Work Visa Declaration Form

WORK VISA DECLARATION FORM

This Work Visa Declaration Form (the "Declaration") is entered into on Day: Month: Year: by and between Employer Name: with principal place of business at Employer Address: ("Employer") and Applicant Name: currently residing at Applicant Address: ("Applicant").

RECITALS

WHEREAS, Employer seeks to sponsor the Applicant for a temporary employment visa to permit lawful work for Employer in the capacity set forth herein;

WHEREAS, Applicant represents that Applicant is eligible to receive such a visa and intends to perform services for Employer in good faith and in compliance with applicable immigration and employment laws;

WHEREAS, the parties desire to set forth their respective declarations, assurances and undertakings in connection with the visa application, sponsorship obligations, and the terms of employment.

NOW, THEREFORE, in consideration of the mutual covenants contained herein, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Employer and Applicant agree as follows:

1. DEFINITIONS

For purposes of this Declaration, the following terms shall have the meanings set forth below: "Visa" means the temporary employment authorization sought by Applicant under the applicable immigration classification; "Sponsorship" means Employer's filing, support, and related obligations required to obtain and maintain the Visa on Applicant's behalf.

2. EMPLOYER DECLARATIONS AND UNDERTAKINGS

2.1 Employer declares that the position for which Applicant is being sponsored is Job Title: with Location: and Proposed Start Date: .

2.2 Employer certifies that the offered wage/salary is Salary Amount: per annum and reflects the wage required by applicable law for the position described above.

2.3 Employer represents and warrants that Employer will: (a) comply with all obligations to file and maintain sponsorship paperwork; (b) provide truthful information in all submissions; and (c) notify the competent immigration authorities and Applicant of any material change in employment status that affects Visa status.

2.4 Visa Classification (select one or more):

H-1B L-1 TN Skilled Worker Other:

3. APPLICANT DECLARATIONS

3.1 Applicant declares that Applicant's Date of Birth: Nationality: Passport Number: Passport Expiry: .

3.2 Applicant certifies under penalty of perjury that the information provided in connection with this Declaration and any supporting documentation is true, complete and correct to the best of Applicant's knowledge, and that Applicant has not willfully omitted any material fact.

3.3 Applicant further declares that Applicant is not subject to any criminal conviction, deportation order, or immigration violation that would render Applicant ineligible for the Visa, except as disclosed in Applicant Disclosures below.

4. SPONSORSHIP, COMPLIANCE AND INDEMNITY

4.1 Employer agrees to undertake the Sponsorship process in good faith, to comply with applicable filing requirements and employer obligations, and to maintain accurate records related to Applicant's employment and Visa status.

4.2 Employer agrees to indemnify, defend and hold harmless Applicant from and against any costs, penalties, fines or liabilities arising from Employer's willful failure to comply with sponsorship obligations, provided that such failure is not caused by Applicant's misrepresentations or omissions.

5. REPRESENTATIONS AND WARRANTIES; COVENANTS

5.1 Each party represents and warrants that it has the power and authority to enter into this Declaration and to perform its obligations hereunder, and that the person executing this Declaration on its behalf is duly authorized to do so.

5.2 Applicant covenants to promptly notify Employer in writing of any change in residence, contact information, immigration status, or any event that may materially affect eligibility for continued sponsorship or employment.

6. CONFIDENTIALITY AND DATA PROCESSING

6.1 The parties acknowledge that Employer will collect and process personal data necessary for visa sponsorship and compliance. Employer shall process such data only for legitimate sponsorship and employment purposes and in accordance with applicable data protection obligations.

6.2 All supporting documentation submitted in connection with this Declaration shall be retained by Employer in accordance with recordkeeping requirements and made available to competent authorities upon lawful request.

7. NOTICES

8. AMENDMENTS; WAIVER; COUNTERPARTS

8.1 No amendment to this Declaration shall be effective unless made in writing and signed by authorized representatives of both parties. No failure or delay by either party in exercising any right shall operate as a waiver of that right.

8.2 This Declaration may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument.

9. GOVERNING LAW

This Declaration shall be governed by and construed in accordance with the substantive laws of the governing_jurisdiction: without regard to conflict of laws principles that would result in the application of the laws of any other jurisdiction.

10. ENTIRE AGREEMENT

This Declaration, together with any exhibits or written attachments expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals, negotiations and communications, whether oral or written.

11. SEVERABILITY

If any provision of this Declaration is held to be invalid, illegal or unenforceable in any respect, such provision shall be severed and the remaining provisions shall continue in full force and effect to the maximum extent permitted by law.

12. ACKNOWLEDGMENT

Each party acknowledges that it has read this Declaration, understands its contents, and has the right and authority to enter into this Declaration. Each party further acknowledges that the representations and warranties contained herein are material inducements to the other party's execution of this Declaration.

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