Professional Documents
Culture Documents
Marks
2—General Information
Full Legal Name Lion International Bank S.C
Abbreviated Name(s)
(if have more than one, list all):
List all Former Legal Names of Applicant: : Lion International Bank S.C
Legal Headquarters Address and Principal Place of Business
Athlete Haile Gebreselassie Avenue Lex Plaza
Building,
Town/City:
Addis Ababa
Woreda 12 ,Yeka sub city Addis Abeba City
Street Address:
Administration
Phone: Fax:
Primary Contact of Applicant Legal Address Mailing Address
Mr./Ms.: Name:
Title/Position: Phone:
Fax: Email:
631 Page 1 of 11 Revised April 2020
©2020 Mastercard
2—General Information (continued)
Secondary Contact Legal Address Mailing Address
Mr./Ms. Name:
Title/Position: Phone:
Fax: Email:
Mr./Ms. Name:
Title/Position: Phone:
Fax: Email:
Describe the activities from which Applicant currently derives most revenues, its major customer segments, and the geographic locations where
these activities are being conducted.
Revenues,:- Interest from Loan & advance, Income from Trade service, Commission Income from letter of guarantee
Customer segments: Individuals, private limited company, public enterprise
Geographic locations: All over Ethiopia & abroad Chaina,UAE Europe & USA
Please explain the nature of the business conducted within each selected geography:
Institution Routing & Transit (R&T) Federal Reserve Bank (FRB) ID Number
Number (US applicants only): (US/US Territory applicants only):
US and US Territory applicants only – complete for Debit and Prepaid programs:
The Durbin Amendment to the Dodd-Frank Wall Street Reform and Consumer Protection Act requires Mastercard to identify your Durbin Rate.
Please indicate below your qualified debit interchange rate.
Board of Directors
Ownership – Individuals
( more than 12,600 share
holder a separate list
attached )
First Name Second Name Last Name Country of Residence Date of Birth Country of Birth % of Ownership
Yes No
Yes No
Yes No
Yes No
*if part of a group, please provide group structure including shareholder information
b) Does Applicant currently have an AML Policy and Program designed to prevent money laundering and terrorist financing?
Yes No
c) Has this policy been deemed adequate by Applicant’s regulatory supervisor?
N/A (not regulated or supervised) Yes No
If yes,
Does the applicant provide Anti-Money Laundering compliance training to all employees? Yes No
If yes, please describe the strategy of your training program, or provide AML and Sanctions training Policies and Procedures:
The training provided for new employee with 45 days , for new BOD’s effective commencing the assignment , a refreshment training once in a year & on
demand training related to new rules & regulation or if the bank acquire new product /service
Is Applicant prohibited from conducting banking activities with the citizens or currency of the jurisdiction which issued its
license? Yes No N/A
If N/A, please explain:
Is Applicant an institution without physical presence* (i.e. offices, employees, etc.) in any country? Yes No
Is it Applicant’s policy to prohibit relationships with an institution that has no physical presence* in any country? Yes No
*(For this purpose, “physical presence” means a fixed place of business maintained by the Applicant; that the Applicant is located at an address (other than solely an electronic, post office or
accommodation address) in the country in which the Applicant is authorized to conduct banking activities; it employs at that location one or more full-time individuals; it maintains at that location
operating records related to banking activities; and it is subject to inspection by the banking authority which licensed the Applicant to conduct banking activities.)
Agency(ies) supervising regulatory compliance of applicant (within country for which you are applying for a license) (if applicable):
Chartering agency(ies), if applicable (Chartering agency is the governmental agency that gives the institution the right to do business as a
financial institution, whether as a bank, credit union, credit card company, building society, etc.):
Does Applicant outsource any AML or Sanctions responsibilities (KYC, Due Diligence, Transaction Monitoring, Sanctions Screening, etc.) to third
parties and or to other entities? Yes No
If yes, please specify which function(s) is outsourced and the name of the entity performing the function.
Does Applicant maintain an oversight process which monitors, audits and performs quality assurance testing over the entity and or third party performing
the outsourced function on Applicant’s behalf? Yes No
Is the oversight process documented within procedures? Yes No - If yes, attach supporting procedure documentation
Does Applicant screen parties related to its MasterCard business (i.e. merchants, cardholders, customers, agents, third parties, etc.) against Watch Lists to
ensure that these individuals and businesses are not linked to AML or Terrorist financing? Yes No
Describe the frequency of ongoing Sanctions (OFAC) screening Daily Weekly Monthly
If the Sanctions and PEP screening process is automated, please provide the name of the vendor YES Sopra
If the Sanctions and PEP screening process is manual, please provide a description of the process
Is Applicant currently, or has the Applicant ever been, operating under any regulatory enforcement action, or subject to pending litigation that could have
a material impact on the activities being applied for? Yes / No
If Yes, please explain
If Applicant is subject to the General Data Protection Regulation (“GDPR”) or any other applicable data protection law, is Applicant compliant with the
GDPR or other applicable data protection law for the handling of personal data? Yes No N/A
If No, please explain
1. A process to ensure thorough client identification and due diligence: Page 12 & 18
2. Sufficient controls, resources, and monitoring systems for the prompt detection and reporting of suspicious activity: Page 28
3. Compliance with all applicable regulatory record-keeping and reporting requirements: Page 28 to 35
4. Risk Assessment processes designed to successfully and accurately identify and apply appropriate risk management controls : Page19
5. A training program for all personnel whose duties require knowledge of the AML program and requirements: page 34
6. An audit process to periodically test controls: page 11
7. Compliance with U.S. sanction programs: Page 30
Indicate Brand License, Participation Level and Type(s) of Activity being requested:
Mastercard Maestro Cirrus
If issuing debit, credit and/or prepaid, will cash access be restricted (i.e. controlled)? Yes No N/A
5—Digital Activity
Digital Wallet Operators
If yes to any of the above, provide your Mastercard issued Wallet ID (WID):
Indicate current and projected number of combined Mastercard and Maestro wallet accounts:
Current Active Wallets Projected Active Wallets End of Year 1 Projected Active Wallets End of Year 2
If yes, in a separate file please provide a list of merchants that you will be offering these services to.
631Page 6 of 11 Revised April 2020
©2020 Mastercard
6—Sponsor Information
For affiliate applicants, provide sponsor(s) information and ICA for each brand:
As a Mastercard affiliate applicant, will you own or control cardholder and/or merchant agreements? Yes No
Maestro
Cirrus
Total
% of Total Processed by
Mastercard
For Mastercard or Maestro issuing programs, what percent of portfolio will be prepaid: %
Year 1
Year 2
Year 3
Single Single
Largest Largest Single Largest
Number of Volume in Merchant Number of Volume in Merchant Number of Volume in Merchant
Merchant Categories Merchants US Dollars Volumes Merchants US Dollars Volumes Merchants US Dollars Volumes
Deferred Delivery
Merchants **
Other
Prohibited Activity
1. No Activity may be conducted in a geography (country or region or other geographic area) that is the subject of applicable sanctions, such as those
identified by OFAC.
2. No Activity may be conducted with a person, entity, or government (including a Government Controlled Merchant) on the OFAC sanctions lists (such as,
the SDN List), A Customer must immediately cease any Activity with a person, entity, or government (including a Government Controlled Merchant) listed
on any of the OFAC sanctions lists.
Government Controlled Merchant : A Merchant that is a government entity or an entity that is at least fifty percent (50%) owned or controlled (either
directly, indirectly, legally or beneficially) by a government or government entity.
NOTE: Activity with an entity listed on OFAC’s Sectoral Sanctions Identifications List (“SSI List”) may only be conducted in compliance with the limitations
and conditions established by OFAC.
If Applicant is approved as a Mastercard Customer, all Rules and other Standards, including those applicable to AML and Sanctions Compliance, are applicable
and enforced on an ongoing basis to Applicant and all of Applicant’s Activity including, but not limited to, any Mastercard-branded program (such as
Mastercard, Maestro, or Cirrus).
Applicant certifies to Mastercard that Applicant is not and at no time will be in breach of any applicable law or regulation, or Mastercard Rule or other
Standard, and that Applicant promptly will provide any information Mastercard may request in connection with this Certification. Applicant acknowledges and
agrees that, should this Applicant Certification be inaccurate in any respect at any time, or should Applicant fail to address any risk associated with Activity or
arising from such Activity to Mastercard’s satisfaction, Mastercard may refuse to gran Applicant any license or may suspend, condition or terminate any license
granted, as the case may be.
By signing, the duly empowered and qualified officer of Applicant identified immediately below, certifies the above information relating to Anti- Money
Laundering and Sanctions is current, true and accurate.
Date:
Full, Legal Name of Applicant (Month-Day-Year)
By:
Authorized Signature
16—Sponsor Certification
Those organizations that are being sponsored must also have their sponsoring licensee sign Section 15 which certifies the below is true and accurate.
This certifies the Institution noted below, as a sponsor for applicant, has reviewed the AML procedures of applicant, and that such AML procedures
comply with applicable laws and regulations, as well as all Mastercard Standards (as such term is defined in the Mastercard Rules manual). Institution
has performed the following due diligence procedures related to applicant:
Applicant, and all owners/directors/senior executives listed on the application are not listed on U.S. State Department list for sponsors of
terrorism or the U.S. Treasury’s Office of Foreign Assets Control’s specially designated nationals and blocked persons list
(http:www.treas.gov/offices/enforcement/ofac/sdn/index.html)
Press and other public sources does not indicate money laundering risk issues
17—Sponsor Signatures
Organizations applying for affiliate licenses must also have their sponsoring Principal, Association, Principal Debit Licensee
(US Only) or TPP Sponsor (U.S. Only) sign below:
Date:
Full, Legal Name of Customer (Month-Day-Year)
By:
Authorized Signature
Region Email
North America Licensing-NY@Mastercard.com
Latin America/Caribbean Licensing-LAC@Mastercard.com
Asia/Pacific/South Asia Licensing-AP@Mastercard.com
Europe Licensing-Europe@Mastercard.com
Middle East/Africa Licensing-MEA@Mastercard.com
NOTE: This application may be withdrawn if all required documentation is not provided within 90 days of receipt of original application by
Mastercard or if Risk and Anti-Money Laundering requirements are not met. If applicant still wishes to pursue a license with Mastercard,
a new application must be submitted.