SCHEDULE 1(Subparagraph 3(b)(i), section 3.1 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 with Respect to Person Described in Paragraph 12(3)(a) of Act
1
Person’s name
2
Person’s permanent address
3
Person’s citizenship
4
Person’s date of birth
5
Person’s telephone number
6
Type of document or other information used to identify person and number of document or number associated with information
7
Jurisdiction and country of issue of document or other information
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)
3
Person’s transit points (country, city)
4
Person’s dates of travel
PART C
Information with Respect to Each Currency That Is Imported or Exported
1
Type of currency
2
Issuing country or jurisdiction
3
Amount of currency in the foreign currency and its amount in Canadian dollars and exchange rate used
4
Purpose of importation or exportation
PART D
Information with Respect to Each Monetary Instrument That Is Imported or Exported
1
Type of monetary instrument
2
Amount of monetary instrument in the foreign currency and its amount in Canadian dollars and exchange rate used
3
Issuer of monetary instrument
4
Date of issuance of monetary instrument
5
Serial number or other number that identifies monetary instrument
