Revised Central Bank-AMLA Guidelines - Anti-Money Laundering ...

AML/CFT GUIDELINEISSUED BY THECENTRAL BANK OF BARBADOSIN CONJUNCTION WITH THE ANTI-MONEY LAUNDERING AUTHORITYMAY 2011Suspicious/Unusual Transaction ReportAppendix 9SUSPICIOUS / UNUSUALTRANSACTIONREPORTPLEASE WRITE IN BLOCK LETTERSIMPORTANT: Complete using informationobtained during normal course of the transaction.The report should be completed as soon aspracticable AFTER the dealing, and a copyforwarded to:THE DIRECTORANTI-MONEY LAUNDERING AUTHORITYP.O. BOX 1372 Bridgetown, BarbadosFACSIMILE NO. (246) 436-4756Email: amla@sunbeach.netFor urgent reporting – Tel. (246) 436-4734/5PART ACUSTOMER 1Identity of customers involved in transactionCUSTOMER 2 (if more than one customer at counter)1.:……………………………………………………(Given names and surname)2.:……………………………………………………………………………………………………………(Address)3.:……………………………………………………(Nationality – if not Barbadian)4.:……………………………………………………(Occupation)5.:……………………………………………………(Date of birth)1.:………………………………………………………(Given names and surname)2.:…………………………………………………………………………………………………………………(Address)3.:………………………………………………………(Nationality – if not Barbadian)4.:………………………………………………………(Occupation)5.:………………………………………………………(Date of birth)6.: Type and number of affected accounts 6.: Type and number of affected accounts………………………………………………………..…………………………………………………….……………………………………………………….……………………………………….………………7.: Particulars of ID, e.g. National ID no., 7.: Particulars of ID, e.g. National ID no.,bank account no.bank account no.……………….……………..…………………….………………………………………………….……Anti-Money Laundering/Combating Terrorist Financing Guideline May 2011 51Bank Supervision DepartmentCENTRAL BANK OF BARBADOS