Physical Currency and Bearer Negotiable Instruments Report (Sender, Carrier or Recipient) — Form NP 728

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For information on how to install Adobe Reader and configure your viewing environment please see http://www.adobe.com/go/pdf_forms_configure. <!-- page break --> ## Form captions and labels (from the XFA template, in document order) - Form NP 728 - Reference No. - Form Type(hidden) - Form Version - NP 728 (2/25) - Form NP 728 - Reference No. - Please click on 'Import XML' to import data to this form. - Import XML - Personal Particulars - Information on CBNI - Declaration - * Fields denoted with an asterisk are mandatory and cannot be left blank. - NP 728 (2/25) - Form NP 728 - Reference No. - Personal Particulars - Information on CBNI - Declaration - NP 728 (2/25) - Form NP 728 - Reference No. - Personal Particulars - Information on CBNI - Declaration - NP 728 (2/25) - Physical Currency and Bearer Negotiable Instruments Report - Sender, Carrier or Recipient (of Physical Currency and Bearer Negotiable Instruments) - CORRUPTION, DRUG TRAFFICKING AND OTHER SERIOUS CRIMES (CONFISCATION OF BENEFITS) ACT 1992 SECTIONS 60 or 62 - There is no restriction to receiving and moving any type or amount of physical currency* and bearer negotiable instruments ♦ . This reporting requirement is part of the effort to combat international money laundering and terrorism financing. - Address of Suspicious Transaction Reporting Office: Suspicious Transaction Reporting Office Commercial Affairs Department 391 New Bridge Road, #06-701 Police Cantonment Complex, Block D Singapore 088762 - General Information - 1. - If you are sending physical currency* and bearer negotiable instrument♦ (CBNI) out of Singapore, the total value of which exceeds SGD 20,000 (or its equivalent in a foreign currency) , you are required by law to give a full and accurate report and the report must reach the Suspicious Transaction Reporting Office at least 1 business day prior to sending CBNI out of Singapore. - 2. - If you are bringing CBNI into Singapore, the total value of which exceeds SGD 20,000 (or its equivalent in a foreign currency) , you are required by law to give a full and accurate report and the report must reach the Suspicious Transaction Reporting Office at least 1 business day prior to bringing CBNI into Singapore. - 3. - If you are a recipient of CBNI from outside Singapore, the total value of which exceeds SGD 20,000 (or its equivalent in a foreign currency) , you are required by law to give a full and accurate report and submit it to the Suspicious Transaction Reporting Office within 5 business days upon receipt. - 4. - The punishment under the law for failing to give a full and accurate report is a fine not exceeding SGD 50,000 or imprisonment for a term not exceeding 3 years, or to both. The CBNI may also be seized. - 5. - For assistance, please visit the Singapore Police Force website at www.police.gov.sg/Advisories/Crime/Commercial-Crimes/Suspicious-Transaction-Reporting-Office . - *Physical currency refers to the coin and printed money (whether of Singapore or of a foreign country / region) that is designated as legal tender and circulates as, and is customarily used and accepted as, a medium of exchange in the country / region of issue. - ♦ A Bearer Negotiable Instrument (BNI) means: (a) a traveller's cheque; or (b) any negotiable instrument that is in bearer form, indorsed without any restriction, made out to a fictitious payee or otherwise in such form that title thereto passes upon delivery, and includes a negotiable instrument that has been signed but with the payee's name omitted. - Examples of negotiable instruments are a bill of exchange, cheque or promissory note. - Part I: Personal Particulars - I am making this report * - For myself - On behalf of another person - On behalf of another entity - Movement of CBNI * - Entering Singapore - Leaving Singapore - Full Name - i - Date of Birth * (DD/MM/YYYY) - i - / - / - Sex * - Male - Female - ID Type * - Passport Number / ID Number * - Country / Region of Issue * - Nationality / Citizenship * - Occupation / Profession * - Permanent Address In Singapore or Overseas * - Permanent Address In Singapore or Overseas - i - Block / House No * - Street Name * - Building Name - Floor and Unit - # - - - Postal Code * - City - State - Country / Region * - To be completed if the person on whose behalf the report is made is a company or association or body of persons, corporate or unincorporate - Name of company or association or body of persons, corporate or unincorporate - Registration Number - Country / Region of Registration - To be completed if the person on whose behalf the report is made is a natural person - Name of Person - Passport Number - Nationality / Citizenship - Part II: Information on Physical Currency and Bearer Negotiable Instruments (CBNI) - Country / Region from which CBNI was moved, if applicable * - Country / Region to which CBNI is to be moved, if applicable * - Purpose of CBNI * No. of Characters (Max): 100 - Number of CBNI: - CBNI - - - + - CBNI Type * - Currency - Traveller's Cheque - Cheque - Money Order - Bill Of Exchange - Promissory Note - Others - Currency Code * - Amount * (to nearest whole number) - Do you own the CBNI * - Yes - No - Number of Source(s): - Each CBNI must have at least 1 Source or 1 Recipient entered - Source of CBNI - Same as CBNI 1 - Person Entity - + - Business Entity - + - Source of CBNI - Person Entity - x - Name of Person Entity from whom CBNI is received * - Date of Birth (DD/MM/YYYY) - / - / - ID Type * - Passport Number / ID Number - Address of Person Entity from whom CBNI is received - i - Block / House No - Street Name - Building Name - Floor and Unit - # - - - Postal Code - City - State - Country / Region - Source of CBNI - Business Entity - x - Name of Business Entity from whom CBNI is received * - Registration Number - Country or Region of Registration * - Date of Registration (DD/MM/YYYY) - / - / - Address of Business Entity from whom CBNI is received - i - Block / House No - Street Name - Building Name - Floor and Unit - # - - - Postal Code - City - State - Country / Region - Number of Intended Recipient(s): - Intended Recipient of CBNI - Same as CBNI 1 - Person Entity - + - Business Entity - + - Intended Recipient of CBNI - Person Entity - x - Name of Intended Recipient of CBNI * - / - / - ID Type * - Address of Intended Recipient of CBNI - i - Block / House No - Street Name - Building Name - Floor and Unit - # - - - Postal Code - City - State - Country / Region - Intended Recipient of CBNI - Business Entity - x - Registration Number - / - / - i - Block / House No - Street Name - Building Name - Floor and Unit - # - - - Postal Code - City - State - Country / Region - Part III: Declaration and Submission Details - Please click on 'Validate Form'. Form validation must be successful before it can be submitted - Validate Form - Validation Status - I declare that the information provided is true and correct - Name / Signature of person who submitted declaration - i - ID of person who submitted declaration - i - Date / Time the declaration was submitted - i - ID Type of person who submitted declaration - i - ReaderRec(hidden)