Passport Guarantor’s Form

Full Name:Mr. HAMZAT OLAMIDIMEJI OGUNBAYO Guarantor's

Gender:Male Passport
Date of Birth:28/10/2000 Photograph Duly
State of Origin:Lagos Signed at the
Occupation:STUNDENT Reverse Side

Notes: Guarantor's are warned that any false declaration on this form will attract serve consequences which
may include prosecution.
To be furnished by Applicants for Nigerian Passports
PART I

(Particulars of Guarantor's (To be completed in block letters))

Name(s)...................................................................................................................................
Profession...................................................................................................................................
Business Address...................................................................................................................................
Residential Address...................................................................................................................................
(if not related state any other connection)

Particulars of Asset

(a) Cash Available: ..................................................................................................................

(b) Names and Address of Banker(s): .........................................................................................................
....................................................................................................................................................................
(c) Houses: ..................................................................................................................
...................................................................................................................................................................
(d) Other Assets: ..................................................................................................................
PART II

(To be completed in case of all applicants proceeding overseas except those sponsored by the Federal or State Government or

Corporations)

I .......................................................................................
.....................................................
(Full Name)(Nationality)
I .......................................................................................
.....................................................
(Profession) (Full Address)
Do hereby solemnly and sincerely declare and say as follows:
(i) That (Name of Applicant)........................................................................is proposing with my full knowledge
and consent to proceed to (Name of Country)............................... for the purpose of
...................................................................................................................................................................
(ii) That the particulars of asset given in Part I hereof are correct.
(iii) That i will be responsible for the cost of living, accommodation and repatriation if necessary.
And I make this solemn declaration conscientiously believing the same to be true by virtue of the statutory
Declaration Act., 1963.
 Passport Guarantor’s Form
Full Name:Mr. HAMZAT OLAMIDIMEJI OGUNBAYO
Gender:Male
Date of Birth:28/10/2000
Country of Origin:Nigeria
State of Origin:Lagos
Occupation:STUNDENT

PART III
(To be completed in all cases)
Where as ...................................................................................................................................
of ...................................................................................................................................
(hereinafter referred to as "the Applicant") wishes to travel outside Nigeria for the purpose of
....................................................................................................................................................
....................................................................................................................................................
AND WHEREAS the said Applicant has applied to the Government of the Federal Republic of Nigeria
(hereinafter referred to as "the Federal Government") for a PASSPORT to facilitate this journey.
NOW THEREFORE IN CONSIDERATION of the said PASSPORT by the Federal Government to the said
Applicant.
I/WE .............................................................................................................................................
of ............................................................................................................................. (hereinafter referred to as
"the Guarantor(s)")
HEREBY AGREE as follows:
I/WE hold myself/ourselves responsible for the cost of repatriating the said Applicant to Nigeria; and
I/WE will indemnify the Federal Government against all or any expenses incurred by the Federal Government
for the eventual repatriation of the said Applicant to Nigeria.

......................................................
RIGHT THUMB PRINTSignature of Guarantor's/Declarant

NOTICE OF REQUIREMENTS FOR GUARANTOR

One Passport Photograph of the Guarantor's.
Photocopy of the data page of the Guarantor's Current international Passport
Photocopies of the following Guarantor's documents:
a. National I.D. Card.
b. (b) national Driver's Licence
Commissioner’s oath:
Sworn to at .....................................................................................................
Registry this ....................................................day of ........................20....................before me.

...................................................................
Commissioner for oaths
Note:
This section must be sworn before either a magistrate, Justice of the Peace, a Commissioner for oaths or a
Notary Public and guarantor's should note that falsity of this declaration may amount to a criminal offence.
This Form of understanding and indemnity must be presented to the commissioner for stamp Duties for
stamping within forty days from the Date it is sworn to.