Signature of Guarantor (See instruction No. 1)
Date Signed at
Year Month Day
DECLARATION - I solemnly declare that to the best of
my knowledge and belief, all of the statements made in
this application are true. I have known the applicant
personally for at least TWO years and have certified, on
the back of one photo, that the image is a true likeness
of the applicant. If applicable, I have also certified on the
photocopy of the supplementary documentation that, to
the best of my knowledge, the photocopy is a true
likeness of the original.