About
Services
Tourist or Visitor Visa
Business Visa
Student Visa
Job/Work Visa
Contact
EB-3 Jobs List
Agents
Employer
Contact Us
+1 (800) 746-5590
Contact Info
1212 Corporate Dr, Suite 123, Irving, TX 75038
+1 (800) 746-5590
jobs@pinevisa.com
Application
Home
Application
Please enable JavaScript in your browser to complete this form.
Legal Name
*
First
Middle
Last
Multiple Choice
*
Consular Processing ( Application from Outside of USA)
Adjustment of Status ( Application within USA)
Multiple Choice ( You must choose one of following available sponsor)
*
Jack Maintenance ( Estimated ETA9089 filling start from June 2024)
AA Transportation ( Estimated ETA filling date start from May 2024)
Do you need free consultation ? (Choose one)
*
Yes
Yes
No
Layout
All other names used officially (maiden name, etc.)
Sex
*
Male
Female
Nicknames
Layout
Phone
*
Email
*
Date of Birth
*
Layout (copy)
Nationality
*
Address in Home Country( Birth Country)
*
Layout (copy)
Passport Number
Expiration Date of Passport
Are You Married?
*
Yes
No
Layout (copy) (copy)
Spouse Name
Email
Spouse's Date of Birth
Number of Children
Questionnaires
Layout
Have you ever applied for U.S. green card before? If Yes, please explain
*
Have you ever served in the military? If Yes, please fill the period
*
Layout (copy)
Have you ever been denied a visa? If Yes, please explain
Have you ever overstayed your visa?If Yes, please explain
Has anyone ever petitioned for you before?
Yes
No
Last 5 years of address- Most recent first.
Layout
Address 1
Address 2
Layout (copy)
Address 3
Address 4
Layout
Referral Agency Name ( If self applied, write self)
*
US Work History (if any)
Layout
Company name
Phone
Job Title
Layout (copy)
Company Address
Work Period Start
Work Period End
Layout (copy)
Supervisor's name
Supervisor's phone number
Layout (copy) (copy)
Job Description
Work Authorization (H1B, OPT, L etc)
Upload Your Passport
*
Click or drag a file to this area to upload.
Submit
