Page 1 Clearstream Banking S.A
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Due Diligence and Sanctions Questionnaire
Clearstream Banking S.A. (CBL)
Clearstream Banking AG (CBF)
Part 1:
To be filled in by the Customer
The questionnaire is required to be answered on a Legal Entity (LE) level per country. This means the
Customer will answer the questionnaire either at head office level covering all branches in the same
country as the head office or at the level of each foreign branch that is active in the s ecurities
business. This questionnaire should not cover more than one LE and should therefore also be
completed by each subsidiary and affiliate that is active in securities business.
I. Company information
1. Registered company name: _______________________________________________________________________
Address: ___________________________________________________________________________________________
City: _______________________________________________________________________________________________
Post code: _________ Country: _______________________________________________________________________
2. Legal form: ______________________________________________________________________________________
Regulatory authority: _______________________________________________________________________________
(if applicable)
3. Please provide us with the main business lines of your company with brief details.
____________________________________________________________________________________________________
4. Does your institution maintain a physical presence in the
licensing country (operational status)?
󠄀 Yes
󠄀 No
5. Please indicate the name and country in which your ultimate parent has its headquarters:
Name: _____________________________________________________________________________________________
Country: __________________________________________ Or 󠄀 N/A
If the ultimate parent company is regulated, please indicate the name of the supervisory authority:
_____________________________________________________________________________________________________
Name of the regulator: ______________________________________________________________________________
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6. Is this questionnaire applicable to your branches and/or
subsidiaries?
II. Ownership and management information
1. Listed company, its subsidiary or controlled company
󠄀 The company is a listed company, listed on a recognised stock exchange.
󠄀 The company is a subsidiary of a listed company.
󠄀 The company is controlled by a listed company.
If any of the above options are selected, please provide details of the listed company.
Name of the listed company: ________________________________________________________________________
Stock exchange on which it is listed: _________________________________________________________________
2. Details of the shareholder structure
󠄀 Shareholder(s) exercise control alone or together with other shareholders at least 10% in the capital
or at least 10% of the voting rights in the company, including through any content, understanding,
relationship or intermediary.
If the above option is selected, please provide a list of the major shareholders holding more than 10% of
shares in your institution.
____________________________________________________________________________________________________
3. Details of beneficial owner(s) - individual(s)
󠄀 There are no natural person(s) who exercise control or ultimately have controlling ownership.
󠄀 The following person(s) exercise(s) control or ultimately has/have a controlling ownership interest, i.e.
having ownership/entitlement of more than 25% of capital/profits/property or controlling through
voting rights, agreement, or similar arrangements.
Please provide details.
____________________________________________________________________________________________________
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Are there any Politically Exposed Persons (PEPs) amongyourinstitutionsownershipstructure?
󠄀 No
󠄀 Yes _______%
If yes, please provide details (role, name, nationality, date of birth):
____________________________________________________________________________________________________
4. Have there been any significant changes in the ownership structure over the last year?
󠄀 No
󠄀 Yes
If yes, please provide details below:
____________________________________________________________________________________________________
5. Please provide the names of the institution's Board of Directors and Management Board (in the case of
a two tier structure), and time served in this position:
____________________________________________________________________________________________________
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Are there any PEPs in the Executive Management?
󠄀 No
󠄀 Yes
If yes, please provide details (role, name, nationality, date of birth):
____________________________________________________________________________________________________
6. Is the institution a U.S. Person or SEC Foreign Registered Broker (in the sense of the U.S. Exchange
Act 1934):
󠄀 Yes
󠄀 No
III. General AML Policies, Practices and Procedures
1. Is your country a member of the Financial Action Task Force (FATF)?
󠄀 Yes
󠄀 No
If no, please provide the name of comparable organisation to which your country belongs (for example, AGP):
____________________________________________________________________________________________________
The following questions (2-13) can be waived if the Wolfsberg Questionnaire is provided.
2. Do you have a legal and regulatory compliance program that includes a designated
officer that is responsible for coordinating and overseeing the AML framework?
󠄀 Yes
󠄀 No
3.Is the financial crime compliance program approved by your institutions board or a
senior committee?
󠄀 Yes
󠄀 No
4. Has your institution developed written policies documenting the processes that you
have in place to prevent, detect and report suspicious transactions?
󠄀 Yes
󠄀 No
5. In addition to inspections by the government supervisors/regulators, does your
institution have an internal audit function or other independent third party that
assesses AML and CTF policies and practices on a regular basis?
