GUARANTOR FORM

PERSONAL INFORMATION
Appiah
Surname: ___________________________________ James
First Name: ________________________________________

Kasoa Lamptey
Home Address (Not Post Box): _______________________________________________________________________

0551528251
Phone: ___________________________________ 0278280777
Alternative Phone: ___________________________________

appiahniijames@gmail.com
Email Address: ___________________________________________________________________________________

GHA-727401285-2
Ghana Card Number: _________________________________

1983 07 19
Date of Birth (YYYY/MM/DD): _______/_______/________ Married
Marital Status (Single/ Married): _________________

M
Gender (M/ F): ____________________________________ Ghanaian
Nationality: __________________________________

JOB INFORMATION
Employer
Position: ___________________________________ Employer: ___________________________________

Kasoa opposite jucad pharmacy

Work Location ______________________________ Friend
Relationship with employee _____________________________

Guarantor’s Signature: _______________________________ 2/11/2023

Date: ______________________________________