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1. Form Header and Reference Number: Official form title, government department logos, and unique reference number for tracking purposes
2. Declaration Type: Specification of whether this is an incoming or outgoing currency declaration, or domestic transfer
3. Personal Information: Declarant's full name, date of birth, nationality, passport/ID number, current address, and contact details
4. Travel Information: For cross-border movements: flight/vessel details, port of entry/exit, date of travel, origin and destination
5. Currency Details: Amount of physical currency, denomination, currency type, and total value in AUD
6. Source of Funds: Origin of the currency, purpose of movement, and intended use
7. Owner Information: Details of the beneficial owner if different from the carrier
8. Declaration Statement: Legal statement confirming the truth and accuracy of the provided information
9. Signature Block: Space for declarant's signature, date, and place of declaration
1. Additional Parties: Section for listing other individuals involved in carrying the currency, used when multiple people are jointly carrying the declared amount
2. Business Details: For corporate entities involved in the currency movement, including ABN/ACN and business address
3. Authorized Representative: When the declaration is being made on behalf of another person or entity
4. Supporting Documents: Checklist of additional documents provided to support the declaration
1. Currency Breakdown Schedule: Detailed listing of currency denominations and amounts when multiple currencies are being declared
2. Official Use Section: Reserved for customs/border force officials to record verification details and actions taken
3. Information Sheet: Appendix containing guidance notes, relevant legislation references, and contact information for queries
Bearer Negotiable Instruments
Declarant
Authorized Representative
Beneficial Owner
AUSTRAC
Australian Border Force
Port of Entry/Exit
Threshold Amount
Foreign Currency
Australian Dollar Equivalent
Business Day
Declaration
Domestic Transfer
Cross-Border Movement
Source of Funds
Supporting Documentation
Transfer of Possession
Relevant Entity
Signatory
Verification Officer
Identity Documentation
Prescribed Particulars
Reporting Entity
Currency Transaction
Travel Details
Currency Description
Source Declaration
Ownership Declaration
Third Party Authorization
Privacy Notice
Penalties Warning
Declaration of Truth
Consent to Information Sharing
Document Authentication
Official Use
Supporting Documents
Verification Requirements
Legal Authority
Banking and Financial Services
Border Control and Immigration
Customs and Excise
International Trade
Travel and Transportation
Legal Services
Compliance and Regulatory
Money Services Business
Private Security and Cash Transport
Government and Public Sector
Compliance
Legal
Finance
Treasury
Risk Management
Corporate Travel
Security
Banking Operations
Regulatory Affairs
International Operations
Compliance Officer
Money Laundering Reporting Officer
Border Force Officer
Customs Agent
Financial Controller
Risk Manager
Legal Counsel
Treasury Manager
Finance Director
Travel Manager
Security Transport Officer
Banking Operations Manager
Regulatory Affairs Specialist
Corporate Travel Coordinator
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