Informational purposes only. Not an Original Certification

Application for Permanent
Employment Certification
ETA Form 9089

U.S. Department of Labor
Employment and Training
Administration

A. Refiling Instructions

Are you seeking to utilize the filing date from a previously submitted Application for Alien Employment Certification ( ETA 750)?

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1-A. If Yes, enter the previous filing date

 

1-B. Indicate the previous SWA or local office case number OR if not available, specify state where case was originally filed:

 

B. Schedule A or Sheepherder Information

Is this application in support of a Schedule A or Sheepherder occupation?

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If Yes, do NOT send this application to the Department of Labor. All applications in support of Schedule A or Sheepherder Occupations must be sent directly to the appropriate Department of Homeland Security Office.

C. Employer Information (Headquarters or main office)

1. Employer's name

VIRTUSA CORPORATION 

2. Address 1

132 TURNPIKE ROAD 

Address 2

SUITE #300 

3. City

SOUTHBOROUGH 

State/Province

MA/MA 

Country

UNITED STATES OF AMERICA 

Postal Code

01772 

4. Phone Number

1-508-389-7300 

Extension

 

5. Number of employees

1308 

6. Year commenced business

1996 

7. FEIN (Federal Employer Identification Number)

redacted field

8. NAICS code

541511 

9. Is the employer a closely held corporation, partnership, or sole propri etorship in which the alien has an ownership interest, or is there a familial relationship between the owners, stockholders, partners, corporate officers, incorporators, and the alien?

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D. Employer Contact Information (This section must be filled out. This information must be different from the agent or attorney information listed in Section E)

1. Contact's Last Name

Chau 

First Name

Quyen 

Middle Initial

 

2. Address 1

2000 West Park Drive 

Address 2

Suite 300 

3. City

Westborough 

State/Province

MA 

Country

UNITED STATES OF AMERICA 

Postal Code

01581 

4. Phone Number

1-508-389-7300 

5. E-mail Address

qchau@virtusa.com 

E. Agent or Attorney Information (If applicable)

1. Agent or attorney's Last Name

Carter 

First Name

Kirk 

Middle Initial

2. Firm Name

FLETCHER TILTON P.C. 

3. Firm EIN

redacted field

4. Phone Number

508-532-3514 

Extension

 

5. Address 1

161 Worcester Road 

Address 2

Suite 501 

6. City

Framingham 

State/Province

MA 

Country

UNITED STATES OF AMERICA 

Postal Code

01701 

7. E-mail Address

kcarter@fletchertilton.com 

F. Prevailing Wage Information (as provided by the State Workforce Agency)

1. Prevailing wage tracking number
    (if applicable)

P10014342646683 

2. SOC/O*NET (OES) code

15-1121 

3. Occupation Title

Computer Systems Analysts 

4. Skill Level

Level IV 

5. Prevailing Wage

$ 99,278.00 

    Per

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6. Prevailing Wage Source

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6-A. If Other is indicated in question 6,
     specify:

 

7. Determination Date

01/28/2015 

8. Expiration Date

06/30/2015 

G. Wage Offer Information

1. Offered Wage

From $ 110,000.00     To $ 125,000.00

  Per

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H. Job Opportunity Information (Where work will be performed)

1. Primary Worksite (where work is
    to be performed) Address 1

2000 West Park Drive, Suite 300 

Address 2

 

2. City

Westborough 

State

MA 

Postal Code

01581 

3. Job Title

Associate Software Architect - PRPC 

4. Education: minimum level required

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4-A. If Other is indicated in question 4, specify the education required:

 

4-B. Major field of study

Comp Sci 

5. Is training required in the job opportunity?

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5-A. If Yes, number of months of training required:

 

5-B. Indicate the field of training

N/A 

6. Is experience in the job offered required for the job?

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6-A. If Yes, number of months experience required:

 

7. Is there an alternate field of study that is acceptable?

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7-A. If Yes, specify the major field of study:

rel flds to Comp Sci 

8. Is there an alternate combination of education and experience that is acceptable?

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8-A. If Yes, specify the alternate level of education required:

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8-B. If Other is indicated in question 8-A, Indicate the alternate level of education required:

N/A 

8-C. If applicable, indicate the number of years experience acceptable in question 8:

9. Is a foreign educational equivalent acceptable?

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10. Is experience in an alternate occupation acceptable?

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10-A. If Yes, number of months experience in alternate occupation required:

60 

10-B. Identify the job title of the acceptable alternate occupation:

prgrsv, post bach sw devel exper incl 2yrs wrkng w PRPC in a dist envrnmnt 

11. Job Duties - If submitting by mail, add attachment if necessary. Job duties description must begin in this space.

Provide technical and thought leadership to teams of software engineers engaged in implementation of large scale business process management (BPM) projects working in a distributed development environment; develop high level designs for converting requirements into business processes using Pega Rules Process Commander (PRPC); play a leading role in the business value assessment and business requirements elaboration phases; perform detail design work for workflows, business rules, user interfaces and reports; actively participate in the requirements, design and construction phases and ensure the successful delivery of the project from a high level technical perspective; educate and guide the customer on PRPC implementation methodologies and PRPC solutions spectrum and identify areas where PRPC can help as a solution provider platform; participate in discussions with customers to crystallize business requirements and change requests; provide mentoring, assistance and feedback to the development team on all technical matters and team deliverables; ensure that systems are built for change, scalability, and reusability; coordinate unit testing and integration testing with the development team and bug fixing with the testing team with input from product management; monitor key result areas and metrics on the project; develop strong and strategic client partnerships; provide leadership to geographically distributed, multi-organizational teams. Employee will work in various locations throughout the US that cannot be anticipated at this time. Employer is an IT consulting firm that assigns employees, often on short notice, to work at various project sites that cannot be anticipated significantly in advance of the assignment. Multiple positions available. 

12. Are the job opportunity's requirements normal for the occupation?

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If the answer to this question is No, the employer must be prepared to provide documentation demonstrating that the job requirements are supported by business necessity.
13. Is knowledge of a foreign language required to perform the job duties?

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If the answer to this question is Yes, the employer must be prepared to provide documentation demonstrating that the language requirements are supported by business necessity.
14. Specific skills or other requirements - If submitting by mail, add attachment if necessary. Skills description must begin in this space.

Pega Systems Architect Certification required. exper in box H8C is: 2 years of software development working with PRPC in a distributed environment.

15. Does this application involve a job opportunity that includes a combination of occupations?

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16. Is the position identified in this application being offered to the alien identified in Section J?

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17. Does the job require the alien to live on the employer's premises?

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18. Is the application for a live-in household domestic service worker?

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18-A. If Yes, have the employer and the alien executed the required employment contract and has the employer provided a copy of the contract to the alien?

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I. Recruitment Information

a. Occupation type - all must complete this section.

1. Is this application for a professional occupation, other than a college or university teacher? Professional occupation are those for which a bachelor's degree (or equivalent) is nomally required.

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2. Is this application for a college or university teacher?

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If Yes, complete question 2-A and 2-B below.
2-A. Did you select the candidate using a competitive recruitment and selection process?

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2-B. Did you use the basic recruitment process for professional occupations?

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b. Special Recruitment and Documentation Procedures for College and University Teachers - Complete only if the answer to question I.a.2-A is Yes.

3. Date alien selected:

 

4. Name and date of national professional journal in which advertisement was placed:

 

5. Specify additional recruitment information in this space. Add an attachment if necessary.

 

c. Professional/Non-Professional Information - Complete this section unless your answers to questions I.a.1 is No and I.2-B is Yes.

6. Start date for the SWA job order

03/05/2015 

7. End date for the SWA job order

04/04/2015 

8. Is there a Sunday edition of the newspaper in the area of
intended employment?

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9. Name of newspaper (of general circulation) in which the first advertisement was placed:

Worcester Telegram & Gazette (Sunday Telegram) 

10. Date of first advertisement identified in question 9:

03/08/2015 

11. Name of newspaper or professional journal (if applicable) in which second advertisement was placed:

Worcester Telegram & Gazette (Sunday Telegram) 

       
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12. Date of second newspaper advertisement or date of publication of journal identified in question 11:

03/15/2015 

d. Professional Recruitment Information - Complete if the answer to question I.a.1 is YES or if the answer to I.a.2-B is YES. Complete at least 3 of the items.

