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US H-1B Visa Application Form - Employer's Version

We offer a free Visa Application form evaluation for US employers.

About Your Company

Name

Telephone

Fax

Address

Zip Code

WWW

Contact Name *

Contact’s Position

Contact Telephone

Contact e-mail *

Federal Employer/IRS Tax ID No.

% of employees in H-1B status

About the Job

Job title

Job Description

Minimum educational requirements

Salary (inc. benefits)

Job location (if different from above)

Have you tried to advertise the Job (H-1B Dependent Employers)

YesNo

If Yes, please give details

Job title

About the Candidate

First name

Last name

E-mail

Contact phone No #1

Contact phone No #2

Date of Birth

Nationality

Qualifications

Work Experience

Have they held a previous US work permit?

YesNo

If Yes, please give details

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Yes, I want to subscribe to the workpermit.com immigration newsletter.

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Additional information

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