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Company No.

838422251 RC 1656088

GUARANTOR’S FORM
(Do not guarantee someone not well known to you)

Guarantor’s Passport

Name of Guarantor ………………………………………………………………………………………………………………………..


SURNAME MIDDLE OTHER NAMES

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

Name of Employer ……………………………………………………………………………………………………………………………..


Office Address ……………………………………………………………………………………………………………………………………

OR, Address of Business …………………………………………………………………………………………………………………….

Position Held ……………………………………………………………………………………………………………………………………..

Telephone No ……………………………………………………………………………………………………………………………………..

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

Whose photograph appears above, hereby states that I have known Mr./Mrs./Ms. Client’s Name
……………………………………………………………………….. for ………. years and hereby recommend him/her for
engagement as your client and shall Indemnify him/her fully and totally in the event of any loss or
damage suffered by the company as a result of any act of omission, commission or negligence by the
client.

(PLEASE ATTACH MEANS OF IDENTIFICATION)


SPECIFY MEANS OF IDENTIFICATION (NATIONAL ID CARD/DRIVERS’ LICENSE/VOTERS’ CARD/INTERNATIONAL
PASSPORT): ……………………………………………………………………………………………………………………………………………………….

Signature of Guarantor ………………............ Date……………………………………...

5 Rue D’Aurion, Rosny Sous Bois, 93110, France


49 Adekunle Fajuyi Way, Ikeja GRA, Lagos, Nigeria
+33 1 58 66 13 02 || +234 907 320 9789
ayod@koolboks.com, deborah@koolboks.com

www.koolboks.com

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