Anti-Money Laundering Questionnaire

Thisquestionnaireactsasanaidtofirmsconductingduediligenceandshouldnotbereliedonexclusivelyorexcessively.Firmsmayusethisquestionnairealongsidetheirownpoliciesandproceduresinordertoprovideabasisforconductingclientduediligenceinamannerconsistentwiththeriskprofilepresentedbytheclient.Theresponsibilityforensuringadequateduediligence,whichmayincludeindependentverificationorfollowupoftheanswersanddocumentsprovided,remainstheresponsibilityofthefirmusingthisquestionnaire.

Anti-MoneyLaunderingQuestionnaire
Ifyou answer “no”to anyquestion,additionalinformation canbe suppliedattheendofthequestionnaire.
I.GeneralAML Policies,PracticesandProcedures: / Yes / No
1. IstheAMLcomplianceprogramapprovedbytheFI’sboardoraseniorcommittee? / Y / N
2. DoestheFIhavealegalandregulatorycomplianceprogramthatincludesadesignatedofficerthatisresponsibleforcoordinatingandoverseeingtheAMLframework? / Y / N
3. HastheFIdevelopedwrittenpoliciesdocumentingtheprocessesthattheyhaveinplacetoprevent,detectandreportsuspicioustransactions? / Y / N
4. Inadditiontoinspectionsbythegovernmentsupervisors/regulators,doestheFIclienthaveaninternal auditfunctionorotherindependentthirdpartythatassessesAMLpoliciesandpracticesonaregularbasis? / Y / N
5. DoestheFIhaveapolicyprohibitingaccounts/relationshipswithshellbanks?(Ashellbankisdefinedasabankincorporatedinajurisdictioninwhichithasnophysicalpresenceandwhichisunaffiliatedwitharegulatedfinancialgroup.) / Y / N
6. DoestheFIhavepoliciestoreasonablyensurethattheywillnotconducttransactionswithoronbehalfofshellbanksthroughanyofitsaccountsorproducts? / Y / N
7. DoestheFIhavepoliciescoveringrelationshipswith PoliticallyExposedPersons(PEP’s),theirfamilyandcloseassociates? / Y / N
8. DoestheFIhaverecordretentionproceduresthatcomplywithapplicablelaw? / Y / N
9. AretheFI’sAMLpoliciesandpracticesbeingappliedtoallbranchesandsubsidiariesoftheFIbothinthehomecountryandinlocationsoutsideofthatjurisdiction? / Y / N
II.RiskAssessment: / Yes / No
10.DoestheFIhavearisk-basedassessmentofitscustomerbaseandtheirtransactions? / Y / N
11.DoestheFIdeterminetheappropriatelevelofenhancedduediligencenecessaryforthosecategoriesofcustomersandtransactionsthattheFIhasreasontobelieveposeaheightenedriskofillicitactivitiesatorthroughtheFI? / Y / N
III.KnowYourCustomer, DueDiligenceandEnhancedDueDiligence: / Yes / No
12.HastheFIimplementedprocessesfortheidentificationofthosecustomersonwhosebehalfitmaintainsoroperatesaccountsorconductstransactions? / Y / N
13.DoestheFIhavearequirementtocollectinformationregardingitscustomers’businessactivities? / Y / N
14.DoestheFIassessitsFIcustomers’AMLpoliciesorpractices? / Y / N
15.DoestheFIhaveaprocesstoreviewand,whereappropriate,updatecustomerinformationrelatingtohighriskclientinformation? / Y / N
16.DoestheFIhaveprocedurestoestablisharecordforeach newcustomernotingtheirrespectiveidentificationdocumentsand‘KnowYourCustomer’information? / Y / N
17.DoestheFIcompletearisk-basedassessmenttounderstandthenormalandexpectedtransactionsofitscustomers? / Y / N
IV.ReportableTransactionsand Prevention andDetection of TransactionswithIllegallyObtainedFunds: / Yes / No
18.DoestheFIhavepoliciesorpracticesfortheidentificationandreportingoftransactionsthatarerequiredtobereportedtotheauthorities? / Y / N
19.Wherecashtransactionreportingismandatory,doestheFIhaveprocedurestoidentifytransactionsstructuredtoavoidsuchobligations? / Y / N
20.DoestheFIscreencustomersandtransactionsagainstlistsofpersons,entitiesorcountriesissuedbygovernment/competentauthorities? / Y / N
21.DoestheFIhavepoliciestoreasonablyensurethatitonlyoperateswithcorrespondentbanksthatpossesslicensestooperateintheircountriesoforigin? / Y / N
22.DoestheFIadheretotheWolfsbergTransparencyPrinciplesandtheappropriateusageoftheSWIFTMT202/202COVandMT205/205COVmessageformats?1 / Y / N
V.Transaction Monitoring: / Yes / No
23.DoestheFIhaveamonitoringprogramforunusualandpotentiallysuspiciousactivitythatcoversfundstransfersandmonetaryinstrumentssuchastravelerschecks,moneyorders,etc? / Y / N

1Thefourpaymentmessagestandardstobeobservedare:i)FIsshouldnotomit,delete,oralterinformationinpaymentmessagesorordersforthepurposeofavoidingdetectionofthatinformationbyanyotherFIinthepaymentprocess;ii)FIsshouldnotuseanyparticularpaymentmessageforthepurposeofavoidingdetectionofinformationbyanyotherFIinthepaymentprocess;iii)Subjecttoapplicablelaws,FIsshouldcooperateasfullyaspracticablewithotherFIsinthepaymentprocesswhenrequestingtoprovideinformationaboutthepartiesinvolved;and(iv)FIsshouldstronglyencouragetheircorrespondentbankstoobservetheseprinciples.Source:

VI.AML Training / Yes / No
24.DoestheFIprovideAMLtrainingtorelevantemployeesthatincludes:

Identificationandreportingoftransactionsthatmustbereportedtogovernmentauthorities.

ExamplesofdifferentformsofmoneylaunderinginvolvingtheFI’sproductsandservices.
Internalpoliciestopreventmoneylaundering.

/ Y / N
25.DoestheFIretainrecordsofitstrainingsessionsincludingattendancerecordsandrelevanttrainingmaterialsused? / Y / N
26.DoestheFIcommunicatenewAMLrelatedlawsorchangestoexistingAMLrelatedpoliciesorpracticestorelevantemployees? / Y / N
27.DoestheFIemploythirdpartiestocarryoutsomeofthefunctionsoftheFI? / Y / N
28.Iftheanswertoquestion27isyes,doestheFIprovideAMLtrainingtorelevantthirdpartiesthatincludes:

Identificationandreportingoftransactionsthatmustbereportedtogovernmentauthorities.
ExamplesofdifferentformsofmoneylaunderinginvolvingtheFI’sproductsandservices.
Internalpoliciestopreventmoneylaundering.

/ Y / N

Spaceforadditionalinformation:

(Pleaseindicatewhichquestiontheinformationisreferringto.)

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