Central Bank of Libya Periodic Letter No. 108/2014

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Central Bank of Libya P.O. Box 1103 | Telex: CBL - Tripoli, Libya

Ref: ARMN/804

Periodic Letter No. 108/2014 (ARMN) Date: 6 Rabi' al-Awwal 1436 AH ... Corresponding: 28 December 2014 AD ....

To: The General Managers of Commercial Banks The Heads of Temporary Administrative Committees of Commercial Banks The General Manager - Libyan External Bank

With greetings,

Based on the provisions of Law No. (1) of 2005 AD regarding Banks and its amendments, and on the supervisory and regulatory role exercised by the Central Bank of Libya over commercial banks operating in Libya.

In continuation of our Periodic Letter No. ARMN (44/2013 AD), dated 28 February 2013, which we enclosed the forms required for those appointed to leadership positions in your banks (Board of Directors member, General Manager), to ensure compliance with their use and submission to this department.

And as we enclose the modified form, you are requested to ensure compliance and submission of this form to the Banking and Currency Supervision Department in accordance with the instructions mentioned above.

... And peace, mercy of Allah and blessings be upon you ...

Abdulmajeed Mohammed Al-Maqouri Director of the Banking and Currency Supervision Department / Authorized Signatory

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Copy to: // Mr. / The Governor Mr. / The Deputy Governor Mr. / Director of the Legal Affairs Department at the Central Bank of Libya. To the Banking Supervision and Compliance Monitoring Section A. Al-Kilani / 02- Circular

Tel: +218 21 3591 333, Fax: +218 21 444 1488, www.cbl.gov.ly, swift code: CBLJLYLX

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Central Bank of Libya Banking and Currency Supervision Department

Personal Questionnaire for Appointees in Commercial Banks to hold the position of: ☐ Board of Directors Member ☐ General Manager

Bank ....................................................................................

1. Full Name of Appointee: - ....................................................................

2. Date and Place of Birth: - ................................... Nationality: ................... Gender: ...................

3. Mother's Full Name: - ....................................................................

4. Marital Status: - ................................... Number of Family Members: ...................

5. Husband's Full Name: - ....................................................................

6. Residential Address: - ................................... Landline Phone Number: ...................

7. Email Address: - ................................... P.O. Box: ................... Mobile: ...................

8. Personal Identification: - ................................... ID Number: ...................

9. Professional Qualifications:

Scientific Qualification	Name of Qualification	Issuing Institution	Date Obtained
Secondary School Certificate
Intermediate Qualification
University Degree
Other Higher Education

10. Languages Proficient In: ................................... Certificate Obtained: ................... Languages Proficient In: ................................... Certificate Obtained: ...................

11. Training Courses: .................................................................... .................................................................................... ....................................................................................

12. Current Position: ................................... Date of Appointment: ...................

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(2)

13. Other Experiences and Positions:

Position	Institution	From Date	To Date

14. Current Position Grade and Date Obtained: ....................................................................

15. Banking Experience (not less than five years):

No.	Position	Bank	From Date	To Date
1
2
3
4
5
6

16. Have you received an exceptional promotion or incentive bonus? { Yes } ........... { No } ........... If yes, specify the date: ....................................................................

17. Has a judgment previously been issued against you for an offense involving honor or trust? { Yes } ........... { No } ........... If yes, provide details: .................................................................... ....................................................................................

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(3)

18. Have you previously been deprived of your civil and political rights? { Yes } ........... { No } ...........

19. Have you previously been dismissed or removed by a judicial or disciplinary decision? { Yes } ........... { No } ...........

20. Have you previously been prohibited from practicing any profession? { Yes } ........... { No } ...........

21. Have you previously been declared bankrupt, suspended from payments, or entered into a settlement with your creditors? { Yes } ........... { No } ...........

22. Have you previously been a member of the board of directors or general manager of a bank, or had direct involvement in its management, where it was liquidated by judicial decision or its license was revoked due to legal violations? { Yes } ........... { No } ...........

23. Have you previously been suspended from work, in accordance with Article (6/119) of the Banks Law (suspension of the General Manager or Board of Directors due to violation of the Banks Law, regulations, and issued directives)? { Yes } ........... { No } ...........

24. Are you currently a member of the board of directors of any other Libyan bank? { Yes } ........... { No } ...........

25. Are you a member of the board of directors of any other joint-stock company (non-banks)? { Yes } ........... { No } ...........

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(4)

If yes, list the companies:

No.	Company Name	Date of Membership Start
1
2
3

26. Do you own shares or stakes in commercial companies including banks? { Yes } ........... { No } ...........

If yes:

No.	Company (or Bank) Name	Number of Shares or Stake Percentage
1
2
3

27. Do you or any family member have a kinship relation with Board of Directors members or the General Manager (in the appointed bank)?

Name	Relationship

28. Do you manage a legal accounting and auditing office, or practice as a certified public accountant, or hold the position of Board member in any audit or accounting office? { Yes } ........... { No } ........... If yes, specify office name and date of practice: .................................................................... ....................................................................................

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(5)

29. Do you manage a real estate valuation office or an engineering office? { Yes } ........... { No } ...........

I declare that the information provided in my answers to the above questions is complete and accurate, and I undertake to notify the Central Bank of Libya immediately upon learning of any changes to this information.

Name: - .................................................................... Signature: - .................................................................... Date: - ....................................................................

Note: Attach copies of supporting documents related to academic qualifications and professional experience, along with personal identification.