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h1b Data Sheet

This document contains personal information for an H1B visa application for Dev Prasad Das from India, including his name, date of birth, address, passport information, and education history. It notes that he has previously held H1B visas with Redact systems Pvt. Ltd. and Phoneix Computing(India) and has not previously been denied an H1B visa. It requests scanning documents like his passport and degrees for electronic submission to the petitioner.

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0% found this document useful (0 votes)
409 views2 pages

h1b Data Sheet

This document contains personal information for an H1B visa application for Dev Prasad Das from India, including his name, date of birth, address, passport information, and education history. It notes that he has previously held H1B visas with Redact systems Pvt. Ltd. and Phoneix Computing(India) and has not previously been denied an H1B visa. It requests scanning documents like his passport and degrees for electronic submission to the petitioner.

Uploaded by

api-3750224
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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H1B Data Sheet

(Please Don’t change the text)

Family name (Last Name): Das

Given Name (First Name): Dev Prasad

Middle Name:

Address: P-11 State Bank Park,


Pora-asthala, Thakurpur
Kolkata-700063

Date of Birth: 02-03-1976


(MM/DD/YYYY):
Country of Birth: Indian

Province (STATE) of Birth: West Bengal

Social Security # (if


applicable): xxx-xx-xxxx
A# (if applicable):

The prior petition or


application receipt # (if
applicable):
Passport Number: A8830544

Date Passport Issued 27-06-2000


(MM/DD/YYYY):
Date Passport Expires 26-06-2010
(MM/DD/YYYY):

If in the United States, complete the following:

Date of Last Arrival


(MM/DD/YYYY)

I-94 #

Current Nonimmigrant Status

I-94 Expires (MM/DD/YYYY)

Current U.S. Address

If you are outside the U.S., complete the following:

U.S. consulate City and Kolkata and India


Foreign Country you will
prefer for visa revalidation:

Your Foreign Address (country


you will go for visa
revalidation):

Ever been given H1B classification you are now requesting? If yes then please list the
durations of Approvals and the petitioner’s name.
NAME of Petitioner Valid From Valid till
Redact systems Pvt. Ltd. May 05 2001 Aug 06 2001
Redact systems Pvt. Ltd. APR 14 2003 APR 21 2004
Phoneix Computing(India)

List yours and any dependent family members' prior periods of stay in H classification in
the U.S. for the last six years. Be sure to list only those periods in which you and/or family
members were actually in the U.S. in an H classification. If more space is needed, add more
columns.

NAME of Petitioner Valid From Valid till

Ever been denied the H1B classification? If yes then please mention when and who was the
petitioner.

NAME of Petitioner Receipt # Date of Denial

Beneficiary's Highest Level of Education:

Major/Primary Field of Study:

Has the beneficiary of this petition earned a master's or higher degree from a U.S.
institution of higher education? (YES/NO)

If Yes then:

Name of the U.S. institution of higher education:

Date Degree Awarded:

Type of U.S. Degree:

Address of the U.S. institution of higher education:

We prefer scanning and emailing your document as a PDF file. Scan passport as its own
file, Degree certificates as a separate file, and mark sheets as a separate file and so on.

Upload your files to any online storage place, like megaupload or xdrive or others, and send
the link by mail to [email protected] with copy to [email protected]

If you are going to send the document by mail, send it to:

Droisys, Inc. 4800 Patrick Henry Dr., Santa Clara, CA 95054

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