ࡱ> _'bjbj 4bbi2 2 $$$8\ $W>H:NNN%%%=======$@CH=%O%"q%"%%=NN >!(!(!(%|N8N=!(%=!(!(Z9:N"9&T9='>0W>9Cc'C(:C: %%!(%%%%%==!(%%%W>%%%%C%%%%%%%%%2 R: REGISTRATION FORM (registration and system login profile) The registration obligation of the service providers to the Analyst Department of FIU is derived from article 15a, first paragraph of the National Ordinance on the Reporting of Unusual Transactions (NORUT) Section A: Information on the Service Provider Official name: Trade name(s): Chamber of Commerce no. Attach a certified excerpt of the Chamber of Commerce (not older than 6 months) to this form. Business address: Correspondence address: P.O. Box: Telephone number: Fax number: E-mail address:  Section B: Occupational Group Please indicate which occupational group (Businesses and Professions) applies to you  FORMCHECKBOX  Providers of online gambling  FORMCHECKBOX  Providers of Lotteries  FORMCHECKBOX  Accountants  FORMCHECKBOX  Administration Offices  FORMCHECKBOX  Administrator s of investments institution  FORMCHECKBOX  Independent legal advisors, lawyers  FORMCHECKBOX  Dealer in vehicles / car dealers  FORMCHECKBOX  Banks (local / international / saving funds / saving banks)  FORMCHECKBOX  Investment institutions  FORMCHECKBOX  Casino  FORMCHECKBOX  Central Bank (Central Bank of Curaao and St Maarten (CBCS))  FORMCHECKBOX  Credit card companies and credit institutions  FORMCHECKBOX  Factoring provider  FORMCHECKBOX  Money remitter  FORMCHECKBOX  Trader in building materials  FORMCHECKBOX  Jeweler (Dealer in Jewels, precious metals ,precious metals)  FORMCHECKBOX  Real Estate Agents  FORMCHECKBOX  (Candidate) Notary  FORMCHECKBOX  Trust (Trust companies and other company service providers  FORMCHECKBOX  Legal Trusts (As mentioned in Title 6, book 3 of the Civil Code)  FORMCHECKBOX  Life Insurance and Insurance Intermediary  FORMCHECKBOX  Tax Advisor (Tax Consultant) Section C: Information of the system user *) Name of the system user /for whom access to the system is being requested: (Attach a copy of a valid identification document of this person to this form)Telephone number:E-mail address of the system user: NB: This e-mail address is going to be used for official confidential correspondence with the registered organization / person) Signature of the system user:  Name and official position of the person within the company requesting access to the system for the system user: (Attach a copy of a valid identification document of this person to this form )Telephone number:E-mail address of this person:Signature of the above-mentioned person:*) If you are requesting access for multiple system users, please copy this tabular section for each system user, complete the section per user and add here. Section D: Information the Legal representative(s) **) Name and function of the Legal representative: (Attach a copy of a valid identification document of this person to this form)Authority to represent the company  FORMCHECKBOX  Solely  FORMCHECKBOX  TogetherTelephone number:E-mail address of the Legal representative**) If you have multiple legal representatives, please copy this tabular section for each legal representative, complete the section per representative and add here. Signature: I declare to have taken note of the appendix attached to the registration form: MOT Portal Admittance Requirements & Security Policies and have signed it. I declare that this form has been completed fully and truthfully and that all necessary underlying documents have been attached. I declare service provider familiar with obligations arising from the National Ordinance on the Reporting of Unusual Transactions (NORUT) en the National Ordinance on Identification when rendering Services (NOIS). Date: Signature of the legal representative: NB The registration is complete after you receive an e-mail from the FIU with your username and password to the Corsys-system. CHECKLIST OF ANNEXES REGISTRATION FORM:  FORMCHECKBOX Certified excerpt of the Chamber of Commerce of Curaao (not older than 6 months);  FORMCHECKBOX Copy of a valid Identification Document of the Legal representative(s);  FORMCHECKBOX Copy of a valid Identification Document of the Compliance Officer. Appendix: MOT Portal Admittance Requirements & Security Policies (This document consists of two pages; please initital the first page and sign on the second page) System Requirements software: Operating System: Windows XP (all versions), Windows Vista (all versions), Windows 7/8/9/10 (all versions), Apple Macintosh OS X 10.5 and up Browser: Microsoft Internet Explorer 7 and up, Mozilla Firefox 3.6 and up, Google Chrome Cookies: Your browser needs to accept cookies for the MOT portal website Flash Plugin: The Adobe Flash plug-in version 10 or higher needs to be installed Internet access: The computer should have internet access (preferable with minimum 1Mb bandwidth) User Access: User access to CORSYS is strictly personal and you should never share your access, passwords or passcodes with others. You are only permitted to access the MOT Portal as a representative of the organization that is required to report unusual transactions and conform the terms of this agreement. Security/Suggestions: Your computer should only be used in a physical secured environment and the user should adhere to safe internet use: Your computer must be protected against malware with an antivirus software product with a up to date threat protection. If you are using a wireless connection, the wireless connection must be protected (encryption) You are required to always use the latest updates for your software. Check if you are using the latest available web browser version. You are required to always install the latest updates and security patches for your computer. Password security: The portal will invoke a password security policy of 180 days. This means that the user is obliged to change the password at least every 180 days. If you know of or suspect unauthorized access by others to your or someone else's account or the use of passwords / passcodes by others, you are obliged to immediately report this to the FIU, and if required you will also report this to the Police. Please be also referred to the articles regarding among others confidentiality in the National Ordinance Reporting Unusual Transactions (NORUT), that are applicable to reporting and the use of the MOT portal. Liability The FIU is not responsible nor liable for any technical infrastructure that is not under its own control. That includes the systems required for the communication between the user and the FIU, like the telephone and Internet network and also the computer systems on the user's location. The FIU is therefore not responsible nor liable for any messages not received. The FIU has done and will do its utmost to protect the security and availability of the new reporting system and cannot be held responsible nor liable for any damage or losses to your computer system or data on the system. By checking this box I confirm having read and accepted the contents of this document regarding CORSYS. SIGNATURE: NAME: FUNCTION: If the above is not the signature of the legal representative of the reporting entity, the legal representative is also required to sign this document for acceptance: SIGNATURE: NAME: FUNCTION: N.G. 2017, no. 99 (CT) N.G. 2017, no. 99 (CT) N.G. 2017, no. 92 (CT)  Signature of the legal representative is mandatory.      Page  PAGE 1 of  NUMPAGES 6 Financial Intelligence Unit Curaao APC Plaza, Schouwburgweg 22, Curaao Tel. 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