Appendix 7

THRESHOLD FORM
Note:

This form is to be completed when conducting checks for possible money laundering/financing of terrorism activities on
cash and non-cash transactions exceeding the Bank’s threshold limit and for unusual/suspicious transactions in the
ordinary business activities of the client.

Date of transaction & amount

Client’s Name and Account Number

Type of products (e.g. current

account, savings, fixed deposit,
loans/financing, remittance/
remittance-i, Wadiah, Mudharabah,
Bai’ Bithaman Ajil, Musyarakah, Al-
Ijarah Thumma al-Bai, Bai’ al-Inah)

Source of funds of the transaction(s)

investigated (e.g sale of house
proceeds, sale of business, pensions,
employee provident funds, export
proceeds)

Method of a/c opening (e.g face to

face or non-face-to face such as
via,internet or intermediary)

Purpose of payment of the

transaction(s) (e.g pay business
operations, purchase of house, rental,
purchase shares)

Review Background / Risk Profile of the Customer

i. For individuals – to check on nationality, citizenship, resident status, if any link to politically exposed persons and
family members/close associates occupation).

ii. For corporate entity – to check on place of incorporation, location of counterparties, any link to politically exposed
persons whose source of funds is unclear or any unduly complex structure and difficulty in identifying the ultimate
beneficial owners.

Comments on Background/Risk Profile:-

Transactions do not match occupation / business Yes No

Large/unusual cash/frequent remt txn/wire transfers without

valid reasons Yes No

Abnormal to the account type or conduct of the account Yes No

Transactions appear abnormal after established above Yes No

No further action required STR raised & forward to AMLCO

 Appendix 7
THRESHOLD FORM

Completed by: Date:

(Name and Signature)

Department/Branch Contact Details::

This section is to be reviewed by the DCORO/Head of Unit/Head of Operations/Relationship Manager

Additional Investigation Notes/Comments:

Recommend to report to Regulator / Supervisory Authority (Yes/No) :

___________________________________________________________________
Name/Signature of DCORO/ Head of Unit/Head of Operations/Relationship Manager
Date: