Wa0003.
Wa0003.
Wa0003.
Email Address
Sex M ☐ F ☐ Marital Status M ☐ S ☐ Date of Birth D D M M M Y Y Y Y
Nationality For Non-Nigerian nationals, please specify eligibility to work below:
2Residence or work permit?
Country of Resident Yes No ID Number
Address
Permanent House Number Street Name 1 Street Name 2 City, Town or Province State
Address
Height (Meters) Complexion Genotype (Optional) Blood Group (Optional)
C. DETAILS OF DEPENDENTS
Name of Dependents Address of Dependents Phone Number Relationship
1. Spouse
2. Child
3. Child
4. Child
5. Child
1 Photo must have white background, be in full colour, taken within the last six months, face must cover 70–80% of the
photo, visible from ear to ear and forehead to chin, eyes open, neutral expression, hair should not obstruct the face or ears
and avoid using headphones or masks. Dressing must be decent, avoid uniforms, camouflage, and excessive accessories.
2 Please, attach copies of residence or work permit if applicable.
Page 1 of 8
D. DETAILS OF PARENTS
Name of Father Name of Mother Address of Parents Mother’s Maiden Name (Women only)
E. GUARANTORS DETAILS
Name Occupation Job Title Relationship Phone HRO
Number Comment
1st Guarantor
2nd Guarantor
Referee
Previous Employer’s Name Corporate Address Gross Salary Start Date End Date
D D M M Y Y D D M M Y Y
Previous Employer’s Name Corporate Address Gross Salary Start Date End Date
D D M M Y Y D D M M Y Y
Page 2 of 8
9. OATH OF CONFIDENTIALITY
• DECLARATION
I, do hereby make an oath and state that during my period of service with the bank and also in
perpetuity, I shall:
a. keep secret/confidential, all information regarding the affairs and accounts of the bank;
b. all information regarding the affairs of the bank’s customers; and
c. remain inviolate;
except where:
a. I may be directed by the management of the bank, her authorized representatives/to divulge
same; or
b. be called upon by a proper court of law.
I, being employed as _ by LAPO Microfinance Bank, hereby undertake to meet all key performance
standards of the bank. In the event that I fail to meet set targets within 6 months of my employment
with LAPO Microfinance Bank, I agree that LAPO Microfinance Bank is at liberty to disengage me from
the services of the bank.
Page 3 of 8
12. STANDARDS OF PROFESSIONAL CONDUCT ACKNOWLEDGEMENT
• DECLARATION
This is to acknowledge and certify that I have read and understood the Code of Conduct and
professional standards required to work at LAPO Microfinance Bank. I also acknowledge and
undertake to adhere strictly to the standards of professional conduct and not to engage in any
prohibited behaviour mentioned in the Code of Conduct.
13. SIGNATORIES
Name Signature Date
Prospective
Employee
1st Guarantor
2nd Guarantor
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
2nd 2nd 2ndGuarantor Results Criminal / Deployment to Rank at
Guarantor Guarantor Occupation Verified? Background Check Business Unit Employment
verified? Address Verified? Done?
Verified?
Yes No Yes No Yes No Yes No Yes No If yes, Date? Date? Branch
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Appointment Letter Appointment Confirmation Letter Confirmation Name and Designation Signature
Issued? Letter Signed Issued? letter Signed of Documentation / Date
by? by Officer
Yes No If yes, Date? Yes No If yes, Date?
☐ ☐ ☐ ☐
Page 4 of 8
EMPLOYMENT GUARANTEE FORM (FOR FAMILY MEMBER)
Our employment process requires that a person seeking employment in our establishment
PLEASE AFFIX
should produce a credible, responsible and acceptable person as guarantor subject to
EMPLOYEE’S
employment confirmation. If you are willing to depose to this form as guarantor for the
RECENT PASSPORT
said applicant, kindly complete this form. Please note that it is unethical to stand as a
PHOTOGRAGH HERE
guarantor for someone whom you do not know. Guarantors are warned that any false
declaration on this form will attract severe consequences which may include prosecution.
Mr/Mrs/Ms.______who is being considered for employment has given your name as his/her
guarantor. Please confirm your wiliness to guarantee him/her against any loss by completing this form.
1. Is this candidate well known to you? ☐ Yes ☐ No ☐ Maybe
2. What is your relationship with him/her? ______
3. How long have you known him/her? (Not less than 3 years) _____
4. Please state your occupation. ____
Declaration
I, Dr/Chief/Mr./Mrs./Ms. _____
of home address _____
and office address _____
stand as guarantor to Mr./Mrs./Ms. _____
who is being considered for employment in LAPO Microfinance Bank Limited.
That I irrevocably and unconditionally guarantee to indemnify the bank against the following:
a) Any loss suffered as a result of Mr./Mrs./Ms.______
action or inaction while in the bank’s employment;
b) Any action arising from Mr./Mrs./Ms. _____
desertion of the bank for any offence committed or arising from his/her employment.
That I promise to produce him/her any time needed for any reason of security interest.
This guarantee shall be governed by the laws of the Federal Republic of Nigeria.
Page 5 of 8
IN THE HIGH COURT OF JUSTICE
PLEASE AFFIX
___STATE OF NIGERIA GUARANTOR’S
IN THE ___JUDICIAL DIVISION RECENT PASSPORT
HOLDEN AT ___ PHOTOGRAGH HERE
UNDERTAKING TO BE A GUARANTOR
2. That I agreed to guarantee the above-named employee in the following terms and conditions.
3. That I have been informed and fully understand my duties as a guarantor and I have the means
and ability to meet up with the obligation demanded by being a guarantor.
4. That where Mr./Mrs./Ms. ___ employee of LAPO Microfinance Bank Limited embezzles, steals,
misappropriate or loses any money or damages property of LAPO Microfinance Bank Limited or
is negligent in handling same and thereby incurs liability to the company, and/or loss amounting
to any value, I shall fully indemnify the employer in cash or actual replacement of the property.
5. That I shall make myself available to the company any time my attention is required, needed
and/or requested for in respect of this guarantee.
6. That I will inform the company immediately I change my address or the employee does same.
7. That if I fail, refuse, neglect, and/or omit to pay any loss incurred by LAPO Microfinance Bank
Limited in respect of __ for which I stand as guarantor, LAPO Microfinance Bank Limited may
institute legal action against me or use any means at their disposal to recover such sum.
8. That the above information is true and correct to the best of my knowledge and in accordance
with the Oaths Act, Laws of the Federation of Nigeria, 1990 (as amended).
______________
DEPONENT
SWORN to at the High Court Registry,
BEFORE ME
Page 6 of 8
EMPLOYMENT GUARANTEE FORM (FOR FAMILY FRIEND)
Our employment process requires that a person seeking employment in our establishment
PLEASE AFFIX
should produce a credible, responsible and acceptable person as guarantor subject to
EMPLOYEE’S
employment confirmation. If you are willing to depose to this form as guarantor for the
RECENT PASSPORT
said applicant, kindly complete this form. Please note that it is unethical to stand as a
PHOTOGRAGH HERE
guarantor for someone whom you do not know. Guarantors are warned that any false
declaration on this form will attract severe consequences which may include prosecution.
Mr/Mrs/Ms.______who is being considered for employment has given your name as his/her
guarantor. Please confirm your wiliness to guarantee him/her against any loss by completing this form.
5. Is this candidate well known to you? ☐ Yes ☐ No ☐ Maybe
6. What is your relationship with him/her? ______
7. How long have you known him/her? (Not less than 3 years) _____
8. Please state your occupation. ____
Declaration
I, Dr/Chief/Mr./Mrs./Ms. _____
of home address _____
and office address _____
stand as guarantor to Mr./Mrs./Ms. _____
who is being considered for employment in LAPO Microfinance Bank Limited.
That I irrevocably and unconditionally guarantee to indemnify the bank against the following:
c) Any loss suffered as a result of Mr./Mrs./Ms.______
action or inaction while in the bank’s employment;
d) Any action arising from Mr./Mrs./Ms. _____
desertion of the bank for any offence committed or arising from his/her employment.
That I promise to produce him/her any time needed for any reason of security interest.
This guarantee shall be governed by the laws of the Federal Republic of Nigeria.
Page 7 of 8
IN THE HIGH COURT OF JUSTICE
PLEASE AFFIX
___STATE OF NIGERIA GUARANTOR’S
IN THE ___JUDICIAL DIVISION RECENT PASSPORT
HOLDEN AT ___ PHOTOGRAGH HERE
UNDERTAKING TO BE A GUARANTOR
10. That I agreed to guarantee the above-named employee in the following terms and conditions.
11. That I have been informed and fully understand my duties as a guarantor and I have the means
and ability to meet up with the obligation demanded by being a guarantor.
12. That where Mr./Mrs./Ms. ___ employee of LAPO Microfinance Bank Limited embezzles, steals,
misappropriate or loses any money or damages property of LAPO Microfinance Bank Limited or
is negligent in handling same and thereby incurs liability to the company, and/or loss amounting
to any value, I shall fully indemnify the employer in cash or actual replacement of the property.
13. That I shall make myself available to the company any time my attention is required, needed
and/or requested for in respect of this guarantee.
14. That I will inform the company immediately I change my address or the employee does same.
15. That if I fail, refuse, neglect, and/or omit to pay any loss incurred by LAPO Microfinance Bank
Limited in respect of __ for which I stand as guarantor, LAPO Microfinance Bank Limited may
institute legal action against me or use any means at their disposal to recover such sum.
16. That the above information is true and correct to the best of my knowledge and in accordance
with the Oaths Act, Laws of the Federation of Nigeria, 1990 (as amended).
______________
DEPONENT
SWORN to at the High Court Registry,
BEFORE ME
Page 8 of 8