Questionnaire: DS-156

Questionnaire: DS-156

PART I - BUSINESS PROFILE

2. Type of Business Enterprise:(Required)

MM slash DD slash YYYY
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    5. What is the nature of the business?(Required)

    8a. Nationality of Foreign Entity (Corporation, Partnership, etc.) or Foreign Individual Owner of U.S. Business (Attach documentation)
    Name
    Nationality
    If Individual Investor, Immigration Status
    % of Ownership
     
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      9b.(Required)
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        9e.(Required)
        * Owner's equity of a corporation refers to paid-in capital plus retained earnings; partner's capital accounts in a partnership; and owner's capital account in a sole proprietorship.
        9h. Total Annual Operating Income(Required)
        Before Taxes
        After Taxes
        To measure the amount of international trade with the United States, please complete the following. (For trade in merchandise, exports and imports, T refer to shipment and sale of goods across international boundaries. For trade in services and technology, exports and imports, refer to the sale of services by treaty-country nationals to nationals of the United States and other countries.)
        10b.
        10f. Exports from U.S. business to treaty country
        Dollar Value
        No. of Transactions (Optional)
        % of Total Trade
        10e. Imports from treaty country to U.S. business
        Dollar Value
        No. of Transactions (Optional)
        % of Total Trade
        10f. Imports from third countries to U.S. business
        Dollar Value
        No. of Transactions (Optional)
        % of Total Trade
        10g. Exports from U.S. to third countries
        Dollar Value
        No. of Transactions (Optional)
        % of Total Trade
        10h. Domestic U.S. production/manufacturing
        Dollar Value
        No. of Transactions (Optional)
        % of Total Trade
        10i. TOTAL
        Dollar Value
        No. of Transactions (Optional)
        100%
        11a. Type of Investment (Check one)(Required)
        12c.
        12d. Cash
        Initial Investment
        Total Cumulative Investment
        12e. Inventory
        Initial Investment
        Total Cumulative Investment
        12f. Equipment
        Initial Investment
        Total Cumulative Investment
        12g. Premises
        Initial Investment
        Total Cumulative Investment
        12h. Other (describe)
        Initial Investment
        Total Cumulative Investment
        Describe
        12i. TOTAL
        Initial Investment
        Total Cumulative Investment
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            PART II - STAFF

            14b.
            14c. Nationals of Treaty Country on E, H, & L Visas
            Managerial Executive (THIS YEAR)
            Managerial Executive (NEXT YEAR)
            Specialized Essential (THIS YEAR)
            Specialized Essential (NEXT YEAR)
            All Other Employees (THIS YEAR)
            All Other Employees (NEXT YEAR)
            14d. U.S. Citizens and Legal Permanent Residents
            Managerial Executive (THIS YEAR)
            Managerial Executive (NEXT YEAR)
            Specialized Essential (THIS YEAR)
            Specialized Essential (NEXT YEAR)
            All Other Employees (THIS YEAR)
            All Other Employees (NEXT YEAR)
            14e. Other (Third-Country Nationals
            Managerial Executive (THIS YEAR)
            Managerial Executive (NEXT YEAR)
            Specialized Essential (THIS YEAR)
            Specialized Essential (NEXT YEAR)
            All Other Employees (THIS YEAR)
            All Other Employees (NEXT YEAR)
            14f. TOTAL
            Managerial Executive (THIS YEAR)
            Managerial Executive (NEXT YEAR)
            Specialized Essential (THIS YEAR)
            Specialized Essential (NEXT YEAR)
            All Other Employees (THIS YEAR)
            All Other Employees (NEXT YEAR)
            15. List all personnel of U.S. business holding executive, managerial and/or specialist positions by subsidiary/branch office. If aliens, indicate nonimmigrant visa status or lawful permanent resident (LPR) status. (Click ( + ) to add more):(Required)
            Name & Position/Title/Division
            Nationality
            Type
            Date (mm/dd/yyyy)
            Place of Issuance
             
            U.S. VISA

            PART III - APPLICANT

            16. Name of Applicant(Required)
            17. Type of Applicant(Required)

            21. Highest Level of Education(Required)
            School
            Major/Subject
            Degree
            Year
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              24. Annual U.S. Salary and Benefit Package
              Salary
              Allowances/Benefits
              TOTAL
              25a. Name of Person in the United States Being Replaced
              25b. from no. 25a
              Type of Visa
              Date issued (mm/dd/yyyy)
              Place issued
              25c. If NOT a replacement, is this A) An increase in staff?
              25d. If NOT a replacement, is this B) Continuation of existing employment in the United States?
              Clear Signature
              SIGNATURE OF RESPONSIBLE OFFICER
              26b. Printed Name and Position or Office
              MM slash DD slash YYYY
              27a. Name and Address of Person Who May Be Contacted About This Application(Required)