In the sample application form below, the information required from applicants is in bold. Parenthetical explanations that do not form part of the application have been added to explain the requirements.

________________, Applicant

v.

_______________________________,

Respondent (for example, the IBRD, the IFC, IDA)

Part I: Information concerning the personal and official status of the applicant (see Rule 7(2) and Annex I of the WBAT’s Rules)

1. Name of respondent (This refers to the organization within the Bank against which the claim is directed, e.g., the International Bank for Reconstruction and Development, the International Finance Corporation, the International Development Association.)
2. Applicant:
   1. name and first names
   2. date and place of birth
   3. marital status
   4. nationality
   5. contact information
      1. address for purposes of the proceedings (Please note that all correspondence from the Secretariat of the WBAT will be sent to the address that is listed here.)
      2. email address
      3. phone number
3. Name and address of lawyer or staff member or retired staff member representing the applicant before the Tribunal (Pursuant to Rule 16 of the WBAT’s Rules, an applicant may designate a staff member or a retired staff member of the Bank Group to represent him, or may be represented by a lawyer authorized to practice in any country which is a member of the Bank. If the applicant chooses to have a representative sign pleadings on his behalf, he must, according to Rule 7(7) of the WBAT’s Rules, transmit a letter to the Executive Secretary of the Tribunal to that effect. If the applicant is incapacitated, his legal representative must sign pleadings on his behalf. See Rule 7(7) of the WBAT's Rules.)
4. Official status of applicant:
   1. organization of which the applicant was a staff member at the time of the decision contested (e.g., the IBRD, the IFC, IDA, MIGA)
   2. date of employment
   3. title and level at time of decision contested
   4. salary of applicant at the time of decision contested
   5. type of applicant’s appointment
   6. visa status, if applicable
5. If the applicant was not a staff member at the time of the contested decision, state: (see Article II(3) of the WBAT’s Statute)
   1. the name, first names, nationality and official status of the staff member whose rights are relied on
   2. the relation of the applicant to the said staff member which entitles the former to come before the Tribunal
6. Date of the occurrence of the event or date of decision giving rise to the application
7. Date of receipt of notice (after the applicant has exhausted all other remedies available within the Bank Group) that the relief asked for or recommended will not be granted (A condition of admissibility to the WBAT is that absent exceptional circumstances, or if the applicant and the respondent have agreed to submit the application directly to the WBAT, all other remedies within the Bank Group must first be exhausted. (See Article II(2) of the WBAT’s Statute and Rules 7(8) and 24 of the WBAT’s Rules.) For the purposes of the WBAT, exhaustion of "all other remedies" means that the applicant has, before filing an application with the WBAT, taken his or her case through all of the appropriate internal grievance bodies in the Bank according to the time limits specified by such bodies. Depending on the nature of the case, such grievance bodies could include, e.g., the Appeals Committee, the Pension Benefits Administration Committee, or the Workers’ Compensation Administrative Review Panel.)
8. Date of receipt of notice that the relief asked for or recommended will be granted, if such relief shall not have been granted within thirty days after receipt of such notice (For example, management agrees with a recommendation of the Appeals Committee that the relief asked for by the applicant should be granted. However, no such relief has in fact been granted within 30 days of receiving notice thereof.)
9. Description of remedies exhausted within the respondent institution (The applicant should describe here all of the formal remedies within the Bank that have been exhausted. See number 7 above.)
10. Applicants who are filing applications after they have been separated from the Bank’s employment should indicate all employment, including self-employment, since the date of separation, stating the nature and periods of such employment, the names of all employers and gross payments received in respect of such employment

Part II: Pleas (see Rule 7(3) of the WBAT’s Rules)

1. Any preliminary or provisional measures, such as the production of additional documents or the hearing of witnesses, which the applicant is requesting the Tribunal to order before proceeding to consider the merits (See Rules 12, 13, 17, 18 and 19 of the WBAT’s Rules.)
2. The decisions which the applicant is contesting and whose rescission is requested under Article XII, paragraph 1, of the Statute (Applicants should list here the specific decisions that they are challenging before the Tribunal.)
3. The obligations which the applicant is invoking and the specific performance of which is requested under Article XII, paragraph 1, of the Statute (Specific performance is the remedy of having the Tribunal order the respondent to carry out some requested action.)
4. The amount of compensation claimed by the applicant
5. Any other relief requested by the applicant
6. The amount of costs requested by the applicant (see Rule 29 of the WBAT's Rules)

Part III: Explanatory statement (Pursuant to Rule 7(4) of the WBAT’s Rules, the explanatory statement "shall set out the facts and the legal grounds on which the pleas are based" and "shall specify, inter alia, the provisions of the contract of employment or of the terms of appointment the non-observance of which is alleged." In practical terms, this means that the explanatory statement should be divided into two sections: (1) a statement of relevant facts; and (2) a presentation of the legal grounds upon which the application is based. The last page of the explanatory statement of the original application must be signed and dated by the applicant. (See Rule 7(7) of the WBAT's Rules.) The applicant may also, pursuant to Rule 7(7), "by means of a letter transmitted for that purpose to the Executive Secretary, authorize his or her lawyer or the staff member or retired staff member who is representing the applicant to sign in his or her stead." In the event of the applicant’s incapacity, the required signature must, under Rule 7(7), be furnished by his or her legal representative.)

Part IV: Annexes (The Annexes must be presented in accordance with the requirements set forth in Rule 7(5) and Annex I(B) of the WBAT’s Rules. Please refer to Rule 7(5) and Annex I(B) for the requirements. Among the requirements, Rule 7(5)(a) provides that "each document shall be annexed in the original or, failing that, in the form of a copy bearing the words ‘Certified true copy.'" Please note that the applicant must initial each "Certified true copy" statement.)