Revised Laws of Saint Lucia (2023)

Schedule 2

PART A

(Regulation 5)

CERTIFICATE OF REGISTRATION

REGISTRATION OF SUPERVISED ENTITIES ACT,
CAP.12.36: SECTION 7(2)(b)

Certificate of Registration as a Supervised Entity
Certificate No.     
Date:     
THIS IS TO CERTIFY THAT     
(Name of person engaged in other business activity)
has been registered as a supervised entity by the Financial Intelligence Authority in accordance with section 7 of the Registration of Supervised Entities Act.
Issued by the Financial Intelligence Authority, this      day
of      , 20     .
Valid until the      day of      , 20     .
    
Chairperson
Financial Intelligence Authority

PART B

(Regulation 9)

CERTIFICATE OF RENEWAL

REGISTRATION OF SUPERVISED ENTITIES ACT,
CAP.12.36: SECTION 8(3)

Certificate of Renewal of Registration as a Supervised Entity
Certificate No.     
Date:     
THIS IS TO CERTIFY THAT     
(Name of supervised entity)
has RENEWED its registration as a supervised entity with the Financial Intelligence Authority in accordance with section 8 of the Registration of Supervised Entities Act.
Issued by the Financial Intelligence Authority, this      day
of      , 20     .
Valid until the      day of      , 20     .
    
Chairperson
Financial Intelligence Authority