Guarantor'S Affidavit Form - Ministry Of Finance
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1MINISTRY OF FINANCE
STUDENT LOAN SCHEME
GUARANTOR'S AFFIDAVIT
PLEASE NOTE: 1.
Guarantor must be Guyanese Resident between ages of 21 and 55 at
the beginning of the Academic Year and employed/self employed.
This form must be completed in block letters.
2.
3.
Names (including middle names) must be written out in full.
4.
Do not use “Fountain” or “Gel Ink” pens
SECTION A
P A R T I C U LA R S R E L AT I N G T O BO R R O W E R
1. Full Name
2. Address & Phone Number
3. University of Guyana
___________________
Campus
SECTION B
PARTIC ULARS RELATING TO G UARANTOR
1. Full Name
2. Previous Name Used (If Any)
3. Telephone #
4. Nationality
5. Age & D.O.B:
6. Permanent Address
7. Relationship to
Borrower
/
/
Yrs
Day
Month
Year
8. Occupation
9. Place of Work (state name & address of
10. Telephone # (work)
Branch Office/School to which attached)
10. Name of Employer
11. Period of Employment
12. Net Income per
Annum
$_
$__________________
SECTION C
D E C L A RA T I O N B Y G U A R A NT O R
I hereby declare that the above information is true and correct. I guarantee to repay the full amount, or any part
thereof, which may become due and repayable as a result of the borrower's failure to honour his/her obligation under
the terms and conditions stipulated in Clause 4 of the Loan Agreement between the Government of Guyana (The
Lender) and ______________________________________________________________ for the Academic Year 2012/2013.
NAME OF STUDENT
National Registration Number: ___________________
or Passport Number: ______________________
Date of Issue: ___________________
Date of Issue: ______________________
Signature of Guarantor: ______________________
Date: ______________________
SECTION D
ATTESTATION BY COMMISSIONER OF OATHS TO AFFIDAVITS
Taken and acknowledged by the said _______________________________________________ before me the undersigned
NAME OF GUARANTOR
___________________________________ this ____________ day of _____________________ Two Thousand and Twelve.
NAME OF COMMISSIONER OF OATHS
__________________________________
Signature of Commissioner of Oaths to Affidavits
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