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Name of person signing the declaration
What is your first name?
What is your last name?
What is your email address?
What company are you submitting this affidavit on behalf of?
Please provide us with your company's address.
What is your job title?
What is the name of the foreign national your company submitted an H-1B registration for this year? (Please provide their full name)
What is the number assigned to that foreign national's H-1B registration?