AFFIDAVIT OF WORK GUARANTEE

I, ____________________, __________ citizen, of legal age, holder of______________passport no.

___________ issued in_________ on ______________ and presently residing
at__________________________________, after having been duly sworn to in accordance with the
revised Labour Act, do hereby depose and say:
1) That my present status is as __________________ at the____________________ with business
address at_____________________________________________

2) That I have been offered Employment by______________________, I have been guaranteed

Roundtrip tickets, Accommodation, Medical/Life Insurance and other guaranteed benefits by the tenet
of the work Contract as offered and signed by the Employer.

3) That I will take full responsibility for my expenses and subsistence throughout the duration of my stay
and I swore to abide with all the Provisions of the Public/Work Safety Laws of the United Kingdom and
Promise not to endanger the Public or Myself in the course of my stay in United Kingdom.
4) That I am executing this affidavit to attest to the veracity of my statements.
IN WITNESS WHEREOF, I hereby affix my signature this______________ 2011, in the City of
____________.
______________________
Affiant
SUBSCRIBED AND SWORN to before me this______________at the Crown Court in the City of
London, affiant having exhibited to me ________________ passport no.__________ issued in
______________________on ____________ and valid until ____________________
Document No:
Service No:
Series of O.R. no: 027afg11

UK Embassy
(Consular Section) S.S
London, United Kingdom.