Appendix F – Framework Waiver Request Form
| No: 44021528 | Date(g): 11/10/2022 | Date(h): 16/3/1444 |
Effective from Oct 11 2022 - Oct 10 2022
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Request for Waiver from the SAMA Counter-Fraud Framework
A submission to the manager of 'General Department of Cyber Risk Control’
The Saudi Central Bank (SAMA) will consider requests for waiver from a member organisation (MO) from its Counter-Fraud Framework based on the information submitted using the form below. A separate form must be completed for each requested waiver. Please note that all required fields must be properly filled in before SAMA will begin the review process.
Requestor Information
| REQUESTOR'S SIGNATURE* x | REQUESTOR'S POSITION* | DATE* |
| REQUESTOR'S NAME* | MEMBER ORGANISATION OF REQUESTOR* | |
| FRAMEWORK CONTROL*: |
| DETAILED DESCRIPTION OF WHY CONTROL CANNOT BE IMPLEMENTED*: |
| DETAILED DESCRIPTION OF AVAILABLE OR SUGGESTED COMPENSATING CONTROLS*: |
Approvals
| 1. MO’s HEAD OF COUNTER-FRAUD APPROVAL* | DATE* | |
| 2. MO’S COUNTER-FRAUD GOVERNANCE COMMITTEE APPROVAL* | APPROVER’S POSITION* | DATE* |
| 3. SAMA DECISION | SAMA APPROVAL | DATE** |
* Denotes required fields
** The validity of this waiver is one year. It is the Member Organisations responsibility to ensure renewal of this waiver.
** The validity of this waiver is one year. It is the Member Organisations responsibility to ensure renewal of this waiver.