REGULATION 34(5)
FORMAT FOR AN UNUSUAL TRANSACTION REPORT FOR ACCOUNTABLE INSTITUTIONS
From:……………………………………………………………………………………………
Name/Designation of Reporting Officer…………………………………………………
Report I.D Number (To be quoted for future enquiries of correspondence)…………………………………………
Time Sent………………………………………………………….
Nature of unusual transaction……………………………………………………………………..
Particulars of party/parties involved in the transaction………………………………………………………………………………..
…………………………………………………………………………………………………
Where/when transaction occurred…………………………………………………
Unusual pattern of transaction Money value of unusual transaction…………………………………………………………………………….
Whether pattern has an economic or legal explanation………………………………………………………..
Any steps taken or question asked to clarify the unusual pattern…………………………………………………
Party's response…………………………………………………………………….
How does this transaction compare with previous transaction on account and known details of client's profile…………………………………………………………………………………………
Laws or procedures not complied with………………………………………………………
Any action taken internally to freeze or delay the transaction while report is submitted………………………………………………………………………………………
Whether party/parties involved in the transaction have other assets in possession of reporting Institution?........................................................................................................
If yes, state value……………………………………………………………………………
Other documents confirming unusual transaction…………………………………………………………………………….
Signature of Anti-Money Laundering Reporting Officer
DATE