AML KYC Questionnaire Declaration by Ma5vn8

VIEWS: 64 PAGES: 3

									                ANTI MONEY LAUNDERING (AML) & KYC QUESTIONNAIRE/ DECLARATION


PART 1: GENERAL INFORMATION
CONTACT DETAILS OF FINANCIAL INSTITUTION:
Name of Institution
Registered Address

Address of Head Office

E-mail
Website
SWIFT Code
REGISTRATION DETAILS:
Registration No:
Business License No./ Date of Issue
License Issuing Authority

OTHER DETAILS:
Number of Branches                   LOCAL:_________             FOREIGN: ___________
Name of External Auditors
Name of Central Bank/Regulatory Body
Nature of Business
Name of Stock Exchange (under which
your institution listed)
Share Holders holding pattern




Name and Title of Senior Management



List of Board Directors




                                                                            (PLEASE CHECK YES/NO)
PART 2 -GENERAL AML POLICIES, PRACTICES AND PROCEDURES                         YES          No
   1. Is money laundering/ terrorist financing considered a crime in your
        Country?
   2. Does your institution have in place policies and procedures to
        combat money laundering and terrorist financing as per the local
        regulatory law and whether the senior management/board has
        approved the policy?
                                                                                               1
   3.   Does your Institution screen for terrorist Name for International
        Telegraphic Transfer/ Wire Transfer?
        If yes, Is it   Manual     or        Automatic
   4.   Has your institution been subject to any investigation, indictment,
        conviction or civil enforcement action related to money laundering
        and terrorism financing in the past five years?
   5.   In addition to inspections by the government supervisors/regulators,
        does your institution have an internal audit function or other
        independent third party that assesses AML policies and practices on a
        regular basis?
   6.   Does your institution have a policy prohibiting accounts/relationships
        with shell banks?
   7.   Does your institution have policies covering relationships with
        Politically Exposed Persons (PEP), their family and close associates?
   8.   Does your institution have record retention procedures that comply
        with applicable law? If yes, specify _______years.
   9.   Does your institution apply AML policies and practices to all branches
        and subsidiaries of your institution both in the home country and in
        locations outside of that jurisdiction?
  10.   Does your Institution allow direct use of your correspondent’s
        accounts by third parties to transact business on their behalf
        (payable through accounts)? -
PART 3 -RISK MANAGEMENT
1      Does your institution have a risk focused assessment of your customer
       base and transactions of your customers?
   2. Does your institution determine the appropriate level of          enhanced
       due diligence necessary for those categories of customers and
       transactions that your institution has reason to believe pose a
       heightened risk of illicit activities at or through the institution?
PART 4 -KNOW YOUR CUSTOMER, DUE DILIGENCE AND ENHANCED DUE DILIGENCE
   1. Does your Institution implement processes for the identification of
       those customers on whose behalf it maintains or operates accounts or
       conducts transactions?
   2. Does your institution have procedures to establish a record for each
       client noting their respective identification documents and know your
       customer information collected at account opening? Are copies of
       identification documents retain in your possession for reference?
   3. Does your Institution have a process to review and, where
       appropriate, update customer information relating to high risk client
       information?
PART 5 –TRANSACTIONS MONITORING AND REPORTING
   1. Does your institution have policies for the identification and reporting
       of threshold transactions that are required to be reported to the
       authorities?
   2. Does your institution have procedures to identify transaction
       structured to avoid large cash (threshold) reporting requirements?
   3. Does your institution have a monitoring program for suspicious or
       unusual activity?
PART 6 -AML TRAINING
   1. Does your institution provide AML training to relevant employees that
       include identification and reporting of transactions that must be
                                                                                   2
         reported to Regulator?
    2.   Does your institution communicate new AML related laws or changes
         to existing AML related policies or practices to relevant employees?

    3.   Does your institution employ agents to carry out some of the
         functions of your institution and if so does your institution provide
         AML training to relevant agents that includes identification and
         reporting of transactions that must be reported to government
         authorities, examples of different forms of money laundering
         involving your institution’s products and services and internal policies
         to prevent money laundering?

PART 7- DOCUMENTS TO BE ENCLOSED IN SUPPORT
    A) Financial Institution’s licenses
    B) AML policy
    C) List of shareholders and percentage of ownership who own more than 5% shares
    D) Names and titles of Senior Management

PART 8- DECLARATION:
   I, the undersigned, confirm to the best of my knowledge that the information provided in this
   Declaration Form is current, accurate and representative of the anti-money laundering and anti-
   terrorist financing policies and procedures that are established in our institution.
   Further I confirm that, on your demand, my institution will provide you with the data obtained
   pursuant to the fulfillment of the customer due diligence measures.




……………………………………………………
Signature of Compliance Officer

NAME OF COMPLIANCE OFFICER: ___________________________
DESIGNATION: ______________________
CONTACT NO. : ____________________ FAX NO: _______________
E-MAIL: ___________________________
DATE: ____________________________




                                                                                                3

								
To top