Central Bank of Libya

P.O. Box 1103 | Telegram Address: CBL - Tripoli, Libya

Circular Letter No. (2017/143) Date of Issue: 03 Dhu al-Qi'dah 1438 AH Corresponding Date: June 27, 2017 AD Reference No.: Circular Letter 1/18/1055/

To: General Managers of Commercial Banks To: Chairmen of Interim Administrative Committees of Commercial Banks To: General Manager of the Libyan Foreign Bank To: General Manager of Mu'amalat Financial Services Company With regards to the above,...

Subject: Submission of the Personal Questionnaire for Members or Officials of Sharia Supervisory Boards in Banks and Financial Institutions under the Supervision and Regulation of the Central Bank of Libya

Based on the provisions of Law No. (1) of 2005 regarding Banks and its amendments, and the supervisory and regulatory role of the Banking and Currency Supervision Department under the provisions of the law.

In addition to the decision of the Governor of the Central Bank of Libya No. (53) of 2017, issued on March 12, 2017, regarding the conditions for inclusion in the register of Sharia Supervisory Board members and the regulations governing their work.

We hereby forward to you a copy of the Personal Questionnaire for members or officials of Sharia Supervisory Boards in banks and financial institutions under the supervision and regulation of the Central Bank of Libya, for your review and completion by the concerned parties, and direct return to us, followed by submission to the Islamic Banking Department of the Banking and Currency Supervision Department, at the earliest opportunity.

Peace, mercy, and blessings of God be upon you...

Dr. Mokhtar El-Hadi Al-Taweel Director of the Banking and Currency Supervision Department

Copies to: Governor; Advisor to the Governor for Islamic Banking Affairs; Director of Legal Affairs Department - CBL; Chairman of the Central Sharia Supervisory Authority (C.S.S.A.); Chairman of the Islamic Banking Advisory Committee; Chairmen of Sharia Supervisory Authorities in Banks; Deputy Director of Banking and Currency Supervision Department for Islamic Banking Affairs; Source: Islamic Banking.

CBL 1. 2017 AD Date www.cbl.gov.ly | Swift Code: CBLJLYLX | Fax: +218 21 444 1488 | Tel: +218 21 333 3591

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Central Bank of Libya Banking and Currency Supervision Department

Personal Questionnaire for Members or Officials of Sharia Supervisory Boards in Banks and Financial Institutions *Under the Supervision of the Central Bank of Libya

Position: Board Chairman □ Member □ Advisor □ Secretary/Coordinator □ Bank / Financial Institution:

(1) Full Name: (2) Date and Place of Birth | Nationality: (3) Marital Status: (4) Residential Address | Phone Number: (5) Email Address: (6) Personal ID | National ID Number: (7) Academic Qualification: (8) Issuing Institution: (9) Current Position | Date of Appointment: (10) Other Experiences and Positions:

(11) Current Job Grade and Date Obtained:

(12) Have you previously been a member of a Sharia Supervisory Board for a bank, insurance company, leasing company, or investment fund, or a board member/director general of a bank, or had direct involvement in its management, with your classification confirmed by a court decision or license revoked due to legal violation? ( ) No ( ) Yes

• The term "Institution/Financial Institutions" is used as an abbreviation for entities legally under the supervision of the Central Bank of Libya other than banks.

If yes, please specify:

No.	Name of Bank, Financial Institution, or Company	Start and End Date of Membership
1
2
3
...

(13) Are you currently an employee, or hold the position of chairman, member, or secretary in a Sharia Supervisory Board or board of directors of any Libyan or foreign bank, or are you a shareholder, or have you worked as an advisor in such institutions? ( ) No ( ) Yes

If yes, please specify:

No.	Name of Bank, Financial Institution, or Company	Date of Holding Position or Membership
1
2
3
...

(14) Do you own shares or stakes in any local bank, insurance company (5% or more), commercial financial institution, or manage an accounting/auditing/legal consulting office, practice as an accountant/statutory auditor, hold a board member position in any law/audit/accounting firm, real estate valuation office, consultancy/engineering office, or other activity (non-banking)? ( ) No ( ) Yes

If yes, please specify in detail:

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I confirm that the data below is accurate and undertake to notify the Central Bank of Libya immediately upon any changes.

Name: Signature: Date:

Note: This questionnaire is completed when applying for membership in Sharia Supervisory Boards of banks or financial institutions, or appointment as an advisor, secretary, or coordinator for the Sharia Board, and must be accompanied by a passport-sized photo and the candidate's national ID number.