Cash transaction report data preparation form
Draft data for completing the AMLO 1-01 form (Cash Transaction Report) · Draft for data preparation
Part 1 Reporting entity
| Name | |
|---|
| Tax identification number | |
|---|
| Reporting officer | |
|---|
| Report date | |
|---|
Part 2 Transaction
| Transaction date | |
|---|
| Type | |
|---|
| Amounts | THB |
|---|
| Reference number | |
|---|
Part 3 Customer
| Name | |
|---|
| ID card/Passport number | |
|---|
| Nationality | |
|---|
| Occupation | |
|---|
| Address | |
|---|
Part 4 Purpose and property
| Objective | |
|---|
| Property | |
|---|
| Property value | THB |
|---|
| Declared source of funds | |
|---|
Part 5 Attachments and internal control
- ☐ Copy of ID card/Passport ☐ Sale and purchase agreement (SPA) ☐ Receipt ☐ Pay-in slip
- Record the filing reference number, filing date and person responsible in the internal log. Keep copies for at least 5 years.
Prepared by / Date
Compliance Officer / Date
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