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1. Declarant Information: Details of the person or entity making the declaration, including full name, ID/registration number, contact details, and address
2. Purpose of Declaration: Statement explaining the purpose of the declaration and its relationship to AML compliance requirements under FICA
3. Source of Funds Declaration: Detailed declaration regarding the origin of funds involved in transactions, including primary source of wealth and business activities
4. Business Activity Declaration: Description of the nature of business activities and confirmation that they are legitimate and not related to money laundering
5. Tax Compliance Declaration: Declaration confirming tax compliance status and that all declared funds are legal and properly reported to tax authorities
6. Political Exposure Declaration: Declaration regarding whether the declarant is a Politically Exposed Person (PEP) or related to one
7. Sanctions Compliance: Declaration confirming no involvement with sanctioned individuals, entities, or countries
8. Supporting Documentation: List of required documents that must be submitted with the declaration form
9. Declarations and Undertakings: Final statements confirming the truth of all declarations and understanding of obligations under AML laws
10. Signature Block: Space for signature, date, and witness details
1. Corporate Structure Details: Required for entity declarants - details of ownership structure, beneficial owners, and control
2. International Business Activities: Required for declarants involved in cross-border transactions or international business
3. High-Risk Business Declaration: Required for businesses in high-risk sectors as defined by FICA
4. Third Party Authorization: Required when declaration is made on behalf of another person or entity
5. Additional Risk Factors: Required for cases where specific risk factors need to be addressed based on the institution's risk assessment
1. Schedule A - Document Checklist: Detailed list of required supporting documents based on declarant type and risk level
2. Schedule B - Beneficial Ownership Declaration: Template for declaring beneficial ownership information for entity declarants
3. Schedule C - Source of Funds Evidence: List of acceptable evidence types for proving source of funds
4. Appendix 1 - Definitions: Definitions of key terms used in the declaration form
5. Appendix 2 - Regulatory References: Reference to relevant sections of FICA and other applicable regulations
Anti-Money Laundering
Beneficial Owner
Business Relationship
Counter-Terrorist Financing
Customer Due Diligence
Declarant
Enhanced Due Diligence
Financial Intelligence Centre
Financial Intelligence Centre Act
Financial Transaction
High-Risk Country
Illegal Activity
Know Your Customer
Money Laundering
Money Laundering Reporting Officer
Politically Exposed Person
Proceeds of Crime
Reporting Institution
Sanctions
Sanctions List
Source of Funds
Source of Wealth
Suspicious Transaction
Tax Residency
Ultimate Beneficial Owner
Close Associate
Control Structure
Domestic Prominent Influential Person
Foreign Prominent Public Official
High-Risk Business
Material Transaction
Regulated Entity
Risk Assessment
Shell Bank
Single Transaction
Substantial Shareholder
Supporting Documentation
Terrorist Financing
Transaction Threshold
Source of Funds
Business Activity
Tax Compliance
Sanctions Compliance
Political Exposure
Beneficial Ownership
Documentary Evidence
Information Accuracy
Regulatory Compliance
Data Protection
Record Keeping
Change Notification
Supporting Documentation
Declarations and Warranties
Legal Compliance
Consent and Authorization
False Declaration
Verification Rights
Document Retention
Information Updates
Governing Law
Confidentiality
Third Party Verification
Risk Assessment
Banking
Financial Services
Insurance
Investment Management
Real Estate
Legal Services
Accounting and Auditing
Trust and Company Service Providers
Precious Metals and Stones Dealers
Gaming and Gambling
Foreign Exchange Services
Investment Advisory Services
Credit Providers
Asset Management
Cryptocurrency and Digital Assets
Compliance
Legal
Risk Management
Operations
Customer Due Diligence
Financial Crime Prevention
Internal Audit
Client Onboarding
Regulatory Reporting
Front Office
Customer Relations
Compliance Officer
Money Laundering Reporting Officer (MLRO)
Risk Manager
Legal Counsel
Financial Director
Company Secretary
KYC Analyst
Due Diligence Officer
Relationship Manager
Branch Manager
Financial Crime Specialist
Regulatory Reporting Officer
Chief Risk Officer
Internal Auditor
Operations Manager
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