGRATION SERVICES, PLEASE FILL OUT ALL BLANKS, SUBMIT CLEAR COPY FOR ALL
DOCUMENTATIONS WE REQUEST IN THIS CHECKLIST, AND RETURN THESE DOCUMENTS TO
OUR OFFICE ASAP AS WE DO NEED TO FILE TO USCIS IMMEDIATELY.
INFORMATION ABOUT YOU
NAME OF COMPANY
LAST NAME

FIRST NAME
FULL MIDDLE NAME

CURRENT HOME ADDRESS
(STREET/CITY/STATE/COUNTRY/ZIP)

EMAIL ADDRESS
WORK PHONE #
CELL PHONE #
HOME PHONE #
DATE OF BIRTH (MM/DD/YYYY)
CITY/TOWN/VILLAGE OF BIRTH
STATE/PROVINCE OF BIRTH
COUNTRY OF BIRTH
NATIONALITY/CITIZENSHIP
U.S. SOCIAL SECURITY NUMBER
DATE OF LAST ARRIVAL/ENTRY
(MM/DD/YYYY)
I!" # (THE LATEST)
CURRENT NONIMMIGRANT STATUS
DATE STATUS E#PIRES (MM/DD/YYYY)
LAST PERMANENT FOREIGN ADDRESS
(STREET/CITY/STATE/COUNTRY/ZIP)

LAW OFFICE OF
146 West 29
th
Street, 10
th
&'1('+02
INFORMATION ABOUT YOUR FAMILY MEMBERS
(IF ANY)
HUSBAND/WIFE NAME(FIRST/MIDDLE/LAST)
DATE OF BIRTH
(MM/DD/YYYY)
COUNTRY OF
BIRTH
(IF ANY)
SON/DAUGHTER NAME(FIRST/MIDDLE/LAST)
DATE OF BIRTH
(MM/DD/YYYY)
COUNTRY OF
BIRTH

SUPPORTING DOCUMENTATIONS FOR I-140 FILING
ALL H$B, L$, H", %&'. A(()*+,- N*&.'%/
L%0.1-% COMPLETE '*(2 *3 (,//(*)&
L,&%/& I!" ',)4 (,)).+,-/4%(,)&5)%)
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C)%4%6&.,- %+,-5,&.*6 (I3 ,62)
E9(%).%6'% -%&&%)/ *3 ALL ()%+.*5/ :*1/ (Printed on companys letter head; stating start
date, end date, resignation, and a brief description of job duties.)
C*(2 *3 OPT ',)4 (.3 ,62)
C*(2 *3 I;< (.3 ,62)
PERSONAL FINANCIAL DOCUMENTS
M*/& )%'%6& =>*6&8 (,2 /&51/ (.3 %>(-*2%4)
LAW OFFICE OF
146 West 29
th
Street, 10
th
&'1('+02
M*/& )%'%6& =2%,) W; F*)>/
M*/& )%'%6& =2%,) FEDREAL &,9 )%&5)6/ (F*)> $<"</$<"<EZ) (Please do not submit
state tax returns)
PLEASE FILL THIS OUT ONLY FOR LABOR SUBSTITUTION
Benef!"#$%& E'(!")*n Inf*#+")*n
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C.&2@ AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAS&,&%/ P)*+.6'%@ AAAAAAAAAAAAAAAAAAAAAAAA
LAW OFFICE OF
146 West 29
th
Street, 10
th
&'1('+02
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LAW OFFICE OF
146 West 29
th
Street, 10
th
&'1('+02
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LAW OFFICE OF
146 West 29
th
Street, 10
th
&'1('+02
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!. G*1 4%&,.-/ (45&.%/ (%)3*)>%4, 5/% *3 &**-//&%'86*-*0.%/, >,'8.6%/, %?5.(>%6&, %&')@
44IF YOU POSSESS ADDITIONAL E5PERIENCE, PLEASE PRO6IDE DETAILED
INFORMATION ON SEPARATE PAPER CONSISTENT WITH THE ABO6E FORMAT
BENEFICIARY EDUCATION PROFILE
ACADEMIC CREDENTIALS 7,&) ",, 'e8#ee& n #e9e#&e !:#*n*,*8!", *#'e#;
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I-140 Checklist for Beneficiary

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LAW OFFICE OF

KESHAB RAJ SEADIE, P.C.

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