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Targeted Financial Sanctions Reporting Form – Asset report of designated person or entity

Targeted Financial Sanctions Reporting Form – Asset report of designated person or entity

Individuals and entities located within Mongolia, and Mongolian individuals or entities located outside Mongolia, must not carry out financial transactions, provide financial services or make assets available to designated individuals or entities.

If a legal entity determines that it is holding assets that are owned or controlled, directly or indirectly by a designated person or entity, it must freeze the assets without delay and report this to the competent authority within 48 hours (Article 7.1.7 of the Anti-Terrorism Law). Reporting entities under Article 4.1 of the Anti-Money Laundering and Countering the Financing of Terrorism Act must also freeze such assets without delay (Article 6.2) and report this action under the Regulation specified in Article 5.14.

 

Completed forms should be sent to the following contact points

·         Financial Information Unit (for reporting entities) – fiu@mongolbank.mn

·         General Intelligence Agency (all others). -  amltf@gia.gov.mn

 

DETAILS OF PERSON MAKING THE REPORT

Name of person/business making the report: …………………………………………………………………………….

Branch/Office (if relevant): …………………………………………………………………………………………………………

Postal address: …………………………………………………………………………………………………………………………..

Street address (if different): …………………………………………………………………………………………………………………………..

Contact person: …………………………………………………………………………………………………………………………

Telephone number: …………………………………………………………………………………………………………………..

Email address: …………………………………………………………………………………………………………………………..

DETAILS OF PROPERTY

Description of the asset you are holding, in possession of, or otherwise control: ……………………............................

…………………………………………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………

Has the asset been frozen:     YES  oNoo

Date the asset was frozen: ………………………………………………………………………………………………….

DETAILS OF THE SUSPECTED OWNER OR PERSON IN CONTROL OF THE ASSETS (including assets     of individuals, and assets of entities acting on behalf of or at the direction of designated persons and entities).

Name: …………………………………………………………………………………………………………………………………………

Postal address: ……………………………………………………………………………………………………………………………

Street address (if different): ……………………………………………………………………………………………………………………………

Phone number (if known): ………………………………………………………………………………………………………….

Identification document details (if known): ………………………………………………………………………………..

……………………………………………………………………………………………………………………………………………………

Copy of identification documents attached:        Yes  o            No  o

Basis of the asset freeze: …………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………….

DETAILS OF ATTEMPTED TRANSACTIONS

Sender’s name: …………………………………………………………………………………………………………………………..

Sender’s postal address: …………………………………………………………………………………………………………….

Sender’s street address (if different): ………………………………………………………………………………………………………………………………………………….

Other details of sender: ……………………………………………………………………………………………………………..

Source of funds: ………………………………………………………………………………………………………………………..

 

Recipient’s name: ……………………………………………………………………………………………………………………….

Recipient’s postal address: …………………………………………………………………………………………………………

Recipient’s physical address: ……………………………………………………………………………………………………….

Country: ……………………………………………………………………………………………………………………………………..

State/province/city: ……………………………………………………………………………………………………………………

Other details of recipient: ……………………………………………………………………………………………………………

 

Date and location of attempted transaction: ………………………………………………………………………………

Purpose of attempted transaction: ……………………………………………………………………………………………..

ANY OTHER DETAILS

…………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………….