SCHEDULE 1(Subparagraph 3(b)(i) and paragraphs 4(3)(a) and (3.1)(a))Information To Be Given by Person Described in Paragraph 12(3)(a) of Act, if Not Transporting on Behalf of Entity or Other Person
PART A
Information on Person Described in Paragraph 12(3)(a) of Act
1
Person’s full name
2
Person’s full permanent address
3
Person’s citizenship
4
Person’s date of birth
5
Person’s personal telephone number
6
Type of document confirming person’s identity (e.g., driver’s licence, birth certificate, certificate of Indian status, passport, Record of Landing or permanent resident card) and the number of that document
7
Place of issue of document confirming person’s identity (province or state, country)
PART B
Information on Importation or Exportation
0.1
Indication of whether it is an importation or exportation
1
Departure point of person making the report (country, city)
2
Person’s arrival point (country, city)
PART C
Information on Currency or Monetary Instruments Being Imported or Exported
1
Currency name
2
Country
3
Amount
4
Monetary instruments (type, amount, issuer, date, serial or other identifying number)