13. Dates advertised at job fair

From: - To: -

14. Dates of on-campus recruiting

From: - To: -

15. Dates posted on employer web site

From: 03/09/2015 To: 03/23/2015

16. Dates advertised with trade or professional organization

From: - To: -

17. Dates listed with job search web site

From: 03/08/2015 To: 03/14/2015

18. Dates listed with private employment firm

From: - To: -

19. Dates advertised with employee referral program

From: 03/09/2015 To: 03/23/2015

20. Dates advertised with campus placement office

From: - To: -

21. Dates advertised with local or ethnic newspaper

From: - To: -

22. Dates advertised with radio or TV ads

From: - To: -

e. General Information - All must complete this section.

23. Has the employer received payment of any kind for the submission of this application?

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23-A. If Yes, describe details of the payment including the amount, date and purpose of the payment:

 

24. Has the bargaining representative for workers in the occupation in which the alien will be employed been provided with notice of this filing at least 30 days but not more than 180 days before the date the application is filed?

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25. If there is no bargaining representative, has a notice of this filing been posted for 10 business days in a conspicuous location at the place of employment, ending at least 30 days before but not more than 180 days before the date the application is filed?

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26. Has the employer had a layoff in the area of intended employment in the occupation involved in this application or in a related occupation within the six months immediately preceding the filing of this application?

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26-A. If Yes, were the laid off U.S. workers notified and considered for the job opportunity for which certification is sought?

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J. Alien Information (This section must be filled out. This information must be different from the agent or attorney information listed in Section E).

1. Alien's last name

redacted field

First Name

redacted field

Full middle name

redacted field

2. Current address 1

redacted field

Address 2

redacted field

3. City

LAKE HIAWATHA 

State/Province

NJ  

Country

UNITED STATES OF AMERICA 

Postal Code

07034 

4. Phone number of current residence

redacted field

5. Country of citizenship

INDIA 

6. Country of birth

INDIA 

7. Alien's date of birth

redacted field

8. Class of admission

H-1B 

9. Alien registration number (A#)

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10. Alien admission number (I-94)

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11. Education: highest level achieved relevant to the requested occupation:

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11-A. If Other indicated in question 11, specify

 

12. Specify major field(s) of study

ENGINEERING - EMBEDDED SYSTEM TECHNOLOGIES 

13. Year relevant education completed

2007 

14. Institution where relevant education specified in question 11 was received

ANNA UNIVERSITY 

15. Address 1 of conferring institution

MIT ROAD,CHROMEPET 

  Address 2

 

16. City

CHENNAI 

  State/Province

TAMIL NADU 

  Country

INDIA 

  Postal Code

600044 

17. Did the alien complete the training required for the requested job opportunity, as indicated in question H.5?

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18. Does the alien have the experience as required for the requested job opportunity indicated in question H.6?

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19. Does the alien possess the alternate combination of education and experience as indicated in question H.8?

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20. Does the alien have the experience in an alternate occupation specified in question H.10?

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21. Did the alien gain any of the qualifying experience with the employer in a position substantially comparable to the job opportunity requested?

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22. Did the employer pay for any of the alien's education or training necessary to satisfy any of the employer's job requirements for this position?

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23. Is the alien currently employed by the petitioning employer?

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K. Alien Work Experience
List all jobs the alien has held during the past 3 years. Also list any other experience that qualifies the alien for the job opportunity for which the employer is seeking certification.

1. Employer Name

redacted field

2. Address 1

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     Address 2

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3. City State/Province Country Postal Code

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4. Type of Business

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5. Job Title

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6. Start Date

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7. End Date

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8. Number of hours worked per week

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9. Job Details (duties performed, use of tools, machines, equipment, skills, qualifications, certifications, licenses, etc. Include the phone number of the employer and the name of the alien's supervisor.)

