Online Questionaire
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Applicant Details

		Mr./Mrs./Miss/Other
First Name.......................		Middle Name
Last Name.........................		Date of birth
Country of Birth..................		City of Birth
Nationality.........................		Currently Residing
Address: ........................		Telephone (H)
		Telephone (W)
		Cell/Mobile
Postal Code.......................		Fax
E-mail...............................		Heard about Inkorpa

Ideal timeframe for relocation to the USA?..........................................
You are a Legal permanent resident of................................................
Have you ever applied for a visa into the USA?.....................................	Yes No
If "yes" please specify type: ..............................................................
Have you ever been denied a visa into the USA?..................................	Yes No
Have you ever been convicted of a crime?...........................................	Yes No
What is your highest level of education? ............................................
Major field of Study: .........................................................................
Name of Institution ..........................................................................
Current position title .......................................................................
Could your occupation pass as a consultancy position? .....................	Yes No
If Yes, please specify the type of consultancy? .................................
Have you worked for a company for longer than one year in a managerial or specialist knowledge capacity?..............................	Yes No
If Yes, please specify the type of position: ..........................................

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Family Details: Spouse Complete this section only if you are intending to apply for visas to the USA for your family

Mr./Mrs./Miss/Other First Name............ Middle Name Last Name......................... Date of birth Country of Birth................. City of Birth Nationality........................ Currently Residing

You are a Legal permanent resident of: ......................................................... Has she/he ever applied for a visa into the USA?............................................ Yes No If "yes" please specify type: ........................................................................ Has she/he ever been... Denied a visa into the USA?......................................................................... Yes No Arrested/Convicted of a crime?..................................................................... Yes No What is her/his highest level of education? ................................................... Major field of Study: ................................................................................... Name of Institution ..................................................................................... Current position title .................................................................................. Could their occupation pass as a consultancy position? ................................ Yes No If Yes, please specify the type of consultancy? ............................................ Has your spouse worked for a company for longer than one year in a managerial or specialist knowledge capacity?.......................................... Yes No If Yes, please specify the type of position: .....................................................

Family Details: Children

Names Gender Age: 1 ----------- female male 2 ----------- female male 3 ----------- female male 4 ----------- female male

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Professional Details: If you are applying for personal visa sponsorship or if your company can be classified as a consultancy service, complete the sections below. Please also attach any other supporting information that may help your case.

What is your highest level of education?................................................ Major field of study.............................................................................. Institution........................................................................................... Additional Degrees and Qualifications: Level of education?............................................................................. Institution.......................................................................................... Major field of study ........................................................................... Number of years consisting of professional experience........................ Number of years at a managerial level............................................... Have you worked for your current employer for more than three years? Yes No If Yes, have you been unemployed by this company for over a year? Yes No Specify the areas of your expertise.................................................. Other Qualifications not mentioned above........................................ Have you been self-employed over the last 3 years?........................ Yes No If you answered Yes, provide the details of your shareholding and company turnover Add other relevant information that may help the issuance of your clearance visa

Current job title............................................................................ Job position and title to be pursued in USA.................................... Industries to be pursued in USA.................................................. Proposed Duties in the USA....................................................... What skills can you offer your employer that an American citizen could not offer? Have you been offered a job in USA? .......................................... Yes No If offered a job before, what was the reason for denial?.................. Have you established a residence on your arrival?....................... Yes No If Yes, please specify physical address ..................................... Are you currently in possession of a US Visa?........................... Yes No If Yes, please specify the type of visa........................................ Average expected annual salary by US standard salaries (in Dollars) $ Do you have relatives in USA? If so, specify their residency status? Have you been self-employed over the last 3 years?.................... Yes No

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Business Details: If you are a business owner wishing to create a subsidiary in America, fill in the sections below. Please feel free to attach as much information you see fit, as this will aid Inkorpa in the analysis of what potential immigration routes are open to you.

Company Name ....................................................................... Legal Entity Structure ............................................................... Primary Industry ...................................................................... Secondary Industry .................................................................. Branch locations (if not domestic) .............................................. Target Market .......................................................................... Marketing Strategy/Competitive Advantage ................................. Describe your service or product ................................................ Number of Employees to immigrate ............................................ Average expected wages for each employee to immigrate and their position State and City to commence operations ..................................... Preference #1 Preference #2

Current job title..................................................................................... Job position and title in USA................................................................. Industries to be pursued in USA............................................................ Proposed Duties in the USA (Specify if managerial/executive skills or specialist knowledge will be employed): ............................................... What skills can you offer your employer that an American citizen could not offer?................................................................................................... What languages are you fluent in, other than English? ............................ Have you been offered a job in USA?..................................................... Yes No If offered a job before, what was the reason for denial? ............................ Could your occupation pass as a consultancy position?.......................... Yes No If Yes, please specify the type of consultancy.......................................... How long have you worked for the company transferring you?.................... Length of time expected to get the company operating in the US?............. Length of time expected before company becomes profitable: .................. Amount of monthly income expected to be generated.............................. Number of employees needed, besides intracompany transferees:?..........

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