SALARY UNDERTAKING FORM

Name………………………………………………………..

Address………………………………………………………

………………………………………………………………

Facility Amount……………………………………………...

Date…………………………………………………………

Dear Sir/Madam,

I hereby request that all emoluments, salary, allowances and bonus in respect of my
employment should be paid into my bank account with Guaranty Trust Bank (G) Ltd,
account number………………………………with effect from……………………

This authority is irrevocable except with the written permission of the Managing Director
of Guaranty Trust Bank (G) Ltd.

Yours faithfully,

………………….
Staff Signature

Approved by:

Employer Name:……………………………………………………………………..

In the event of staff (……………………………….............) disengagement of any form,

we the above mentioned employer undertake to notify and pay all staff benefits into the
employees account with Guaranty Trust Bank (G) Ltd .

Name:

Position:

Signature:

Stamp of present employer: