PLC Version 2 Custom

A. Refiling Instructions

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

Yes
No

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?

Yes
No

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

MAXARY LLC

2. Address 1

25622 PLEASANT VALLEY ROAD

Address 2

3. City

CHANTILLY

State/Province

VA

Country

UNITED STATES OF AMERICA

Postal Code

20152

4. Phone Number

5712740719

Extension

5. Number of employees

25

6. Year commenced business

2007

7. FEIN (Federal Employer Identification Number)

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?

Yes
No

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

Thyarla

First Name

Sravanthi

Middle Initial

2. Address 1

14145 Robert Paris CT

Address 2

3. City

Chantilly

State/Province

VA

Country

UNITED STATES OF AMERICA

Postal Code

20151

4. Phone Number

5712740719

5. E-mail Address

sravanthi@maxary.com

E. Agent or Attorney Information (If applicable)

1. Agent or attorney's Last Name

Medikundam

First Name

Haripriya

Middle Initial

2. Firm Name

International Legal and Business Services Group, LLP.

3. Firm EIN

4. Phone Number

847-995-1515 x 222

Extension

222

5. Address 1

802 E. Woodfield Road

Address 2

Suite G 400

6. City

Schaumburg

State/Province

IL

Country

UNITED STATES OF AMERICA

Postal Code

60173

7. E-mail Address

haripriya@bizlegalservices.com

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

1. Prevailing wage tracking number
(if applicable)

P10016168493347

2. SOC/O*NET (OES) code

15-1134

3. Occupation Title

Web Developer

4. Skill Level

Level II

5. Prevailing Wage

$ 71,261.00

Per

Hour
Weekly
Bi-weekly
Month
Year

6. Prevailing Wage Source

OES
CBA
Employer Conducted

DBA
SCA
Other

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

7. Determination Date

10/11/2016

8. Expiration Date

06/30/2017

G. Wage Offer Information

1. Offered Wage

From $ 71,261.00 To $ 71,261.00

Per

Hour
Weekly
Bi-weekly
Month
Year

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

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

14145 ROBERT PARIS CT

Address 2

(and unanticipated client's site throughout the U.S.)

2. City

Chantilly

State

VA

Postal Code

20152

3. Job Title

Web Developer

4. Education: minimum level required

None
High School
Associate's
Bachelor's
Master's
Doctorate
Other

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

4-B. Major field of study

Computer Science, Engg (any), Technology or related

5. Is training required in the job opportunity?

Yes
No

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

5-B. Indicate the field of training

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

Yes
No

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

12

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

Yes
No

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

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

Yes
No

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

None
High School
Associate's
Bachelor's
Master's
Doctorate
Other

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

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

9. Is a foreign educational equivalent acceptable?

Yes
No

10. Is experience in an alternate occupation acceptable?

Yes
No

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

12

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

Software Developer,Web Designer,IT Analyst or related IT profession

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

Assist in analyze, improve efficient, scalability and stability of various system resources. Development of JavaScript Bridge to communicate with IOS, Android applications. Unit testing the code in integration and QA environment. Gather, refine specifications and requirements based on technical needs. Work with clients to ensure the delivery of websites with the desired look and functionality. Participate in Agile scrum meetings and Creating code signing certificates for dynamic linked libraries which also includes creation of reusable libraries.

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

Yes
No

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?

Yes
No

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.

Any suitable combination of education, training and experience is acceptable. Travel to our client's sites throughout the USA.

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

Yes
No

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

Yes
No

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

Yes
No

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

Yes
No

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?

Yes
No
N/A

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.

Yes
No

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

Yes
No

If Yes, complete question 2-A and 2-B below.

2-A. Did you select the candidate using a competitive recruitment and selection process?

Yes
No

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

Yes
No

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

12/16/2016

7. End date for the SWA job order

01/20/2017

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

Yes
No

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

The Washington Post

10. Date of first advertisement identified in question 9:

12/11/2016

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

The Washington Post

Newspaper
Journal

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

12/18/2016

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: 01/01/2017 To: 02/15/2017

16. Dates advertised with trade or professional organization

From: - To: -

17. Dates listed with job search web site

From: 01/01/2017 To: 01/31/2017

18. Dates listed with private employment firm

From: - To: -

19. Dates advertised with employee referral program

From: 01/01/2017 To: 02/15/2017

20. Dates advertised with campus placement office

From: - To: -

21. Dates advertised with local or ethnic newspaper

From: 12/14/2016 To: 12/21/2016

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?

Yes
No

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?

Yes
No
N/A

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?

Yes
No
N/A

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?

Yes
No

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

Yes
No
N/A

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

First Name

Full middle name

2. Current address 1

Address 2

3. City

AUSTIN

State/Province

TX

Country

UNITED STATES OF AMERICA

Postal Code

78758

4. Phone number of current residence

5. Country of citizenship

INDIA

6. Country of birth

INDIA

7. Alien's date of birth

8. Class of admission

H-1B

9. Alien registration number (A#)

10. Alien admission number (I-94)

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

None
High School
Associate's
Bachelor's
Master's
Doctorate
Other

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

12. Specify major field(s) of study

COMPUTER SCIENCE

13. Year relevant education completed

2014

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

TEXAS A & M UNIVERSITY

15. Address 1 of conferring institution

955 UNIVERSITY BLVD

Address 2

16. City

KINGSVILLE

State/Province

TX

Country

UNITED STATES OF AMERICA

Postal Code

78363

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

Yes
No
N/A

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

Yes
No
N/A

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

Yes
No
N/A

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

Yes
No
N/A

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

Yes
No
N/A

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?

Yes
No

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

Yes
No

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

2. Address 1

Address 2

3. City State/Province Country Postal Code

4. Type of Business

5. Job Title

6. Start Date

7. End Date

8. Number of hours worked per week

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.)

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

First name

Full middle name

2. Signature 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.

M. Declaration of Preparer

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

Yes
No

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

Medikundam

First Name

Haripriya

Middle initial

3. Title

Attorney at Law

4. E-mail address

haripriya@bizlegalservices.com

5. Signature

Yes
No

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

Thyarla

First name

Sravanthi

Middle initial

2. Title

Director

3. Signature

Yes
No

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.

U.S. Department of LaborEmployment and TrainingAdministration

A. Refiling Instructions

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

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?

C. Employer Information (Headquarters or main office)

1. Employer's name

2. Address 1

Address 2

3. City

State/Province

Country

Postal Code

4. Phone Number

Extension

5. Number of employees

6. Year commenced business

7. FEIN (Federal Employer Identification Number)

8. NAICS code

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?

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

First Name

Middle Initial

2. Address 1

Address 2

3. City

State/Province

Country

Postal Code

4. Phone Number

5. E-mail Address

E. Agent or Attorney Information (If applicable)

1. Agent or attorney's Last Name

First Name

Middle Initial

2. Firm Name

3. Firm EIN

4. Phone Number

Extension

5. Address 1

Address 2

6. City

State/Province

Country

Postal Code

7. E-mail Address

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

1. Prevailing wage tracking number (if applicable)

2. SOC/O*NET (OES) code

3. Occupation Title

4. Skill Level

5. Prevailing Wage

Per

6. Prevailing Wage Source

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

7. Determination Date

8. Expiration Date

G. Wage Offer Information

1. Offered Wage

Per

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

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

Address 2

2. City

State

Postal Code

3. Job Title

4. Education: minimum level required

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

4-B. Major field of study

5. Is training required in the job opportunity?

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

5-B. Indicate the field of training

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

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

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

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

U.S. Department of Labor
Employment and Training
Administration

1. Prevailing wage tracking number
(if applicable)

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

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

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