F00039 World Bank Group Overseas G4 Visa Request

Instructions:

Welcome to the World Bank Group HR Forms Instructions page.

This form filler tool is designed to assist you in electronically entering your data and printing a paper form with a unique barcode corresponding to your entered data. Once you've completed your answers and printed the form, you'll need to submit it either by email or in person, depending on the form type.  Please note that the data you enter is directly captured in the form's unique barcode, so it's important that you do not make any handwritten changes, corrections, or additions to the data or to the form after it has been printed. Doing so may result in data errors and processing delays.

In case you notice any errors after printing your form, or if you've left a field blank, we recommend starting over and completing a new form. It's also important to remember that your information is not saved by the form filler and can no longer be accessed after you print it. Therefore, please be extra careful in reviewing your answers, as it is impossible to make any corrections after the form is printed

Each form will take approximately ten minutes to complete. Please ensure you have the needed documents such as passport to extract information that may be required in some fields. Do not close the forms until they are ready for a download. Partially filled forms cannot be saved to be completed later. If you need further assistance, please contact. Thank you!

Information on Completing the Form

1)   Please enter all information electronically, starting with your UPI below on this page.

2)   Return all pages of this form and a copy of the passport bio page for all applicants along with other required documents as specified in the checklist to the HR Operations via  (Please select one transmittal format, and submit only once):

         a)   Email at hroperations@worldbank.org,  or

         b)   Fax  +1(202) 522-7026

Need Help? 

If you are experiencing any issues, please contact HR Operations via email: hroperations@worldbank.org  or phone 202-473-2222 or 5220+32222.

Revision 25 Apr 2023

Section 1: Staff Member's Information

World Bank Group UPI*

 

Prepared on*

First Name:*

 

Middle Name:

 

Last Name :*

 

Job Title:*

 

Type of Appointment:*

 

IMPORTANT: The length of the visa requested for STT/STCs is based on the number of task days in the contract and calculated on the basis of 12-15 days per month.  Therefore, the length of the visa requested may be shorter than the length of the contract. 

Expected Date of Arrival in U.S.:*

 

Expected Date of Departure from U.S.:*

 

U.S. Consulate or Embassy where visa will be requested:

Country:*

 

City:*

Expected date of visit to Consulate or Embassy:*

 

Desired date of eFax sent to Consulate or Embassy (optional):

Default: 5 days prior to date of visit. Otherwise, please indicate

Brief description of job duties (Enter two-three sentences. Entering only a job title will delay processing):*

 

Purpose of Visit (For Country Office Staff Only)

For Country Office (CO) staff, an Approved Travel Document or a signed letter from Manager should be attached to this request, to enable HR Operations to send the E-Fax to the US Consulate/Embassy.

Send copy of eFax visa request (that we send to the U.S. Consulate or Embassy) to the following:

Do you need an original copy of VISA request?*

 

Note: originals not required in nearly all cases

Section 2: Applicant's Information

Enter information about all applicants applying for a G4 visa  (including Staff Member if applying for himself/herself also). Important note: Please enter Names as in Passport. 

Important Note: Short-Term Temporary and Consultants (STTs/STCs) and dependent visas:  The following documents are required for each dependent the first time an STT/STC applies for dependent visas. Include these documents when submitting this form:

1. Copy of each passport information page

2. Copy of Marriage Certificate (for spouse)

3. Copy of Birth Certificate (for child)

Section 2: Enter information about all applicants applying for a G visa  (including Staff Member if applying for himself/herself also). Important note: Please enter Names as in Passport. 

Important Note: Short-Term Temporary and Consultants (STTs/STCs) and dependent visas:  The following documents are required for each dependent the first time an STT/STC applies for dependent visas. Include these documents when submitting this form:

1. Copy of each passport information page

2. Copy of Marriage Certificate (for spouse)

3. Copy of Birth Certificate (for child)

First Name:*

 

Middle Name:

 

Last Name:*

 

Relationship to Staff Member:*

 

Date of Birth:*

 

Gender*

 

Current US Visa*

 

If Other, please specify:*

 

For Other Visas Only, attach copy of passport information page, US visa page and I-94 card

Passport Number*

Passport Issue Date*

Passport Expiration Date*

Passport Nationality:*

 

Travel Details

Date of travel to US*

Date of return from US*

Purpose of Visit*

For Country Office (CO) staff, an Approved Travel Document or a signed letter from Manager should be attached to this request, to enable HR Operations to send the E-Fax to the US Consulate/Embassy.

Please ensure ALL information in the submission form is complete and accurate before printing the form. This will generate your form(s) as a PDF file. Review the file for accuracy and completeness. If there is an error, please start a new form.