Guarantor Form (Non Family Member)

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Phillips Outsourcing Limited (POL)

9A Shafi Sule Street, Off Admiralty Way,


Lekki, Lagos, Nigeria
Tel: +234 -1 - 280 3580, 280 3581
Email: info@phillipsoutsourcing.net

EMPLOYMENT GUARANTOR’S UNDERTAKING FORM


Category: Please tick as Required Documents
applicable
NON-FAMILY MEMBER

Civil Servant- Not less than grade level ‘09 1. Standard ID card (National ID card,
(both State Government and Federal Government) International Passport, Driver's
Banker - Core staff of a licensed bank license, Permanent Voter'scard)
Not less than Assistant Banking Officer(ABO)
Lecturer 2. Official ID card
At least Lecturer 1 from a recognized higher institution
Professionals 3. A passport photograph
Medical practitioner, Lawyer, Engineer, Architect,
Chattered Accountant, Management Consultant etc.

EMPLOYEE DETAILS

NAME OF EMPLOYEE:
………………………………………………………………………………………….. Attach Passport
(Surname) (First name) (Middle name) of the Guarantor

Sex: M F Marital Status: ………………… Nationality: ……….…………

GUARANTOR DETAILS
NAME OF GUARANTOR:

…………………………………………………………………………………………………………
(Surname) (First name) (Middle name)

Sex: M F Marital Status: …………………… Nationality: ……………………………

Name of Current Employer:


………………..………………………………………………………….………………….………………………

Department/Unit:……………….………………………………… E-Mail: ……..……………………………….…… Years

of Working Experience: …………………… Years with Current Employer: ...........................

Grade/Level:……………… (e.g. Asst Mgr) Position .......................................... (e.g. Head, Ops)


Office/Business Address:
………………………………………………………………………….……………………………….

Official Tel. #:……………..………………………………

‘By completing this form, you hereby consent to the collection, use, and transfer, in electronic or other form, of your data as
described in the Nigeria Data Protection Act, 2023.’
Phillips Outsourcing Limited (POL)
9A Shafi Sule Street, Off Admiralty Way,
Lekki, Lagos, Nigeria
Tel: +234 -1 - 280 3580, 280 3581
Email: info@phillipsoutsourcing.net

Home Address:
……………………………………………………………………………………………….…………

………………………………………………………………………………………………………… Mobile

Tel.#:……………..……………………….. Mobile Tel#2:……………….…………………. (Kindly list all

your telephone numbers to enable us to reach you)

GUARANTOR’S AFFIRMATION
(*Please note that all declarations are agreed upon according to the Obligations and Responsibilities of
a guarantor relevant to the laws of The Federal Republic of Nigeria.)

I, ............................................................................................................... of the above

information know that it is dangerous to guarantee a person not well known to me, hereby guarantee

Mr/Ms. …………………………………………..…….. of (Address)....................................................

……………………………………..…………………………..……………… that he/she has been

known to me for ........................................ years as a ...........................................................

I hereby testify that he/she is of good conduct and I hereby irrevocably undertake as a guarantorfor
him/her bearing in mind that I shall be liable to indemnify the company of any breach of contract, loss,
damage and to produce him/her if and as at when required.

Signature of Guarantor: ……….…………………………

Date: ………………………………....

‘By completing this form, you hereby consent to the collection, use, and transfer, in electronic or other form, of your data as
described in the Nigeria Data Protection Act, 2023.’

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