Guarantor Form (Family Member)

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: Required Documents

1. Standard ID card (National ID card, International Passport,
FAMILY MEMBER
Driver's license, Permanent Voter'scard)
2. Official ID card
3. A passport photograph
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 / Business Name and Brief Description of the Business If Self Employed:
………………………………………………………………………………………………………………………
………………..………………………………………………………….………………….………………………
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.’

Guarantor Form (Family Member)

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Phillips Outsourcing Limited (POL)

9A Shafi Sule Street, Off Admiralty Way,

EMPLOYMENT GUARANTOR’S UNDERTAKING FORM

Category: Required Documents

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

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

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

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

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

Official Tel. #:……………..………………………………

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

your telephone numbers to enable us to reach you)

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

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

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

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

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

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