SCHEDULE 3

(Subparagraph 3(b)(iv) and paragraphs 4(3)(a) and (3.1)(a))

INFORMATION TO BE GIVEN BY PERSON DESCRIBED IN PARAGRAPH 12(3)(d) OF ACT

PART A — Information on Person Described in Paragraph 12(3)(d) of Act
  • 1. Person's full name

  • 2. Person's full permanent address

  • 3. Person's citizenship

  • 4. Person's date of birth

  • 5. Person's personal telephone number

  • 6. Type of document confirming person's identity (e.g., driver's licence, birth certificate, certificate of Indian status, passport, Record of Landing or permanent resident card) and the number of that document

  • 7. Place of issue of document confirming person's identity (province or state, country)

  • 8. Full name of person's employer

  • 9. Full permanent address of person's employer

  • 10. Telephone number of person's employer

  • 11. Name and title of employer's contact person

PART B — Information on Shipments of Currency or Monetary Instruments
  • 0.1 Indication of whether it is an importation or exportation

  • 1. Name of importer or exporter

  • 2. Total value of currency or monetary instruments

  • SOR/2002-412, s. 23;
  • SOR/2003-358, s. 30.