PRINCE EBEANO & CO.
Plot 9, Northern Business District, Admiralty Way, Lekki Phase 1, Lagos.
EMPLOYMENT INFORMATION PASSPORT
PHOTOGRAPH
PERSONAL DATA
NAME: ____________________________________________________________________________________________________
SURNAME OTHER NAMES
DATE OF BIRTH: __________________________________________________________________________________________
MARITAL STATUS: _______________________________________________________________________________________
PLACE OF BIRTH: _________________________________________________________________________________________
STATE OF ORIGIN & L.G.: ________________________________________________________________________________
NATIONALITY: ___________________________________________________________________________________________
RELIGION: ________________________________________________________________________________________________
RESIDENTIAL ADDRESS: _________________________________________________________________________________
CURRENT PHONE NUMBER: _____________________________________________________________________________
NAME OF NEXT OF KIN & RELATIONSHIP: ______________________________________________________________
ADDRESS & PHONE NO OF NEXT OF KIN: ______________________________________________________________
____________________________________________________________________________________________________________
NAME OF SCHOOL FROM TO CERTIFICATE(S) OBTAINED
EMPLOYMENT HISTORY
COMPANY NAME ADDRESS FROM-TO POST HELD
PLACE OF WORSHIP
NAME & ADDRESS OF CHURCH/MOSQUE NAME OF PASTOR/IMAM TELEPHONE
PARENTS’ INFORMATION
NAME RELATIONSHIP ADDRESS PLACE OF WORSHIP
DEPENDENTS- WIFE, CHILDREN & OTHERS
NAME RELATIONSHIP ADDRESS PLACE OF WORSHIP
I declare that all information given in this form are true and I agree to abide by the rules and
regulations of this organization.
NAME: _____________________________________ ____________________ __________________
SIGNATURE DATE
GUARANTOR’S
GUARANTOR’S FORM 1 PASSPORT
PHOTOGRAPH
NAME (MR./MRS./MISS): ________________________________________________________________________________
SURNAME OTHER NAMES
RESIDENTIAL ADDRESS: _________________________________________________________________________________
OCCUPATION: ___________________________________ MARITAL STATUS: _________________________________
EDUCATIONAL QUALIFICATION: ________________________________________________________________________
CURRENT EMPLOYER: ___________________________________________________________________________________
OFFICE ADDRESS: ________________________________________________________________________________________
PHONE NUMBER: ________________________________________________________________________________________
I _________________________________________________ WHOSE NAME AND RESIDENTIAL ADDRESS ARE STATED
ABOVE, AGREE TO BE BOUND TO PRINCE EBEANO & CO. AND HEREBY GUARANTEE THE GOOD
BEHAVIOUR OF ____________________________________________________________________________________________________
Now, the condition of the above written bound is such that I IRREVOCABLY and UNCONDITIONALLY
GUARANTEE to make good any loss that the Organization may suffer as a result of the misconduct of the
above named person, whom I stand as a guarantor and shall PAY THE ORGANIZATION on its written
demand and/or all monies hereafter due or incurred as a result of such misconduct to the Organization.
I undertake to produce the said ___________________________________________________________________________________
whenever the organization makes the demand for him/her even after the said employee has left the
employment of the Organization, if a misconduct, commission or omission is established against the said
employee.
GUARANTOR’S NAME: ______________________________________ ________________________
SIGNATURE & DATE
GUARANTOR’S
GUARANTOR’S FORM 2 PASSPORT
PHOTOGRAPH
NAME (MR./MRS./MISS): ________________________________________________________________________________
SURNAME OTHER NAMES
RESIDENTIAL ADDRESS: _________________________________________________________________________________
OCCUPATION: _____________________________________ MARITAL STATUS: _______________________________
EDUCATIONAL QUALIFICATION: ________________________________________________________________________
CURRENT EMPLOYER: ___________________________________________________________________________________
OFFICE ADDRESS: ________________________________________________________________________________________
PHONE NUMBER: ________________________________________________________________________________________
I _________________________________________________ WHOSE NAME AND RESIDENTIAL ADDRESS ARE STATED
ABOVE, AGREE TO BE BOUND TO PRINCE EBEANO & CO. AND HEREBY GUARANTEE THE GOOD
BEHAVIOUR OF ____________________________________________________________________________________________________
Now, the condition of the above written bound is such that I IRREVOCABLY and UNCONDITIONALLY
GUARANTEE to make good any loss that the Organization may suffer as a result of the misconduct of the
above named person, whom I stand as a guarantor and shall PAY THE ORGANIZATION on its written
demand and/or all monies hereafter due or incurred as a result of such misconduct to the Organization.
I undertake to produce the said ___________________________________________________________________________________
whenever the organization makes the demand for him/her even after the said employee has left the
employment of the Organization, if a misconduct, commission or omission is established against the said
employee.
GUARANTOR’S NAME: ______________________________________ ________________________
SIGNATURE & DATE
