SCHEDULE 3(Subparagraph 3(b)(iv), section 3.1 and paragraphs 4(3)(a) and (3.1)(a))Information To Be Given by Person Described in Paragraph 12(3)(d) of Act
PART A
Information with Respect to Person Described in Paragraph 12(3)(d) of Act
1
Person’s name
2
Person’s permanent address
3
Person’s citizenship
4
Person’s date of birth
5
Person’s telephone number
6
Type of document or other information used to identify person and number of document or number associated with information
7
Jurisdiction and country of issue of document or other information
8
Name of person’s employer
9
Employer’s business address
10
Employer’s business telephone number
11
Name and title of employer’s contact person
PART B
Information on Shipments of Currency or Monetary Instruments
0.1
Indication of whether it is an importation or exportation
1
Name of importer or exporter
2
Amount, in Canadian dollars, of currency or monetary instrument
3
Name and permanent address of person or entity shipped to and from
4
Departure point of currency or monetary instrument (country, city) and date of departure
5
Arrival point of currency or monetary instrument (country, city) and date of arrival
6
Transit points of currency or monetary instrument (country, city) and dates of arrival at and departure from each transit point
