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LAGOOZ SCHOOLS LAGOS |
Day & Boarding
STAFF GUARANTOR FORM
‘This form must be completed in full by the guarantorof the staff member. The information provided will be
treated confidentially and used for offical purposes only. This information is a prerequisite under the Child
Care Law Act in Nigeria for teachers to ensure the safety and accountability of those working with children.
ADDENDUM
Your guarantor must be
+ Civil Servant (minimum of level 10)
Traditional Ruler
A legal Practitioner Registered with NBA
Someone that Owns a Landed Property in Nigeria
Clergy With an Incorporated Trustee
Section A: Details of Staff Member
1. Name of Staff Member: Rem BdUr_Setynit
2,Postion/Department:_ 1 CT 7 DATA PROCESSING
3 Date of Employment: 2 fie} 2023 iy?
hl
State of Ongin es
Local Government Area (LGA): = @B0GBO /BAYERU
6, Marital Status
Mingle { ] Married [ ] Other (specify)
7 Residential Address: BLOCK ASO Flay 6 JAkANOE ESTATE {SOLO
OKE “APD.
8. Next of Kin: _SACAM ABIODUN = AYDDEE Z
Relationship to Staff Member. BROTH ER
Peni mE [3270 O2OF..
IDENTIFICATION AND VERIFICATION
Igans of Identication (select one)
twWNational IO Card [ ]Orivers License [W/international Passport _[ ] Voter's Card
[ ] Other (specify):
2. 1D Number: SS esnesqs
3, State of Issue__ [| AO ————e
4. Attach a photocopy of the selected ID.
Head Offic, 112 12, OMOTOYE ESTATE ROAD, MULERO BUSISTOP NEAR NYSC CAMP, IYANAIPAIA, LAGOS STATE.
won 3), COCR STREET FUNMILAYO BISTOP, ORLE AGEGE, LAGOS. TEL: OS0SSZ05957, 08029852010,
Websiis wvviagaoxcomt-mal agoozsolégeshyahao com , agoszeolensaa=cs cen Crete
LAGOOZ SCHOOLS LAGOS
Day & Boarding
SECTION B: GUARANTOR’S PERSONAL INFORMATION
4, Full Name of Guarantor: MAORI POLULPE OGUA BLUSE
2, Relationship to Staff Member: pearoa -
3. Date of Birth (SR SPRMEA (A779
‘4. Marital Status: [] Single Married [ ] Other (specify):
No 3 Onvdwssi See, IRs
6 Pemmanent Home Adiress: (DS SELOBUAN STREST [ROMA -
£
7. Phone Number: ERE lee Bee nc: Ne
8. Email Address:
ONGC SF RIM: Ak ene ee ————— |
Relationship to Guarantor. AKELs€7 — >
Phone Number 070917 €¥S52 Alternative no; i
10. Occupation: _J7_OSAiSuk ONT
11. Employers Nome 8 Aderess Highisdpace ace Pre mccbod .
12, Position Held inert a
13.00ceEmmomnens meget. STAG
SECTION C: IDENTIFICATION AND VERIFICATION |
1. Means of Identification (select one)
[ National 1D Card [1 Driver's License
(vfinternational- Passport [ ]Voter’s Card |
[ ] Other (specify)
2.1D Number:_ BSH 97 24 ————————
3. State of issue-_L ADS a ee .
4. Attach a photocopy of the selected 1D.
Head Offigs: 11 & 12, QMCTOYE ESTATE ROAD, MULERO BUSISTOP NEAR NYSC CAMP. IYANA AJA, LAGOS STATE
Innes, COKER STREET FUNMMIAVO BISTOP, ONLEAGEGE, LAGOS. TEL: 08039205957, 02023852010
Website: yananoozcom® nai: egonzcolegetmahon.con.agcrzcleuttlesone com LAGOOZ SCHOOLS LAGOS
Day & Boarding
SECTION D: GUARANTOR PASSPORT PHOTOGRAPH
Please attach a recent passport-sized photograph in the space provided below:
(Staple or glue a colored passport photograph here)
SECTION E: DECLARATION
1 Oe TWytope SAUNBOUALE (Guarantor’s Nar
know SAG 1 D7d' (Staff Member's
information provided above is accurate to the best of my Knowledge.
undertake to be contacted and held responsible if the staff member violates any policies of Lagooz
Schools or fails to fulfil their obligations.
Additionally, | confirm that | awn a property in Nigeria and understand that | may be required to provide
proof of ownership if necessary.
Ichi} 3-694p —
re of Guarantor: EY Date
SECTION F: FOR OFFICIAL USE ONLY
1, Form Received By:
Designation: _
3, Date Received:
Verification Status
[ ]Approved
[ ] Not Approved
Comments:
‘Authorized Signature: Date:
ead Ofc 17 & 12, MOTOYE ESTATE ROAD, MULERO BUSSTOP NEAR NYSC CAMP, ANA IPAIA, LAGOS STATE
‘Annex at, GOKEA STREET. FUNMILAYO B/STOP, ORLEAGEGE, LAGOS. TEL: OBOsSa06367, 020Z3852010,
‘lobe: wamvlagooecome-mol:Ingoszeolsetyaheo.com ,anazzcaieneMaaoaz con
anal National Identity Management System aN
a Federal Republic of Nigeria Nune
National Identification Number Slip (NINS)
dross:
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Issue Date: osioarzore Mido Name: ABIODUN,
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ender:
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Not: The National Identification Number (NIN) Is your identity. t's confidential end may ony be released fr legtimat transactions.
-youwil be notified when your Nationa Kent Gard is ready (or any enquires pease contact)
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