HomeProductsMotorMarineAviationFireBondEngineeringGeneral AccidentWorkmen CompensationSpecial ProductsClaimsAboutOur StoryInnovationBoard of DirectorsManagementSocial ResponsibilityContactFind an AgentSign In/Up Get Quote Fidelity Guarantee Policy Form Employee’s name in full Age1. (a) State / Nature of Occupation(b) Amount of Guarantee required2. (a) Annual net renumeration from said appointment(b) Other (annual) Income and how derived3. (a) Have you any debts or liabilities apart from domestic ones?(b) If so give amount and particulars4. (a) Are you a shareholder?YesNo(b) If not, do you reside with relatives?c) Does the furniture belong to you?YesNod) If so, state value5. (a) Are you single, married, or a widower?(b) State number of persons dependent upon you6. (a) Are you security for any person?YesNo(b) If so, State the amount and full particulars7. Have you any Life Assurance?YesNoIf yes, state (a) Name of Company(b) Amount ₵ (c) Whether encumbered8. (a) Have you ever been charged with fraud or dishonesty(b) In arrears or in default in your accounts(c) Discharged from any employment or position?9. State where you have been employed during the last five years (From, To, Position, Name & Address of Employer, Reason for leaving)Amount of Guarantee ₵Premium ₵