The U.S. Department of Commerce requires Cisco to obtain the following information from individuals who are not U.S. citizens.
Note: All fields are mandatory.
1. Employee's name:
2. Date of birth:
3. Place of birth:
4. Passport number:
5. Country passport issued from:
6. I-94 number:
7. Date I-94 was issued:
8. Place I-94 was issued:
9. Expiration of I-94:
10. Visa type:
11. Date visa was issued:
12. Place visa was issued:
13. Visa expiration date:
14. Last address in country of citizenship:
15. Current address in U.S.:
16. Job description:
17. Type of degree (U.S.-based):
18. Date degree was received:
19. School name and address:
20. Type of degree (non-U.S.-based):
21. Date received:
22. School name and address(non-U.S.-based):
23. Family in your home country:
Yes No
24. Financial ties in your home country:
25. Financial ties in U.S.:
26. Children's names (write "N/A" if not applicable):
27. Citizenship of spouse and children:
