ANNEXURE 2 AML QUESTIONNAIRE/ DECLARATION
Standard Questionnaire / Declaration to Axis Bank On AML/ CFT / KYC Compliance
(Applicable in absence of Wolfsberg questionnaire/ RI’s AML Questionnaire for Correspondent
Bank & Exchange houses)
NAME OF THE
BANK/INSTITUTION:
HEAD OFFICE
ADDRESS:
WEBSITE ADDRESS :
MAIN BUSINESS
ACTIVITIES :
PURPOSE OF
OPENING
ACCOUNT :
NAME OF
REGULATORY
AUTHORITY :
REPORTING
AUTHORITY:
LICENCE NO &
EXPIRY DATE:
NAME OF THE ACT
ENACTED BY THE
COUNTRY TO
COMBAT MONEY
LAUNDERING &
TERRORIST
FINANCING:
OWNERSHIP/
MANAGEMENT
Is your bank/ institution publicly owned?
Please provide a list of the executive and non-executive
directors of the main Board of Directors.
Please provide the names of major shareholders( i.e.
shareholders holding more than 20 % of the shares in the
institution )
Sr.
N
o
AML
Measures
Declaration
Agree/ Disagree
Incase disagree,
kindly provide
views/comments.
1
AML POLICY
a) Our bank/ institution has in place policies and procedures to
combat Money Laundering and Terrorist Financing as per
guidelines issued by international and domestic regulatory
authorities and law designed therein to combat money
laundering.
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b) The same has been approved by our Board /Senior
management.
2
KNOW YOUR
CUSTOMER
Our bank/ institution has implemented systems for identification
of our customers, including Know Your Customer (KYC)
documentation, customer information, information about
business activities, normal and expected level of transactions
and any other relevant information.
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Our bank/ institution updates the customer profile on a regular
basis
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Our bank/ institution shall be able to provide the relevant
customer identification information and transaction log,
immediately upon request.
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3
RECORD
MAINTENANCE
Our bank/ institution has in place appropriate record retention
procedures pursuant to applicable law.
4
SCREENING
AGAINST
NEGATIVE LISTS
Our bank/ institution screens our customer database and
international telegraphic transfers/ wire transfers against the
negative list as per regulatory guidelines.
5
RISK
ASSESSMENT
Our bank/ institution has a risk focused assessment of its
customer base and customer transactions and conducts the
appropriate level of enhanced due diligence necessary for
such categories of customers and transactions that pose a
heightened risk of illicit activities.
6
POLITICALLY
EXPOSED
PERSONS
a) Our bank/ institution has policies stipulating enhanced due
diligence while undertaking relationships with and transactions
pertaining to Politically Exposed Persons (PEPs).
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b) Our bank/ institution’s owner or senior management
personnel is not a politically exposed person (PEP).
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7
MONITORING,
IDENTIFICATION
AND REPORTING
OF SUSPICIOUS
TRANSACTIONS
a) Our bank/ institution has in place, systems and procedures for
monitoring, detection and reporting of suspicious transactions to
the relevant authorities/ national and criminal intelligence
agencies / external authority.
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b) Our bank/ institution has formulated procedure in respect of
ongoing monitoring of transactions conducted through our
Correspondents.
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8
FUND TRANSFERS
a)Our bank/ institution is not engaged in sale of monetary
instruments or funds transfer service for ''walk-in'' customers
(Individuals who do not have account relationship with our
bank/ institution).
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b) If yes, we ensure that identification documents of such walk-
in-customers are obtained.
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9
SHELL BANKS (A
bank which is
a)Our bank conducts business at a physical address in which it is
authorized to engage in banking and /or financial activities.
incorporated in
a country where
it has no
physical
presence and is
unaffiliated to
any regulatory
group)
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b) Our bank/ institution does not conduct any form of business
with “Shell” banks/ institutions.
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10
CORRESPONDEN
T BANKS
a) Our bank/ institution gathers sufficient information about the
Correspondent Bank’s business, its AML policies and procedures,
whether it possesses license to operate in its country of origin.
b) All our relationships are approved by our senior
management.
c) Our bank/ institution does not allow opening of anonymous or
numbered accounts by customers.
d) Our bank/institution does not allow direct use of our
Correspondent Bank’s accounts by third parties to transact
business on their behalf? (I.e. payable-through accounts or
nested accounts).
e) If disagree to point d) above, our bank/ institution verifies the
identity of such customers and undertakes ongoing due
diligence and can provide relevant customer identification
data immediately on request.
11
TRAINING
a) Our bank/ institution provides employee training on
Prevention of Money Laundering and Terrorist Financing and
also communicates new AML laws or changes in AML policies to
relevant employees. It also retains records of training sessions
including attendance records and relevant training material
used.
b) Our bank/ institution employs agents to carry out the
functions of bank/ institution only where permitted by the
regulator.
c) Our bank/ institution provides AML training to relevant agents
that includes identification and reporting of transactions that
must be reported to relevant authorities, examples of different
forms of money laundering involving bank/ institution’s products
and services and internal policies to prevent money laundering.
12
AUDIT
Our bank/ institution is subject to inspection by the government
supervisors/regulatory/supervisory authority that licensed our
bank/ institution to engage in banking and/or financial
activities. Additionally, our bank/ institution has an internal audit
function or an independent third party that assesses AML
policies and practices on a regular basis.
13
OTHER
INFORMATION
I) Our bank/ institution has not been subjected to any
indictment, conviction or civil enforcement action related to
money laundering and terrorist financing.
II) Our bank/ institution requires that its AML policies and
practices be applied to all its branches and subsidiaries both in
the home country and in locations outside the home country.
III) Our bank/ institution complies with FATF recommendations
pertinent to prevention of money laundering and terrorist
financing.(e.g. obtaining originator information).
IV) Our bank/ institution has a Money Laundering Reporting
Officer (MLRO) or equivalent responsible for
coordinating/monitoring and overseeing compliance with anti-
money laundering requirements on a day to day basis. Details
of the MLRO are provided below.
Does the FI adhere to the Wolfsberg Transparency Principles and
the appropriate usage of the SWIFT MT 202/202COV and MT
205/205COV message formats?
Details of our MLRO/ Principal Officer are as under: (To be filled up by the correspondent)
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 my bank/ institution. I also confirm that I am authorized to
complete this Declaration Form on behalf of my bank/ institution and also provide documents relevant to
AML/CFT/KYC Compliance as and when requested.
Name of Authorized Official: Designation:
Email address: Contact No.
Signature & Stamp with date: