0700 434 7754
wecare@heirslifeassurance.com
GUARANTOR’S RECOMMENDATION FORM
Applicant’s Guarantor’s
Passport Passport
APPLICANT’S PERSONAL DETAILS
DATE: (dd/mm/yyyy)
NAME:
ADDRESS:
OCCUPATION: POSITION:
STATE OF ORIGIN: TELEPHONE:
EMAIL ADDRESS:
GUARANTOR’S PERSONAL DETAILS
NAME:
ADDRESS:
OCCUPATION: POSITION:
COMPANY NAME: TELEPHONE:
COMPANY ADDRESS:
EMAIL ADDRESS:
RELATIONSHIP WITH THE APPLICANT:
FOR HOW LONG HAVE YOU KNOWN THE APPLICANT?
I hereby accept liability for and on behalf of the above mentioned in the event that
he/she is involved in any illegal act(s) whilst in your employment. Based on the foregoing, I therefore recommend him/her for employment
with Heirs Life Assurance Limited.
Signature:
GUARANTOR’S REQUIREMENT
NOTE:
In addition to the Passport photograph, Guarantor must Guarantor Requirements
also attach a photocopy of their work Identity card, Driver’s Civil Servants From Level 12 upwards
license or National ID Card or International passport, and the Academic Staff of Higher institutions From Asst. Lecturer upwards
most recent copy of Utility Bills (indicating the home address Non-Academic Staff From Level 10 upwards
stated above). Staff of licensed Financial Institutions From Asst. Manager upwards
and Multi-nationals
Please do not guarantee someone who is not well known Staff of other registered and/or From Manager Grade upwards
to you. known Institutions
Community Leaders CDA Chairman, CDC Chairman, Royal Fathers
This form must be completed by the guarantor. CAC registered and active businesses Directors/Owners
www.heirslifeassurance.com
HEIRS LIFE ASSURANCE LIMITED Heirs Towers, Plot 107B, Ajose Adeogun Street, Victoria Island, Lagos - Nigeria
Authorized and regulated by the National Insurance Commission (NAICOM)
