SCANCOM PLC (MTN)

MTN House, Independence Avenue, W e s t Ridge, Accra, Ghana

P.O. Box TF281, Trade Fair, La, Accra, Ghana
Tel: +233 (0)24 4300000 Fax: +233(0)2231974

www.mtn.com.gh

IMPORTANT NOTICE

THIS AGREEMENT CREATES A BINDING LEGAL CONTRACT. IF YOU DO NOT FULLY

UNDERSTAND THE NATURE OF THE AGREEMENT, THEN IT IS RECOMMENDED THAT
YOU TAKE INDEPENDENT LEGAL ADVICE BEFORE SIGNING. THIS DEED OF
GUARANTEE RELATES TO SERVICES AVAILABLE TO MTN CUSTOMERS WHILE ON
ROAMING

DEED OF GUARANTEE for MTN Services

A. REQUEST FOR MTN SERVICES

I, Mr./ Miss/ Mrs. / Ms. …………………………………………………………..of ………………………

confirm that, I am currently roaming in …………………………….and unable to perform
the following (tick as applicable below). I would like to request for the following
service(s) to be performed on my Subscriber Identity Module (SIM) number
……………………….

Sim change

Mobile money pin reset

(tick as applicable)

B. APPOINTMENT OF GURANTOR

To enable the above service(s) to be performed on behalf in my absence outside

the jurisdiction, I, Mr. / Miss/ Mrs. / Ms. …………………………………………………………
hereby appoint …………………………………………… of House No: ……………………………..
……………………………………With SIM number …………………… to serve as a Guarantor
to enable above MTN service to be completed on my behalf.

C. RELATIONSHIP WITH GUARANTOR

The Guarantor herein, is ……………………………………………………….., and I have

contacted ……………………………………………………… (Name) using my own number
………………………………………
 D. GUARANTOR’S CONSENT

I, Mr. / Miss/ Mrs. / Ms. ………………………………………… of Hse. No. ……………………, with

SIM number …………………………………. hereby consents, acknowledges and agrees
to the terms of this Agreement set forth herein and hereby confirms, reaffirms
and ratifies in all respects the Guaranty to which I am a party, to act as guarantor
for …………………………………….. . I further consent that my call records be accessed
from ………..[20…..] to …………[20…] to confirm the relationship with …………………….
[Name of Person requesting Service] and I shall bear all liabilities that will arise
as a result of MTN assessing my call records in accordance with this deed of
guarantee.

E. INDEMNITY
I ……………………………………..(owner) shall be liable hereunder for my own gross
negligence, willful misconduct or bad faith. I further agree to indemnify MTN and save
it harmless against any and all liabilities, including judgments, costs and reasonable
counsel fees, for anything done or omitted by me or guarantor herein, in the
execution of this Agreement,

Signed by the Requester: Signed by the Guarantor:

Name: ……………………………….. Name: ………………………………..

Signature: …………………………. Signature: ………………………….

Date of Request: ………………… Date of Guarantee: ………………..