Page 28 - IFX Internal Information Guide
P. 28

FICA CHECKLIST

            Politically Exposed People (PEPs)




            This checklist must be completed with every FICA  Related Transaction concluded with a politically exposed
            person

            Client Name:
            IFX Backoffice Administrator:
            Date:

            Is the client one of the following or a close family member or closely
            associated with one of the following:                                                    YES   NO
            Heads of State, Heads of Government and Cabinet Ministers
            Influential Functionaries in Government
            Senior Judges
            Senior Political Party Functionaries
            Senior and/or Influential Officials, Functionaries and Military Leaders and people with similar
            functions in
            Member of Ruling Families
            Senior and/or Influential Representatives of Religious Organisations

            If YES, obtain additional information regarding source of funds, the transaction and the client

            Source of Funds/Income








            Transaction Details








                        If client is a PEP, please obtain senior management authorization.


                                                                                                   FICA CHECKLIST
                                                                                   Politically Exposed People (PEPs)
                                                                                               Last updated: 25 April 2018
                                                                                                               1
   23   24   25   26   27   28   29   30   31   32   33