Bijlage C Regeling integriteit financiële markten BES

Regeling integriteit financiële markten BES

For a person departing from or entering Bonaire, Sint Eustatius or Saba, or a person shipping, mailing, or receiving currency or monetary instruments exceeding USD 10.000. If acting for anyone else, also complete part II below 1. Name (Last of family, first, and middle) and maiden name 2. Place of birth Date of birth Day/Mo/Yr. 3. Nationality 4. Permanent address 5. Address while in Bonaire, Sint Eustatius or Saba Passport no. & date of issue and country 7. Reason for this mode of transportation 8. Country of origin and source of funds 9. Intended for □ Purchase..... □ Deposit at a bank..... □ Other ..... ..... ..... Information about person(s) of business on whose behalf importation or exportation is conducted 10. Name (Last of family, first, and middle) and maiden name 11. Place and date of birth and nationality 12. Permanent address Type and amount of currency / monetary instruments 13. Currency and coins 14. Other monetary instruments (Specify type, issuing entity and date, and serial or other identifying number) ..... ...... ..... 15. Total amount / value USD..... Signature of person completing this report 16. Name and maiden name (print) 17. Signature ¹ 18 Date of report ¹ I declare that I have examined this report, and to the best of my knowledge and belief it is true. An incorrect of false report is a violation of the Law ‘Reporting of international transportation of currency or monetary instruments’ 19. For official use Place: ..... Hour: ..... Date: ..... This report is required by article 2 of the Law Reporting of international transportation of currency or monetary instruments. You should complete each line. If a line does not apply to you please state not applicable (n.a.). Each person (or a group of persons travelling together) who physically transports, mails, or ships, or causes to be physically transported, mailed or shipped currency or monetary instruments in an aggregate amount exceeding USD 10.000 at one time from any of the islands of Bonaire, S

• – Credit cards
• – Warehouse receipts
• – Bills of lading
• – Diamonds.
• – a commercial bank or trust company incorporated under the laws of Bonaire, Sint Eustatius and Saba;
• – a private bank, a savings association, savings and loan association, and building and loan association organized under the laws of Bonaire, Sint Eustatius and Saba;
• – a savings bank, industrial bank or other thrift institution, a credit union;
• – any other organization chartered under the banking laws of Bonaire, Sint Eustatius and Saba.
• – tarjetas de crédito
• – Recibos de almacenes
• – Conocimientos de embarque
• – Diamantes
• – un banco comercial o compañía de fideicomiso establecida bajo la ley de Bonaire, Sint Eustatius y Saba;
• – un banco privado, una asociación de ahorros, una asociación de ahorros y préstamo, y una asociación de construcción y préstamo establecida bajo la ley de Bonaire, Sint Eustatius y Saba;
• – un banco de ahorros, un banco industrial u otra institución de ahorros, una asociación de crédito
• – cualquiera otra organización constituida bajo la ley bancaria de Bonaire, Sint Eustatius y Saba.