Guarantor’s Indemnity to the

Students' Loan Bureau

We the undersign Guarantors of a students’ loan approved

for____________________________ with ___________________, hereby acknowledge

(Applicant’s Name) (TRN)

that ___________________________ is not eligible for coverage under the

(Applicant’s Name)

Student Loan Bureau’s Creditor Insurance Scheme, as he/she has been diagnosed with

________________________________________.
(Illness)

We agree and consent that said indemnity shall subsist for the duration of

______________________________________________ academic programme at the

(Applicant’s Name)

______________________________________________.
(Applicant’s School)

We understand that in the event of him/her dying or becoming totally disabled before the
loan has been fully repaid, we will be jointly and severally responsible for repaying any
outstanding amount plus accrued interest and penalties inclusive of late fees and recovery
charges incurred.

___________________________ ______________________________
Witness’s Name (recorded in full) Guarantor’s name (recorded in Full)
SLB REPRESENTATIVE/JUSTICE OF THE PEACE
/ ATTORNEY OR MEDICAL DOCTOR

___________________________ ______________________________
Witness’s Signature Guarantor’s Signature

__________________________ ______________________________

__________________________ ______________________________

__________________________ ______________________________
Witness’s Address
Guarantor’s Address
Date: …………………………

Revised February 2018

__________________________ ______________________________
Witness’s Name (recorded in full) Guarantor’s Name (recorded in full)
SLB REPRESENTATIVE/JUSTICE OF THE PEACE
/ ATTORNEY OR MEDICAL DOCTOR

_________________________ ______________________________
Witness’s Signature Guarantor’s Signature

___________________________ ______________________________

___________________________ ______________________________

___________________________ ______________________________
Witness’s Address Guarantor’s Address

Date: ……………………………

Revised February 2018