Apply H1BVisaLottery

First Name *

Last Name *

Surname / Family *

Gender * MaleFemale

Date of Birth *

Country of Birth *

Country of Citizenship *

Passport Number *

Current Residing Country *

Current Visa (USA Residents only) *

Are you filing under Master's CAP (USA Residents only) * ---N/AYes

Full Home Address *

Mobile Number (with Country Code) *

Email Id *

Total Years of Education *

Highest Education *

Year of Pass *

Primary Skills *

Total Years of Experience *

Current Employer *

Current Annual Salary (USA residents only)

Referral Person Name

Referral Person Phone Number

First page of Passport (JPG, JPEG, PNG)

Upload Files: ResumeOffice Action if applicable. PDF, PPT, DOC, DOCX, JPG, PNG, VSDX