34 Marina, Lagos PASSPORT

PHOGRAPH OF
Tel: 08073593880, 08028546009
GUARANTOR
GUARANTOR FORM FOR FINANCIAL ADVISORS

1. Guarantors Name:
2. Residential Address:

3. Permanent Address Tel No

4. Name of Business E-mail
5. Business Address Tel No
6. Relationship with Applicant Years of Relationship
I whose particulars are as above
personally recommend
residing at

To be employed by Sanlam Nigeria Life Insurance Limited as a Financial Advisor

1. I undertake to Indemnify Sanlam Nigeria Life Insurance Limited by reason of any default
conversion, embezzlement, theft and debts. Whereby the Company shall ascertain that He/She
has wrongfully withheld money or monies and the properties belonging to the Company or from
Policy holders or of the Company or from Policy holders or Officers of the Company or applicants
for Insurance policy.

I further undertake and agree to personally make good such properties or pay in cash/cheque the
equivalent of such money so misused within (thirty) 30 days weekends
and public holiday inclusive following a demand by the company to pay same.

2. I further accept that by this guarantee, the company may name me as party to any Civil Action
against the Financial Advisor for recovery of the properties and money so wrongfully used
converted, stolen and embezzled.

Guarantor’s Name:
Signature of Guarantor:
Date of Signing:

WITNESS
In the presence of (Name)
Address of witness:
Signature and date of witness: