Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698082176090.pdf (Sierra Leone)
STATUTORY INSTRUMENT Supplement to the Sierra Leone Gazette Vol.

CXLX, No.

9 dated 24th January, 2019 STATUTORY INSTRUMENT NO.

3 OF 2019 Published 24th January, 2019 THE ANTI-CORRUPTION ACT, 2008 (ACT No.

12 of 2008) THE ANTI-CORRUPTION COMMISSION (ASSET Short tittle.

DECLARATION) REGULATIONS, 2019 In exercise of the powers conferred on it by Section 140 of the Anti-Corruption Act, 2008 the Commission hereby makes the following regulations– 1.
In these Regulations unless the context otherwise requires– Interpretation.

“Act” means the Anti-Corruption Act, 2008; and “declarant” means a public officer required by the Act or these Regulations to deposit a sworn declaration of his income, assets and liabilities to the Commission under subsection (1) of section 119.

2 Public officers specified by Commissioner.

2.


The categories of persons listed under the First Schedule are public officers specified by the Commissioner under subsection (16) of section 119 for the purpose of declaration of assets, income and liabilities.

Asset declaration form.

3.

The declaration of income, assets and liabilities required under subsection (16) of section 119 shall be in the form specified in the Second Schedule.

Certificate published by Commission.

Investigation of declara- tion.


4.

The certificate to be published by the Commission under subsection (2) of section 120 shall be in the form specified in the Third Schedule.

5.

The Commission shall investigate each declaration form to ascertain whether the declaration – (a) sufficiently accounted for all income, assets and liabilities; (b) adequately stated the value of assets; and (c) indicate illicit enrichment.

Commission to archive declaration forms.

6.


A declaration form deposited with the Commission under subsection (1) of section 119 shall be archived by the Commission for a period of not less than twenty years.
SCHEDULES FIRST SCHEDULE 3 CATEGORIES OF PUBLIC OFFICERS SPECIFIED BY THE COMMISSIONER UNDER SUBSECTION (16) OF SECTION 119 FOR THE PURPOSE OF DECLARATION OF ASSETS, INCOME AND LIABILITIES (a) Persons in elective offices; (b) Persons appointed by the President; (c) Public officers in grade 7 and above; (d) Public officers below grade 7 who – (i) handle or control cash or goods; (ii) (iii) make official decisions or recommendations relating to the granting or denial of licences in regulatory sectors; conduct research or prepare analytic reports for higher level officials who make critical decisions on financial, economic or regulatory policies; (iv) are in regulatory agencies responsible for regulatory compliance, monitoring and inspection; (e) Any organisation, whether local or foreign, established to render any voluntary social service to the public or any section thereof or for other charitable purposes, which receives funds or other donation for the benefit of the people of Sierra Leone or a section thereof; and (f) Persons notified in writing that they are under formal investigation by the Commission and such person or persons shall submit the asset declaration forms within 14 days from the receipt of the notice.
4 SECOND SCHEDULE NAME:…………………………………………………………………………………………………........ MDA:…………………………………………………………………………………………………………...

DESIGNATION:…………………………………………………………………………………........ PH OT O F OR N EW DEC LARAN T ON LY ADF2018 NO: NOTE: PLE ASE READ THE IN STRUC TIONS BE LOW CA REFUL LY B EF ORE CO MP LE TING THIS FO RM.
GUIDELINES FOR COMPLET ION OF T HE ASSET DECLARAT ION FORM (All availabl e inform ation should be includ ed) Respo nsibility for co mp leteness and accuracy of this A sset D isclo sure f orm rests so lely with the dec larant who must sig n and notarize the f orm regard less of whether the form is comp leted o r submitted by rep resentative o r agent.
In accordance with S ection 11 9 of the Anti-Co rrup tio n Act, 2008, a p erson hold ing pub lic office shall declare his/ her inco me, assets and liabilities and that of his/her spouse(s) and child ren/d ep end ant.

Such p erso n must d eclare O NLY those assets he/she ACT U ALLY owns o r liab ilities alread y incurred at the tim e o f submission of this f orm.
These shall include a ny assets/liab ilities he/she holds as sole owner, as well as jo intly or severally (i.e p artial owne rship ), as well as tho se held o n behalf of or in trust fo r third parties and any assets/liabilities held by o r incurred b y third parties on his/her behalf .

Such perso n MUST NOT d eclare any asset he/she is ANTI CIPATING.
All Inco me/Assets/Liabilities whether acq uired inside o r o utsid e S ierra L eone MUST b e stated clearly with th e true curre nt value of the said asset o r liability in the currency of the country where they are situated.

The d eclaratio n shall be sub mitted within 3 mo nths of the perso n b ecoming a pub lic officer, and thereaf ter no t later than 31st March in each succeed ing year, and whe n the officer is leaving off ice.
In accordance with S ection 119 (13) of the Act, the d eclaratio n shall be secret and co nf id ential.

In acco rd ance with Sectio n 120 and 121 of the Act, the Commission may verif y the accuracy of the d ec laratio n of inco me/assets/liabilities submitted b y pub lic officer including his spo use(s) and child re n/dep end ants.

VE RIFICATIO N may b e mad e b y officers of the Commission authorized on its b ehalf .
Do not leave any column blank, rathe r w he re you have no information to fill in the relevant column, please mark an X indicating, “NOT APP LICABLE” o r “Yo u do no t o wn such p rop erty (ies)” Please use a sep arate sheet of pap er if the space p rovided is no t ad eq uate.

If the inf o rmation submitted in yo ur p revious d eclaratio n remains the same, please tick the NO CHANGE b ox.
After completio n of the form, the d eclarant o r his/her desig nated ag ent/representative must hand over the fo rm to the Commission and an ackno wled gment receip t will b e issued .
In acco rd ance with sectio n 122 of the Act, any d eclarant who willf ully o r without reaso nable cause m akes a f alse statement in r elatio n to this inco me/assets/liabilities d eclaratio n fo rm shall be g uilty of an off ence and shall b e liab le o n co nvictio n to a f ine no t less than twenty million Leones or to imp riso nment for a term not less than o ne year o r b oth such fine and imp riso nment.
*It is recomm end ed to k eep a copy o f the Com ple ted an d Notaris ed form fo r your ow n reco rds THIS FORM IS PROVIDED FREE OF CHARGE W ith support from the EUROPEAN UNION CONFIDENTIAL ASSETS DECLARATION AND PERSONAL INFORMATION FORM Please write carefully 5 PART A - GENERAL INFORMATION PHAS E I - US ER DETAILS  Personal Details  Employee Details and  Family Details TITLE Surnam e First Name Middle Name Previous Name/Aliases Date of Birth Present Citizenship Details of any other Citizenship Marital status Gender (Male, Female) Mobile No.
Em ail: Passport number (s) National ID Card num ber (if any) Permanent Address: (Mailing Address) Present Address if different from above 1B.

EMPLOYMENT DETAILS 1A.

PERSONAL DETAILS Ministry, Departm ent or Agency (MDA) Employee Category Designation (e.g Permanent Secretary, Procurement Officer, Current Posting Grade or Rank Currency Annual Salary (net) Other Allowances (specify:-) Social Security Number (SS No).
Employee ID No: Employee Pin Code (If any) Establishment Registration Number (if any) Start Date End Date LEONES USD GBP EURO DAY DAY MONTH MONTH YEAR YEAR Specify source (s) of Income (e.g.

Employment, Rent, Farm land, Business Interest etc, and Others, please specify: With support from the EUROPEAN UNION 1 6 1C.

FAMIL Y DETAILS DETAILS OF SPOUSE(S), AND DEPENDANTS UNDER 18 YEARS If the information submitted in your previous declaration remains the sa me, please tick the NO CHANGE box.
NO CHANGE Full Name ( Surname First N ame & Middl e Name) Rel ationship Present Addr ess D ate of Birth Gender R el ationship Nationali ty Spouse Child D ependant 7 If the information submitted in your previous declaration remains the same, plea se tick the NO CHANGE box.

2B.
2B.

IMMOVABLE PROPERTIES SUCH AS LAND AND BUILDING/HOUSE IN AND OUTSIDE OF SIERRA LEONE NO CHANGE Name of Registered Owner Relationship (please click X below were appro- priate) Self Spouse Child Dependent Types of asset Location Plot/ Thram No.
Size/ Acre Estimated Current Market Value Acquisition Cost Ye ar Mode PART B - DECLARATION PHASE II  Declaration of Assets and Income  Declaration of Liabilities Total   Typ es of asset (Building/ho uses, Farms, Vacan t Land(s), Apartmen ts, Commercial/production Locations) Plot/ Thram No, and Size/acre are comp ulsory field s if asset typ e is land o r farm) Question: Do you, your spouse (s) and dependant (s) own Income and Assets in or outside Sierra Leone?
Yes/No  Mode of acquisition of immovable assets can be :( Purchase, Gift, Trust/Loan, Construction /Savings, Inheritance etc.

If yes, please specify:- 2A.

CASH OR BANK/INTEREST BEARING DEPOSITS (IN AND OUTSIDE OF SIERRA LEONE) NO CHANGE Owner’s N ame Relationshi p (please cli ck X below)* Account No Types of Deposit Name of Institution/ Bank Location /B ranch Amount/ Account bal ance Source of D eposi t Sel f Spouse Child Depen- dant Question: Do you own movable assets?

If Yes, please specify.

2C.


MOVABLE ASSETS NO CHANGE If the information submitted in your previous declaration remains the same, pl ea se tick the NO CHANGE box.

Name of Register ed Owner Relationship (please click X below were appropriate) Self Spouse Child Depen- dant Types of Vehicle/ Machiner y Descripti on Registra tion No.

Locati on Purchase/ Use of vehicle/ Machiner y Estimat ed Current Market Value Acquisition Cost Year Mode Cash at hand at th e time o f d eclaration (please specify.
Types of Deposit are: (fixed, saving , current etc.

deposits) Do yo u own Join t Income (s)/Properties?

If yes, please sp ecify details…………………………………………………………………….

Question: Do you own properties such as land and building/house in and outside Sierra Leone?
Click Yes/No If Yes, please specify:- With support from the EUROPEAN UNION TO TAL NOTE: Typ e of Mo veable assets (Vehicle, Tractors, Bo at, Yach t, All o th er means of transportation that are subject to registration under law) Purpose o f Vehicles/Machineries (co mmercial , private etc) 2 With support from the EUROPEAN UNION 3 8 9 2D.
DO YOU OR YOUR SPOUSE (S), DEPENDANT (S) OWN SECURITIES INCLUDING PREMIUM BONDS, SHARES,DEBENTURES, STOCKS,CERTIFICATES, INSURANCE PREMIUM AND TRUST FUNDS If the information submitted in your previous declaration remains the sa me, plea se tick the NO CHANGE box.

IN OR OUTSIDE SIERRA LEONE.


NO CHANGE Name of Owner and Relationship Name of Security Type of Security Certificate Number Number of Shares and stocks ( for share- holders only) Name of company, Business or bank Ye arly Interest of shares Nature of shares Current Market Value Acquisition Cost Yr Mode 3A.
DECLARATION OF LIABILITIES LOANS, MORTGAGES, OVERDRAFTS AND OTHER DEBTS IN AND OUTSIDE OF SIERRA LEONE If the information submitted in your previous declaration remains the same, please tick the NO CHANGE box.
NO CHANGE Name of Debtor Relati onship (Please click X below were appropriate) Sel f Spouse Child Depen- dant Locatio n of Credi to r C reditor (Financial I nsti tutio ns, I ndividual s) Loan Amount ( Actual amount Avai labl e) Year Contra cted Purpos e of Loan Loan R e- payment ( Annual) Paym ent Perio d Loan Outstan d- ing Time of Matur ity Rem arks (If any) 2E.
OTHER ASSETS AND ACTIVITIES NOT SPECIFIED (IF ANY) IN OR OUTSIDE OF SIERRA LEONE Name of Owner Relationship (please click X below were appropriate) Asset Types Location Self Spouse Child Depen- dant If the information submitted in your previous declarati on remains the same, please tick the NO CHANGE box.

NO CHANGE Estimated/ Current Market Value Acquisition Remarks (if any) Cost Ye ar Mode 2F.
INCOME STATEMENT (INTEREST, DIVIDEND, LOTTERY WINNING, THRIFT/OSUSU ETC Earners Name Relationship (please click X below were appropriate) Types Income If the information submitted in your previous declaration remains the same, please tick the NO CHANGE box.
Income From NO CHANGE Self Spouse Child Depen- dant Location Rentals Name of Company, Business or Bank Deposit/ Security (Interest) Share Holding (Dividend) Hire Charges/ Lease An y other sourc e(s) DECLARATION: I swear or affirm that all the information that I ha ve written on this form is true and I make this solemn declaration conscien- tiously the same to be true and correct by virtue of the Statutory Declaration Act, 1835, and p ursuant to the Anti-Corruption Act 2008.
Solemnly declared at ……………………………… this ……………………… day of …………………………2017.

Signature …………………………………… A Commissioner of Oaths/ Notary Public/ Justice of the Peace BEFORE ME ……………………………………...
Stamp & Signature (Please use additional sheets if nec essary) With support from the EUROPEAN UNION 4 With support from the EUROPEAN UNION 5 10 THIRD SCHEDULE 11 CERTIFICATE PUBLISHED BY THE COMMISSION A N TI- C O R R U P T IO N C O M M IS SIO N O FFIC IA L A C K N O W L E D G E R E C E IP T N O : W ith th a n k s w e a c k n o w le d g e re c e ip t o f M r./M rs./M s … … … … … … … … … … … … … .

… … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … .
a sse t d e c la ra t ion f o r th e y e a r … … … … … .. R e c e iv e d o n d ate … … … … … … … … … … … … … … .

P le a se re ta in th is rec e ip t f o r y o u r re c o rd a n d f u tu re re f e re nc e .
(S ig n )… … … … … … … … … … … … … … .. A s s e t D e c la r a tio n A dm in is tr a to r W i th s up p o r t fr o m th e E U R OP EA N UN IO N AN T I-C O R R U P T IO N C O M M ISS IO N O FFIC IA L A C K N O W L ED G E RE C E IP T N O : W ith th a n k s w e a c k n o w le d g e re c e ip t o f M r./M rs./M s … … … … … … … … … … … ... … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … .
a sse t d e c la ra t ion f o r th e y e a r … … … … … .. R e c e iv e d o n d ate … … … … … … … … … … … … … … .

P le a se re ta in th is rec e ip t f o r y o u r re c o rd a n d f u tu re re f e re nc e .

(S ig n )… … … … … … … … … … … … … … .. A s s e t D e c la r a tio n A dm in is tr a to r W i th s up p o r t fr o m th e E U R OP EA N UN IO N 6 MADE this 24th day of January, 2019.

FRANCIS BEN KAIFALA, Commissioner, Anti-Corruption Commission.
PRINTED AND PUBLISHED BY THE GOVERNMENT PRINTING DEPARTMENT, SIERRA LEONE.

GAZETTE NO.

9 OF 24TH JANUARY, 2019