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Score Total Score AMLCFT CUSTOMER RISK PROFILING FORM *The following customers must not be allowed to be engaged in business relations with PMB Investment – a) The citizen from High Risk Jurisdiction Countries (Democratic People’s Republic of Korea & Iran - Subject to FATF recommendation) b) The clients who are reluctant to provide information & evident required. ** The Risk Profile will be automatically categorized as “High” if – a) The payment amount of RM25,000 or above through cash ; or b) Question number 1 OR 2 scored at three (3) in single question. *** Ignore Q4 if the mode of payment is through CASH & Q5 if the mode of payment is not through CASH Q1. Occupation Salaried Public or Private Worker, Pensioner [1] Housewife, Student, Director, Businessman, Retiree [2] PEPs, Unemployed, Businessman (Money Changers, Casino, Pawn shop, gold & jewelry shop, legal money lenders, Car Wash), [3] Enforcement Agencies (JPJ, Custom, Police, Immigration, Maritime, Border Security Agency and other Enforcement Officer from other Agencies), Senior Government (Director General of Government agencies), Senior Military Official (General and above) & Judicial. Q2. Residence / work place / Citizenship Malaysia – Non-Crime Hotspot [1] Klang Valley, Georgetown & J. Bahru, Reputable jurisdiction/countries [2] Monitored Jurisdictions by FATF, Countries having significant levels of corruption or other criminal activities, Countries or [3] geographic identified as terrorist areas, Geographical areas identified as hot spot in Malaysia – Eastern Sabah Security Zone (ESSZONE), Malaysia’s Border Zone (APPENDIX 1) Q3. Source of investment EPF, Tabung Haji, selling of property (With prove), Saving/Inheritance, Employment [1] Business, 3rd Party (Relative) & Investment [2] Gift/Hibah/Donation/Contribution [3] Q4. Mode of payment Personal Cheque, Counter/teller transfer, Bankers Cheque, On-line, Direct debit, TT, ATM Transfer, Contra [1] Internet Open Third Party Transfer [2] Third Party Cheque with Ownership evidence [3] Q5. Cash Threshold (Cash Only) Income (RM) Investment Amount(RM) ≤1500 ≤4999 5000 - 9999 ≥10000 1501-5000 5001 - 9999 10000 - 14999 ≥15000 5000-10000 10001 - 14999 15000- 19999 ≥20000 ≥10000 15001 - 19999 20000- 24999 ≥25000 [1] [2] [3] Q6. Fund Risk (Refer to Suitability Form) Risk Assessment Very Low/Low Medium High/Very High Fund Risk Score Very Low/Low 2 1 1 Medium 3 2 1 High/Very High 3 3 2 Scoring Q1 Q2 Q3 Q4 Q5 Q6 Total Score Total Score Risk Profile Description 5 - 8 Low Proceed with the opening of account or purchase of units 9 - 12 Medium Proceed with the opening of account or purchase of units 13 - 15 High Notify Designated Compliance Officer together with a supporting documents for further action CONSULTANT’S DETAILS (IF APPLICABLE) FOR OFFICE USE Agent Code __________________________________ Processed by: Verified by: Name: _________________________________ Signature: _________________________________ Signature ________________________ Signature _________________ Date: _________________________________ Date ________________________ Date _________________ APPENDIX 1 MONITORED 20 MOST CORRUPT MAJOR ILLICIT DRUG TOP 20 MOST DANGEROUS HOT SPOT AREAS IN JURISDICTIONS COUNTRIES COUNTRIES PRODUCING AND MAJOR COUNTRIES MALAYSIA BY FATF DRUG-TRANSIT COUNTRIES BAHAMAS SOMALIA AFGHANISTAN SYRIA PERLIS BOTSWANA SOUTH SUDAN THE BAHAMAS AFGHANISTAN WANG KELIAN ETHIOPIA SYRIA BELIZE SOUTH SUDAN PADANG BESAR GHANA AFGHANISTAN BOLIVIA IRAQ KEDAH PAKISTAN YEMEN BURMA SOMALIA BUKIT KAYU HITAM SERBIA SUDAN COLOMBIA YEMEN DURIAN BURUNG SRI LANGKA LIBYA COSTA RICA LIBYA PERAK SYRIA NORTH KOREA DOMINICAN REPUBLIC CONGO PENGKALAN HULU TRINIDAD & TOBAGO GUINEA-BISSAU ECUADOR CENTRAL AFRICAN REPUBLIC KELANTAN TUNISIA EQUATORIAL GUINEA EL SALVADOR RUSSIA BUKIT BUNGA CAMBODIA VENEZUELA GUATEMALA SUDAN RANTAU PANJANG YEMEN IRAQ HAITI UKRAINE PENGKALAN KUBUR TURKMENISTAN HONDURAS PAKISTAN SARAWAK ANGOLA INDIA NORTH KOREA SERIAN ERITREA JAMAICA TURKEY LUNDU CHAD LAOS NIGERIA TEBEDU TAJIKISTAN MEXICO LEBANON LUBUK ANTU, SRI AMAN REPUBLIC OF CONGO NICARAGUA ISRAEL MERIRAI,SIBU, CAMBODIA PAKISTAN COLOMBIA LONG BANGA, MIRI ZIMBABWE PANAMA MALI BAKALALAN, MIRI PERU SABAH VENEZUELA KUDAT KOTA MARUDU PITAS BELURAN SANDAKAN KINABATANGAN LAHAD DATU KUNAK SEMPORNA TAWAU. .
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