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L. Alien Declaration

I declare under penalty of perjury that Sections J and K are true and correct. I understand that to knowingly furnish false information in the preparation of this form and any supplement thereto or to aid, abet, or counsel another to do so is a federal offense punishable by a fine or imprisonment up to five years or both under 18 U.S.C. §§ 2 and 1001. Other penalties apply as well to fraud or misuse of ETA immigration documents and to perjury with respect to such documents under 18 U.S.C. §§ 1546 and 1621. In addition, I further declare under penalty of perjury that I intend to accept the position offered in Section H of this application if a labor certification is approved and I am granted a visa or an adjustment of status based on this application.
1. Alien's last name

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First name

redacted field

Full middle name

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2. Signature Date signed

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Note - The signature and date signed do not have to be filled out when electronically submitting to the Department of Labor for processing, but must be complete when submitting by mail. If the application is submitted electronically, any resulting certification MUST be signed immediately upon receipt from DOL before it can be submitted to USCIS for final processing.

M. Declaration of Preparer

1. Was the application completed by the employer? If No, you must complete this section.

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I hereby certify that I have prepared this application at the direct request of the employer listed in Section C and that to the best of my knowledge the information contained herein is true and correct. I understand that to knowingly furnish false information in the preparation of this form and any supplement thereto or to aid, abet, or counsel another to do so is a federal offense punishable by a fine, imprisonment up to five years or both under 18 U.S.C. §§ 2 and 1001. Other penalties apply as well to fraud or misuse of ETA immigration documents and to perjury with respect to such documents under 18 U.S.C. §§ 1546 and 1621.
2. Preparer's last name

CARTER 

First Name

Kirk 

Middle initial

3. Title

attorney 

4. E-mail address

kcarter@fletchertilton.com 

5. Signature

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Date signed

 

Note - The signature and date signed do not have to be filled out when electronically submitting to the Department of Labor for processing, but must be complete when submitting by mail. If the application is submitted electronically, any resulting certification MUST be signed immediately upon receipt from DOL before it can be submitted to USCIS for final processing.

N. Employer Declaration

By virtue of my signature below, I HEREBY CERTIFY the following conditions of employment: 1. The offered wage equals or exceeds the prevailing wage and I will pay at least the prevailing wage. 2. The wage is not based on commissions, bonuses or other incentives, unless I guarantees a wage paid on a weekly, bi-weekly, or monthly basis that equals or exceeds the prevailing wage. 3. I have enough funds available to pay the wage or salary offered the alien. 4. I will be able to place the alien on the payroll on or before the date of the alien's proposed entrance into the United States. 5. The job opportunity does not involve unlawful discrimination by race, creed, color, national origin, age, sex, religion, handicap, or citizenship. 6. The job opportunity is not: a. Vacant because the former occupant is on strike or is being locked out in the course of a labor dispute involving a work stoppage; or b. At issue in a labor dispute involving a work stoppage. 7. The job opportunity's terms, conditions, and occupational environment are not contrary to Federal, state or local law. 8. The job opportunity has been and is clearly open to any U.S. worker. 9. The U.S. workers who applied for the job opportunity were rejected for lawful job-related reasons. 10. The job opportunity is for full-time, permanent employment for an employer other than the alien. I hereby designate the agent or attorney identified in section E (if any) to represent me for the purpose of labor certification and, by virtue of my signature in Block 3 below, I take full responsibility for the accuracy of any representations made by my agent or attorney. I declare under penalty of perjury that I have read and reviewed this application and that to the best of my knowledge the information contained herein is true and accurate. I understand that to knowingly furnish false information in the preparation of this form and any supplement thereto or to aid, abet, or counsel another to do so is a federal offense punishable by a fine or imprisonment up to five years or both under 18 U.S.C. §§ 2 and 1001. Other penalties apply as well to fraud or misuse of ETA immigration documents and to perjury with respect to such documents under 18 U.S.C. §§ 1546 and 1621.
1. Last name

CHAU 

First name

Quyen 

Middle initial

 

2. Title

Manager - HR 

3. Signature

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Date signed

 

Note - The signature and date signed do not have to be filled out when electronically submitting to the Department of Labor for processing, but must be complete when submitting by mail. If the application is submitted electronically, any resulting certification MUST be signed immediately upon receipt from DOL before it can be submitted to USCIS for final processing.