F200049 GF Benefit Election For FCV/NFP Location
Uploaded by
suganthitr417F200049 GF Benefit Election For FCV/NFP Location
Uploaded by
suganthitr417F200049 GF Benefit Election for FCV/NFP Location
000012244200049
Please return the signed form to Global Mobility ([email protected]).
In order to avoid delays, you must include in the subject line: Request Number [insert your case number here]. The case number will be
provided to you during the Relocation and Benefits briefing session with the Global Mobility Assignment Support team.
Staff member's name: 12345 World Bank Group UPI: 1 2 2 4 4
Section 1 : Pre-assignment Visit (Complete this section only if you are a new hire Staff for us to
Yes ✖ No
create the travel request on your behalf )
Section 2 : Relocation Grant and Temporary Living Allowance
Your Relocation Grant and Temporary Living Allowance will be based on your relocation with or without dependent children.
Note: If the Staff is relocating to a Non-Family Post, they are considered to be relocating with eligible dependents if a Dependent Child is relocating to a
Family Location.
Relocating with at least one dependent child ✖ Relocating without dependent children
Section 3 : Actual Shipment or Optional Removal Grant
✖ Actual Shipment Optional Removal Grant (Paid in lieu of Actual Shipment)
Please note that it might take longer than anticipated for your shipment to arrive at the designated location due to reasons
such as but not limited to security issues disrupting shipping routes, unforeseen port congestions or customs inspections,
and other factors affecting the HHG industry. These significant delays are largely beyond the control of the World Bank
contracted shipping companies.
By selecting the “Actual Shipment”, I acknowledge the potential delays and risks associated with this selection.
Please initial here: sxasas
Option A: 20 Ft container ✖ Option B: 40 Ft container Option C: Split Shipment
Disclaimer: Effective July 1, 2024, staff relocating for new assignments to FCV/NFP locations are eligible for extended storage as part of
their mobility benefits. 40ft
Shipment Date: May 30, 2025 Pickup Address: IAS Nagar , 4th Cross East Storage items delivery address: Selva Ganesh Illam
Permanent/Extended Storage
Do you have an existing storage: (Applicable for existing staff) Yes No Not Applicable
Section 4 : Housing Allowance
Duty Locations which are classified as Non-family Posts allow the option to have housing allowance paid in the family location where the dependents
are residing. The Housing Allowance is applicable until the duration of your GFP Assignment.
Housing Allowance at Duty Location ✖ Housing Allowance at Family Location
only applicable for staff with eligible dependents moving to a Non-Family Post).
Specify the family location (City , Country) Chennai
http://hrform 13-May-2025 F200049
Section 5 : Education Benefits - Option 1 or Option 2 (if applicable **)
The Education Benefits is applicable until the duration of your GFP Assignment. ** Post 1999 staff are eligible only for Option 2 . Pre-1999 staff eligible
for education benefits by virtue of their appointment can opt for Option 1 or Option 2 for the duration of the assignment.
Option 1 : Education Benefit in effect prior to January 1, 2016
Option 2 : Education Benefit in effect on or after January 1, 2016
✖ Option 3 : Not Applicable
Accepted:
