Guarantors Form
Guarantors Form
This form must be signed before a Priest, Magistrate, a qualified Medical Practitioner, or a Senior Civil Servant
or other (acceptable to the University)
Candidates sponsored by Government or other recognized bodies need not have this form completed. But
forward in lieu of this form, evidence of such sponsorship.
SURNAME: ODOMUNU
OTHER NAMES: INIPAMI
COURSE FOR WHICH ADMITTED:HUMAN ANATOMY
APPLICANT NUMBER: 202441328971JF
I, ______________________________________________________________________________________________________
RANK/PROFESSION OF GUARANTOR:
_______________________________________________________
BEFORE ME:
I, Mr./Mrs./Miss:
_________________________________________________________________________________________________________
Rank:
___________________________________________________________________________________
Address:
_________________________________________________________________________________
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