EDD Form

Enhanced Due Diligence Form
Transaction Date*

DayMonthYear
Location Name*
Nature of Transaction *
Reference No.*
Transaction Code
Reason for Due Diligence*

Possible StructuringHigh FrequencyMultiple SendersHigh Value AmountMultiple BeneficiariesLack of RelationshipHigh Risk JurisdictionOther
Customer Name*
Customer ID Number*
Customer Phone Number*
Occupation*
Source of Funds*
Counter-party's Occupation
(optional)
Purpose and Intended Nature of Transaction*

Family Support and MaintenanceMedical ExpensesTravelling and Accommodation ExpensesEducational ExpensesLoan PaymentOther
Relationship with Counter-party

FamilyEmployee / EmployerTeacher / StudentFriendBusiness PartnerPurchaser / SellerOther
Is a Third Party / Beneficial Owner involved in this transaction?*

YesNo
If yes, Third Party / Beneficial Owner Details*
Beneficial owner is a natural person on whose behalf the transaction is being conducted by a third party.
Additional Comments*
FLA Name and Signatures*
EDD Assessment*
If Unsatisfied, explain?*
Should be Empty: