Immigration Law Questionnaire - Thomas P. Miller, P.C.
Please complete and Submit
Today's Date
MM
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DD
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Which of the following do you authorize us to send you the following by e-mail
I. Applicant/Beneficiary
The non-US citizen/resident
Full name
Your answer
E-mail
Your answer
Alternate telephone number
Your answer
Home address
Your answer
Date of birth
MM
/
DD
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YYYY
Employer name
Your answer
Employment position
Your answer
Nationality
Your answer
Country that issued your passport
Your answer
Passport issue date
MM
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DD
/
YYYY
Passport expiration date
MM
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DD
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YYYY
If in the US, answer the applicable questions below
Date of entry into the US
MM
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DD
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YYYY
Status at entry into US
Your answer
A Number
Your answer
Present status/visa
Your answer
Date visa expires
MM
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DD
/
YYYY
I-94 Card Number
Your answer
Date I-94 expires
MM
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DD
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YYYY
II. Petitioner
The US employer or US citizen/permanent resident family member
Full name
Your answer
E-mail
Your answer
Telephone number
Your answer
Home address
Your answer
Social Security Number
Your answer
Employer name
Your answer
Employment position
Your answer
Relationship to Sponsor
Your answer
Status
If corporation, name of contact
Your answer
III. Miscellaneous
How did you find us? Please provide name of person who referred you or website.
Your answer
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