If yes, please specify the name of the external auditor:
_________________________________________________________________________________
󠄀 Yes
󠄀 No
6. Does your institution have record retention procedures that comply with applicable
law?
󠄀 Yes
󠄀 No
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7. Does your institution have policies designed to reasonably ensure that it only
operates with correspondent banks that possess licenses to operate in their country
of origin?
󠄀 Yes
󠄀 No
8. Does your institution adhere to the Wolfsberg Transparency Principles and the
appropriate usage of the SWIFT MT202/202COV and MT205/205COV message
formats?
1
󠄀 Yes
󠄀 No
9. Does your institution provide AML training to relevant employees that includes?
Identification and reporting of transactions that must be reported to
government authorities.
Examples of differentformsofmoneylaunderinginvolvingtheFIsproducts
and services.
Internal policies to prevent money laundering.
Compliance with applicable sanctions laws
󠄀 Yes
󠄀 No
10. Does your institution retain records of its training sessions including attendance
records and relevant training materials used?
󠄀 Yes
󠄀 No
11. Does your institution communicate new financial crime compliance related laws
or changes to existing AML related policies or practices to relevant employees?
󠄀 Yes
󠄀 No
12. Does your institution employ agents to carry out any of its AML related functions?
󠄀 Yes
󠄀 No
13. If yes, does your institution provide AML training to relevant agents?
󠄀 Yes
󠄀 No
1
The four payments message standards to be observed are: i) financial institutions (FI) should not omit,
delete, or alter any information in payment messages or orders for the purpose of avoiding detection of
that information by any other FI in the payment process; ii) FIs should not use any particular payment
message for the purpose of avoiding detection of information by any other FI in the payment process; iii)
subject to applicable laws, FIs should cooperate as fully as practicable with other FIs in the payment
process when requesting to provide information about the parties involved; and iv) FIs should strongly
encourage their correspondent banks to observe these principles.
Source: www.wolfsberg-principles.com
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IV. Sanctions Certificate
Does your institution have:
- Any offices, transactions, investments, activities or planned activities in sanctioned targets
2
or
- Any transactions, investments, activities or planned activities with (or in) any person or entity located
in sanctioned targets or with (or in) any entity owned or controlled by any entity located in
sanctioned targets?
󠄀 Yes
󠄀 No
If yes, please elaborate, including specific types of investments, transactions or activities and % of total
revenues and/or assets that these instruments, transactions or activities represent for your institution in
sanctioned targets:
____________________________________________________________________________________________________
Sanctions certification
1) The customer provides the certifications below as required by the General Terms and Conditions
governing the provision of services and products by CBL/CBF with the express purpose of assuring
CBL/CBF that the customer's actions will not cause the customer, CBL/CBF or CBL/CBF`s agents,
depositories or correspondents to violate financial or international trade regulations.
2) The customer certifies that, regardless of whether it is subject to the jurisdiction of the EU and any
EU member state, in all dealings with CBL/CBF
(3)
, it will comply with EU regulations regarding
economic sanctions, anti-money laundering, anti-corruption as those regulations exist at the time of
a transaction or service, provided that, for securities denominated in U.S. Dollars or issued or sub-
deposited in the U.S.A., with a U.S. person outside the U.S.A. or having a U.S. person as agent (U.S.-
linked securities) or cash transactions likely to be processed by a U.S. financial institution (U.S. cash
transactions), the customer will comply additionally with U.S. regulations.
3) The customer further certifies that it will not knowingly or with reason to know, use or permit the use
of any CBL/CBF
3
account, directly or indirectly, or enter into or sustain any client relation that would
cause CBL/CBF
3
to violate EU regulations, or in the case of U.S.-linked securities or U.S. cash
transactions, U.S. regulations, regarding economic sanctions, anti -money laundering or anti-
corruption.
2
A sanctions target means any party that is a target of U.S., EU, UK or UN sanctions or to your knowledge,
any other sanctions authority relevant to your institution. Sanctions targets include any party identified on
the OFAC list of SDN, OFAC Foreign Sanctions Evaders List, or OFAC Sectorial Sancti ons Identifications
Lists, and any party identified in, or in annex to, a resolution of the EU or the UN sanctions as a targeted
party. U.S. sanctions targets also include any person or entity that is a citizen or resident of Iran(For
guidance relating to the lifting of certain U.S. sanctions pursuant to the Joint Comprehensive Plan of
Action, please refer to the following link:
https://www.treasury.gov/resourcecenter/sanctions/Programs/Documents/implement_guide_jcpoa.pdf ),
Cuba, Syria, Sudan and North Korea.
3
CBF, except for securities held in collective safe custody.
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Part 2:
To be filled in by Customers holding client assets for the purpose of providing securities settlement,
custody, funds distribution or similar services . Please note that accounts segregated to one legal
owner may pool or commingle the entitlements of many investors or owners when that legal owner is
itself offering omnibus accounts to its clients, "Pooled Accounts"
1. Has your institution adopted policies and procedures,
supported by appropriate compliance controls, to ensure
that it meets your financial crime compliance obligations
and the ISSA Financial Crime Compliance Principles?
4
󠄀 Yes
󠄀 No
2. Does your institution subject its custody clients to
appropriate due diligence at onboarding and periodically in
order to assess the level of financial crime risk arising
from the provision of custody and fund distribution
services?
󠄀 Yes
󠄀 No
3. Does your institution accept clients that are themselves
sub-depositing assets on behalf of third party clients?
If so;
Do your AML policies and procedures require that
clients sub-depositing assets on behalf of third
party clients are AML regulated?
Does your due diligence program include an
assessment of the effectiveness of the application
of global AML and CTF standards in the
jurisdictions of your clients (where these are AML
regulated)?
Does your institution make an AML / CTF
assessment of its customers and their
transactions?
Do you permit clients sub-depositing assets on
behalf of third party clients to do so on a
commingled basis (in "pooled" or omnibus"
account(s)
󠄀 Yes
󠄀 No
󠄀 Yes
󠄀 No
󠄀 Yes
󠄀 No
󠄀 Yes
󠄀 No
󠄀 Yes
󠄀 No
4. Does your institution screen customers and transactions
against lists of persons and entities sanctioned by
competent authorities and against countries/regions
subject to comprehensive jurisdiction-based sanctions
administered by government/competent authorities of G7
members countries?
If so, please give details of the authorities:
________________________________________________________
󠄀 Domestic authorities
󠄀 US Treasury (OFAC)
󠄀 EU Council
󠄀 UN
󠄀 Other (please comment)
_________________________________________
4
The question related to ISSA principles is for information purpose only. A negative answer will not trigger
any further requirement.
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5. Where your institution opens accounts with CBL/CBF for
the purpose of segregating assets of a single owner, does
it declare to CBL/CBF the owner of the assets deposited?
󠄀 Yes
󠄀 No
6. Does your institution prohibit the opening of anonymous
or numbered accounts by clients?
󠄀 Yes
󠄀 No
7. Which financial products and services does your
institution offer to its securities custody and funds
distribution clients?
󠄀 Depository / Settlement services
󠄀 Standalone Custody / Securities Services
Division
󠄀 Investment Bank / Brokerage
󠄀 Wealth Management / Private Banking
󠄀 Transaction banking
󠄀 Corporate Trust
󠄀 Other (please comment)
_________________________________________
8. Does your institution systematically collect information
regardingitscustomersbusinessactivities?
󠄀 Yes
󠄀 No
9. Does your institution make an AML / CTF risk
assessment of your customers and their transactions?
󠄀 Yes
󠄀 No
10. Does your institution have a monitoring program for
unusual and potentially suspicious activity that covers
securities and funds services?
󠄀 Yes
󠄀 No
11. Does your institution have policies and procedures in
place to exclude or to block securities interests it suspects
may be ultimately owned by targets of sanctions?
󠄀 Yes
󠄀 No
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Comments and additional information:
____________________________________________________________________________________________________
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Part 3:
To be filled in by Customers holding third party assets commingled on an omnibus account.
Please note that accounts segregated to one legal owner may pool or commingle the
entitlements of many investors or owners when that legal owner is itself offering omnibus
accounts to its clients
1. Does your institution intermediate third party
securities or funds in the ordinary course of its
business?
󠄀 Yes
󠄀 No
2. Does your institution have policies reasonably
designed to ensure that it opens omnibus accounts only
for custodians that possess licenses to operate in their
countries of origin (or to validate the asset protection
arrangements of custodians in jurisdictions where
safekeeping is not regulated)?
󠄀 Yes
󠄀 No
3. Does your institution take steps that are reasonably
designed to determine that the ultimate ownership of
assets deposited in omnibus form has been identified by
yourself or by your own customers in compliance with
the ISSA FCC Principles?
󠄀 Yes
󠄀 No
4. Does your institution have a program in place to
identify and to record the ultimate ownership of any
assets deposited by your non-AML regulated clients?
