CONTACT EMAIL ADDRESS:

NAME OF CORPORATION:

ADDRESS:

TELEPHONE:

FAX NUMBER:

WEBSITE ADDRESS:

DESCRIBE THE BUSINESS YOU ARE IN:

NUMBER OF EMPLOYEES:

LIST LOCATION OF ALL OFFICE OR BRANCH LOCATIONS:

GROSS ANNUAL REVENUES:

ON WHAT DATE AND WHERE WAS THE BUSINESS INCORPORATED:

DD/MM/YY

DESCRIBE THE PRESENT POSITION(S) OF THE PERSONNEL OR EMPLOYEE YOU WISH TO TRANSFER TO THE U.S.

LIST THEIR NATIONALITY:

LIST THE INDIVIDUALS DATE OF BIRTH, PLACE OF BIRTH AND CURRENT NATIONALITY:

FOR EACH PERSON YOU WISH TO TRANSFER TO THE U.S. STATE WHEN THEY COMMENCED EMPLOYMENT WITH YOUR COMPANY:

ARE THE INDIVIDUALS PAID DIRECTLY BY YOUR COMPANY OR ANOTHER ENTITY?:

BY COMPANY BY OTHER ENTITY

(IF OTHER WHICH ONE):

IF THE INDIVIDUALS ARE MARRIED AND/OR HAVE CHILDREN, PLEASE PROVIDE THEIR NAMES, PLACES OF BIRTH AND DATES OF BIRTH:

NAME, DATE OF BIRTH (DD/MM/YY), PLACE:

IF THE BUSINESS WISHES TO INVEST IN THE U.S. PLEASE STATE THE APPROXIMATE AMOUNT OF INVESTMENT REQUIRED TO START-UP OR EXPAND THE BUSINESS IN THE U.S.: