H1B EMPLOYEE - QUESTIONNAIRE
H1B Case Type – Select one box Have Approved I-140
New Extent Transfer
Yes No
Amend Amend Plus Extent
Processing Type
Regular Premium
Are you filing Dependents Applications Yes, If yes how many: No
I. INFORMATION ABOUT APPLICANT
Last Name:_Anumanthan First Name:Srinivasan M.I._____
Date of Birth (month/day/year)_11/30/1985
City, Country of Birth :Krishnagiri, India
Home Telephone Number__________________________________________________
Work Telephone Number___________________________________________________
Cell Phone Number: 5127318421
Email Address:Anumanthan.Srinivasan@gmail.com
Foreign Address:2804 Louris Ln Pflugerville 78660
Passport Number:- M7632316
Passport Issued Date(month/day/year)03/23/2015
Passport Expiration Date(month/day/year):03/22/2025
Consulate where you will apply for visa stamp ____________________________________
II. THE FOLLOWING QUESTIONS APPLY ONLY IF THE PROSPECTIVE EMPLOYEE IS
CURRENTLY IN THE U.S
U.S. Address: 2804 Louris Ln Pflugerville 78660
Social Security Number:347-85-3746
Date of most recent arrival to US (month/day/year) 11/7/2023
I-94 Number :624749813A3
Current Non-Immigration Status________________________________________________
Date of current Status Expires:03/22/2025
If you have valid EAD:No
EAD #___________________
Issued Date (month/day/year)___________ Expiration (month/day/year)________________
If you have Approved or pending I-140?No
Receipt # _________________________ Approval Date (month/day/year) _____________
Student - Exchange Visitor Info (SEVIS) Number If any_____________________________
Spouse Name_______________________________________________________________
Spouse Visa Status __________________________________________________________
Spouse Visa Expiration Date (month/day/year)_____________________________________
Number of Children__________________________________________________________
III. MAINTENACE OF STATUS: (Please list non-immigrant status from the time of your first entry to
U.S):
All Prior Periods of Stay In The U.S. Over The Last Seven Years:
Date entered U.S. (mm/dd/yy) Date departed U.S. (mm/dd/yy) Status (e.g. H-1B, L-1, B-1)
29/07/2024 H-1B
11/07/2023
IV. EDUCATION AND EXPERIENCE:
H1B EMPLOYEE - QUESTIONNAIRE
(MAKE SURE TO ANSWER ENTER ALL DATA. DO NOT GIVE ONLY YEARS, DO NOT WRITE
SIMPLY “BS”, DO NOT JUST WRITE NAME OF SCHOOL ONLY.
EDUCATION DETAILS:
Education in reverse chronological order : (Doctoral, Masters, Bachelors):
Name and Address of Major From (mm/yyyy) To (mm/yyyy) Degree & Date Received
School
Adhiyamaan college M.C.A 04/2007 05/2010 5/12/2010
of Engineering -
Hosur
U.S EDUCATION DETAILS (IF APPLICABLE):
Name and Major F1/CPT From (mm/yyyy) To (mm/yyyy) Degree & Date
Address of Received
School
Are you filing this case under regular H1B CAP or US. Masters CAP – If applicable
Regular H1B Cap US. Masters Cap
EMPLOYMENT DETAILS:
(DO NOT WRITE “SEE RESUME”. GIVE DETAILS ON THIS FORM. PLEASE WRITE LEGIBLY.)
Employment history in reverse chronological order:
Name and address Job Title Date Started Date Left Major Job Duties Total Exp Visa Status
of employer (mm/yyyy) (mm/yyyy) performed, including the No - of (H/L/F1/C
use of Tools Months PT) (if
app):
Wipro ,Austin Lead 03/2022 05/2024 Developing SAP 26
Consultan Applications using
t ABAP language
NAPESCO,Kuwait Software 02/2020 03/2022 Developing SAP 25
Developer Applications using
ABAP language
HCl Technlogies, Technical 04/2018 04/2020 Developing SAP 24
Bengaluru Lead Applications using
ABAP language
Information SAP 11/2017 04/2018 Developing SAP 6
dynamics India Pvt ABAP Applications using
ltd- Chennai ABAP language
HTC Holdings pvt SAP 08/2017 08/2017 Developing SAP 42
ltd,Chennai ABAP Applications using
Consultan ABAP language
t
Altimetrik - Associate 08/2012 09/2014 Developing SAP 20
Bangalore Devevlop Applications using
er ABAP language
TVS Motor ABAP 04/2011 04/2012 Developing SAP 12
Company-Hosur Trainee Applications using
ABAP language
H1B EMPLOYEE - QUESTIONNAIRE
V. DEPENDENT APPLICATIONS
Your spouse and children will need to apply for H-4 status (only if they are currently in U.S on a valid
status), or an extension of their current H-4 status. Please note that their status must be extended through a
separate application, and is not automatically extended upon approval of the H1b petition. Provide copies of
the following for all dependents
Dependents included? If yes, How Many? ________________________________________
A. SPOUSE (DOCUMENTS: MARRIAGE CERTIFICATE, BIRTH CERT., PASSPORT, AND VISA)
1. Last Name_____________________ Frist Name_____________________ MI____
2. Date of Birth_____________________________ Country of Birth______________
3. Date of Marriage_______________________________________________________
4. Prior periods of stay in the U.S. in H4/L2 Visa________________________________
5. Date and Port of Last Entry in U.S.________________________________________
6. Social Security Number_________________________________________________
7. I-94 Number___________________ Expiration Date_________________________
8. Passport: Country of Issue___________________ Expiration Date______________
B. CHILDREN (BIRTH CERTIFICATE, PASSPORT, VISA)
C. Last Name_____________________ Frist Name_____________________ MI____
1. Date of Birth_____________________________ Country of Birth______________
2. Prior periods of stay in the U.S. in H4/L2 Class_______________________________
3. Date and Port of Last Entry in U.S.________________________________________
4. I-94 Number___________________ Expiration Date_________________________
5. Passport: Country of Issue___________________ Expiration Date______________
VI. REQUIRED DOCUMENTS, CHECKLIST
Educational Documents (Certificate and Transcripts starting from 10th Grade)
Experience letters from all the employers
Updated Resume
Educational Evaluation (For employees with Foreign degree as their highest level of education)
Copy of the all the pages of passport (Except blank pages)
Copy of Social Security Card, if applicable
Copy of any previous nonimmigrant or immigrant visas issued to alien
Copy of most recent pay stubs (last 4 Months) from current employer if in U.S.
Copy of I-94 Card (if alien was ever present in U.S.)
Copy of current Work Authorization (If applicable)
Copy of all I-20s (For OPT, CPT)
Employment Verification Letters from current and previous Employers (For the duration of
OPT/CPT)
For OPT Employees: Paystubs for entire duration of OPT
For CPT Employees: Signed Documents authorizing Employee for CPT by the University and
Employer, Course Syllabus, Letter from DSO
ADDITIONAL DOCUMENTS FROM THE EMPLOYER
*ALL documents must be submitted. No petition will be submitted until all documents provided.
