Central Bank of Libya Periodic Letter No. 44/2013

Central Bank of Libya
P.O. Box 1103, Telegram Address: Bank of Libya - Tripoli - Libya

Reference: ARM/N 804
Periodic Letter No. (2013/44)
Date: 18 Rabi' al-Thani 1434 AH
Corresponding Date: February 28, 2013 AD

To: General Managers of Commercial Banks
To: Heads of Interim Administrative Committees of Commercial Banks To: General Manager of the Libyan Foreign Bank

Greetings,

In continuation of our Periodic Letter No. ARM/N (2007/10), dated February 1, 2007, which stipulated the submission of forms to be used by individuals appointed to executive positions in your banks, and their forwarding to this department.

With reference to the minutes of the second meeting of 2012 of the National Anti-Money Laundering Committee, held on December 18, 2012, regarding the addition of a section to the form required for individuals appointed to executive positions in commercial banks operating in Libya, clarifying the candidate's familiarity with anti-money laundering procedures and the relevant law.

Accordingly, we send you the amended forms required for individuals appointed to executive positions in your banks (Board Member, General Manager), to be adhered to and forwarded to this department.

Peace, mercy of Allah and blessings be upon you.

Dr. Mohamed Abdeljalil Boustit
Director, Banking Supervision and Compliance Department

Copy to: The Governor
Copy to: The Deputy Governor
Copy to: The Director of the Main Financial Information Unit, Central Bank of Libya Copy to: The Department of Expenditure Control and Compliance Monitoring

N/Bgad/ ☎️ Periodic Letters: 90 www.cbl.gov.ly swift code:CBLJLYLX Fax: +218 21 444 1488 Phone: +218 21 333 3591

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Central Bank of Libya
Banking Supervision and Compliance Department

Personal Questionnaire for a Board Member or General Manager of a Commercial Bank

Bank:

(1) Full name of the candidate
(2) Date and place of birth - Gender
(3) Mother's full name
(4) Marital status - Number of family members
(5) Husband's full name
(6) Residential address - Phone number
(7) Email address - P.O. Box - Mobile

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

(8) Personal ID/Passport Number
(9) Position applied for
(10) Date of joining the bank
(11) Date of transfer to current post - Date of appointment to this role (12) Foreign languages proficient in - Qualification obtained (13) Training courses attended

(14) Last three banking positions

• From date: To date:
• From date: To date:
• From date: To date:

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(15) Banking experience - Other previous positions held at the workplace

Position	Institution/Workplace	Period

(16) Current position held at the affiliated workplace (17) Date of appointment to current position (18) Current rank/grade - Date obtained

(19) Have you received an exceptional promotion or incentive bonus?
{ Yes } { No }
If yes, specify date

(20) Do you or any family member have a work or kinship relationship with the Board Members or General Manager of the bank? { Yes } { No } If yes, provide details according to the following table

Name	Relationship

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(21) Have you previously worked in a bank or company whose license was cancelled, merged, or liquidated? { Yes } { No } If yes, provide details

(22) Have you previously been sentenced to imprisonment for committing an offense involving honor or trust? { Yes } { No } If yes, provide details

(23) Have you previously been disciplined by your employing institution?
{ Yes } { No }
If yes, provide details

(24) Have you previously been dismissed from work or prohibited from practicing any profession? { Yes } { No } If yes, provide details

(25) Have you previously received selective facilities or a loan, stopped repayment, declared bankruptcy, or been separated by a debt settlement procedure? { Yes } { No } If yes, provide details according to the following table

Institution Name	Loans	Date	Facilities	Date	Social Penalties/Measures	Notes

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(26) Do you manage a legal accounting and auditing office, practice as a certified accountant, or hold the position of board member in any audit/accounting firm? { Yes } { No } If yes, specify office name and date of practice

(27) Do you manage a real estate valuation office or an engineering office? { Yes } { No } If yes, specify office name and date of practice

(28) Do you own shares in any joint-stock companies or banks?
{ Yes } { No }
If yes, specify company name, number of shares, and source

Serial No.	Joint-Stock Company Name	Number of Shares	Source/Issuer	Number of Shares

(29) Are you familiar with anti-money laundering procedures, and have you reviewed Law No. (2) of 2005 on AML and Law No. (1) of 2005 on Banks and its amendments? (Yes) (No) Notes

I certify that the data 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 data.

Name:
Signature:
Date:
Notes:

N/Bgad/ ☎️ Periodic Letters: 90 www.cbl.gov.ly swift code:CBLJLYLX Fax: +218 21 444 1488 Phone: +218 21 333 3591 www.cbl.gov.ly swift code:CBLJLYLX Fax: +218 21 444 1488 Phone: +218 21 333 3591 www.cbl.gov.ly swift code:CBLJLYLX Fax: +218 21 444 1488 Phone: +218 21 333 3591 www.cbl.gov.ly swift code:CBLJLYX Fax: +218 21 444 1488 Phone: / N/Bgad/ ☎️ Periodic Letters: 90 www.cbl.gov.ly swift code:CBLJLYX Fax: +218 21 444 1488 Phone: +218 21 333 3591