AFFIDAVIT OF POWER OF ATTORNEY OF THE

BRISTISH HIGH COURT

UNITED KINGDOM CORPORATE HEAD OFFICE

APPLICATION FOR SWORN AFFIDAVIT OF GUARANTEE

FILL AND RETURN THE FORM THROUGH ELECTRONIC MAIL ATTACHMENT OR FAX TRANSMISSION.

FIRST NAME_____________________________ LAST NAME__________________________

EMPLOYER NAME_______________________________________________________________

JOB REFERENCE NAME______________________LOCATION__________________________

DESIGNATION___________________________________________________________________

POSTAL ADDRESS_______________________________________________________________

________________________________________________________________________________

NATIONALITY/STATE OF ORIGIN _____________________/__________________________

MARITAL STATUES_________________DATE OF BIRTH_____________________________

PASSPORT NUMBER__________________EXPIRY DATE______________________________

SALARY PER MONTH____________________________________________________________

DURATION OF APPOINTMENT: ______________________PHONE NO.__________________

I______________________________, HAVE READ AND FILLED THE APPILCATION FORM

TO THE BEST OF MY KNOWLEDGE KNOWING FULLY WELL THAT ANY FALSE
DECLARATION I MADE IN THIS FORM WILL LEAD TO THE DENIAL, REFUSAL OR
TERMINATION OF MY JOB OFFER.

_____________________________ ________________________
BARRISTER A.ANDERSON EMPLOYEE SIGNATURE
(ESQ) ATTORNEY AND SOLICITOR