󠄀 Yes
󠄀 No
󠄀 N/A
5. Does your institution have customers who are
persons and entities sanctioned by competent
authorities as well as against countries/regions subject
to comprehensive jurisdiction-based sanctions
administered by government/competent authorities of
G7 member countries identified in question 4 Part 2)
󠄀 Yes
󠄀 No
6. Does your institution deposit assets with CBL/CBF on
behalf of persons and entities sanctioned by competent
authorities as well as against countries/regions subject
to comprehensive jurisdiction-based sanctions
administered by government/competent authorities of
G7 member countries identified in question 4 Part 2)
If so, are those assets blocked?
󠄀 Yes
󠄀 No
󠄀 Yes
󠄀 No
7. Does your institution have policies and procedures in
place to exclude and to block, or to ensure that your
customers can block, securities interests deposited
with CBL/CBF that are ultimately owned by persons and
entities sanctioned by competent authorities as well as
against countries/regions subject to comprehensive
jurisdiction-based sanctions administered by
government/competent authorities of G7 member
countries?
󠄀 Yes
󠄀 No
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8. Does your institution have policies and procedure in
place to notify CBL/CBF of securities interests sub-
deposited by persons and/or entities sanctioned by
competent authorities as well as against
countries/regions subject to comprehensive
jurisdiction-based sanctions administered by
government/competent authorities of G7 member
countries?
󠄀 Yes
󠄀 No
9. Does your institution have policies to ensure that its
customers will not conduct transactions with or on
behalf of shell banks through any of accounts with or
operated by CBL/CBF?
󠄀 Yes
󠄀 No
10. Please identify the types of clients that you r
institution services from its account(s) at CBL/CBF in
which assets of more than one third party are
commingled (such as omnibus accounts).
Please check all that apply.
󠄀 Broker dealers
󠄀 Investment banks
󠄀 Custodians
󠄀 CSDs
󠄀 Retail / Savings banks
󠄀 Non-bank asset managers
󠄀 Central banks
󠄀 Sovereign wealth funds
󠄀 Supra-nationals
󠄀 Pension / Insurance funds
󠄀 Mutual funds
󠄀 Corporates
󠄀 Private clients (High net worth)
󠄀 Private Clients (Retail)
󠄀 Offshore companies / SPVs
󠄀 Others (please comment):
_______________________________
11. Where are your institutionsclients located?
Please comment on any significant sources of cross-
border business that exceed 25% of the assets
deposited with CBL/CBF.
List of countries:
_________________________________
󠄀 Domestic clients only
󠄀 Domestic and Cross Border clients
󠄀 Cross Border Clients only
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12. Will your institution deposit assets with CBL/CBF on
behalf of clients resident in any of the following?
󠄀 a. Countries designated by FATF or
its regional affiliates as having
strategic AML and CTF
deficiencies
󠄀 b. Countries that are the target of
UN sanctions or sanctions
potentially affecting the Custodian
or its sub-custodians.
If so, are those assets blocked?
󠄀 Yes
󠄀 No
Please describe the process for
ensuring Clearstream is not
instructed to process transactions
for any clients to which b applies:
_________________________________
13. Please identify the products that your institution
supports with the omnibus account(s) held with
CBL/CBF:
󠄀 Securities services / Custody
󠄀 Securities lending / collateral
management
󠄀 Fund administration / Distribution
󠄀 Retail banking
󠄀 Wealth management
󠄀 Investment banking
󠄀 Prime brokerage
󠄀 Investment / fund management
󠄀 Corporate banking
󠄀 Corporate trust
󠄀 Other (please specify):
_________________________________
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14. Does your institution have a process to identify the
following types of security before they are deposited
with CBL/CBF?
󠄀 No
󠄀 Yes
If Yes, which types of security:
󠄀 Low priced equities (with a
market value of less than USD 1)
󠄀 Private Placements
󠄀 Alternative funds and other
closed end collective investment
schemes
Questionnaire completed by:
First name: _____________________________________________________________________________
Last name: ______________________________________________________________________________
Job role at the institution detailed above: _________________________________________________
Email address: __________________________________________________________________________
Telephone: ______________________________________________________________________________
The undersigned, based on his/her best knowledge and belief, certifies the above referenced
questions were answered considering the existing internal controls of the subject financial
institutions, and further present an accurate representation of the existing state of the
institution's anti-money laundering and anti-terrorist financing controls and financial
services activities.
Authorised signature(s):
Date: ___________________________________________________________________________________
Completed Due Diligence Questionnaire may be sent via email to your Relationship
Manager
For internal use only:
Form validated by (Name of RM):
Date: