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Proceeds of Crime (Money Laundering) and Terrorist Financing Regulations (SOR/2002-184)

Regulations are current to 2024-11-11 and last amended on 2024-10-11. Previous Versions

SCHEDULE 6(Section 71, subsection 131(3) and section 152)Report with Respect to Casino Disbursements

PART A

Information with Respect to Reporting Person or Entity and Place of Business Where Disbursement Is Made

  • 1* 
    Person’s or entity’s name
  • 2* 
    Identification number assigned to person or entity by Centre
  • 3* 
    Number that identifies place of business
  • 4* 
    Address of place of business
  • 5* 
    Contact person’s name
  • 6 
    Contact person’s e-mail address
  • 7* 
    Contact person’s telephone number

PART B

Information with Respect to Disbursement

  • 1* 
    Date of disbursement
  • 2* 
    Time of disbursement
  • 3* 
    Type and amount of disbursement
  • 4* 
    If disbursement is in funds, type and amount of each type of funds involved
  • 5* 
    If disbursement is not in funds, type of disbursement and its value
  • 6* 
    Method by which disbursement is made
  • 7* 
    Name of every person or entity involved in disbursement and their account number or policy number and name of the person or entity with which the account or policy is held or, if no account number or policy number, identifying number and name of the person or entity that issued it
  • 8* 
    Type of transaction in which disbursement occurs
  • 9* 
    Purpose of disbursement

PART C

Account and Reference Number Information

  • 1* 
    Every account number and other equivalent reference number connected to transaction in which disbursement occurs
  • 1.1* 
    Name of person or entity with which the account is held or of person or entity that issued the reference number
  • 2* 
    Type of account
  • 3* 
    Branch number, institution number and similar numbers connected to account or reference number
  • 4* 
    If account is casino account, address of casino where account is located
  • 5* 
    Name of each account holder
  • 6* 
    Type of fiat currency of account
  • 7 
    Date account opened

PART D

Information with Respect to Person Who Requests Disbursement

  • 1* 
    Person’s name
  • 2 
    Person’s alias
  • 3* 
    Person’s date of birth
  • 4* 
    Person’s address
  • 5 
    Person’s country of residence
  • 6 
    Person’s email address
  • 7 
    Person’s telephone number
  • 8* 
    Nature of person’s principal business or their occupation
  • 9 
    Identification number assigned to person by casino
  • 10* 
    Type of document or other information used to identify person, or to verify their identity, and number of document or number associated with information
  • 11* 
    Jurisdiction and country of issue of document or other information
  • 12 
    Name of person’s employer
  • 13 
    Type of device used by person who requests disbursement online
  • 14 
    Number that identifies device
  • 15 
    Internet Protocol address used by device
  • 16 
    Person’s user name
  • 17 
    Date and time of person’s online session in which disbursement is requested

PART E

Information with Respect to Entity That Requests Disbursement

  • 1* 
    Entity’s name
  • 2* 
    Entity’s address
  • 3 
    Entity’s telephone number
  • 4* 
    Nature of entity’s principal business
  • 5 
    Identification number assigned to entity by casino
  • 6* 
    Name of each person — up to three — who is authorized to bind entity or to act with respect to account
  • 7* 
    Type of document or other information used to identify entity, or to verify its identity, and number of document or number associated with information
  • 8* 
    Jurisdiction and country of issue of document or other information
  • 9 
    Type of device used by entity that makes request online
  • 10 
    Number that identifies device
  • 11 
    Internet Protocol address used by device
  • 12 
    Entity’s user name
  • 13 
    Date and time of entity’s online session in which disbursement is requested

PART F

Information with Respect to Person or Entity on Whose Behalf Disbursement Is Requested

  • 1* 
    Person’s or entity’s name
  • 2* 
    Person’s or entity’s address
  • 3 
    Person’s or entity’s email address
  • 4 
    Person’s or entity’s telephone number
  • 5* 
    Nature of person’s or entity’s principal business or their occupation
  • 6 
    Identification number assigned to person or entity by casino
  • 7 
    Type of document or other information used to identify person or entity, or to verify their identity, and number of document or number associated with information
  • 8 
    Jurisdiction and country of issue of document or other information
  • 9* 
    Relationship of person or entity to person or entity that requests disbursement
  • 10 
    In the case of a person,
    • (a) 
      their alias
    • (b) 
      their date of birth
    • (c) 
      their country of residence
    • (d) 
      their employer’s name
  • 11 
    In the case of an entity,
    • (a) 
      name of each person — up to three — who is authorized to bind entity or to act with respect to account
    • (b*) 
      its registration or incorporation number and jurisdiction and country of issue of that number

PART G

Information with Respect to Person or Entity That Receives Disbursement (if Different from Person or Entity in Part D, E or F)

  • 1* 
    Person’s or entity’s name
  • 2* 
    Person’s or entity’s address
  • 3 
    Person’s or entity’s email address
  • 4 
    Person’s or entity’s telephone number
  • 5 
    Nature of person’s or entity’s principal business or their occupation
  • 6 
    Identification number assigned to person or entity by casino
  • 7 
    Type of document or other information used to identify person or entity, or to verify their identity, and number of document or number associated with information
  • 8 
    Jurisdiction and country of issue of document or other information
  • 9* 
    Relationship of person or entity to person or entity that requests disbursement
  • 10 
    Relationship of person or entity to person or entity on whose behalf disbursement is requested
  • 11 
    User name of person or entity that receives payment online
  • 12 
    In the case of a person,
    • (a) 
      their alias
    • (b) 
      their date of birth
    • (c) 
      their country of residence
    • (d) 
      their employer’s name
  • 13 
    In the case of an entity,
    • (a) 
      name of each person — up to three — who is authorized to bind entity or to act with respect to account
    • (b) 
      its registration or incorporation number and jurisdiction and country of issue of that number
 

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