Whistle Blowing
Whistle Blowing
Report Form
Please provide the following details for any suspected serious misconduct or any breach or suspected breach of law or regulation that may adversely impact the Company. Please note that you may be called upon to assist in the investigation, if required.
Note: Please follow the guidelines as laid out in the Whistleblowing Policy
REPORTER’S CONTACT INFORMATION
(This section may be left blank if the reporter wish to remain anonymous)
Name
Contact Number
Email Address
SUSPECT’S INFORMATION
Name*
Designation
Department/Unit
WITNESSES’S INFORMATION (if any)
Name
Designation
Contact Number
Email Address
COMPLAINT:
Briefly describe the misconduct / improper activity and how you know about it. Specify what, who, when, where and how. If there is more than one allegation, number each allegation and use as many pages as necessary.
What misconduct / improper activity occurred?*
When did it happen and when did you notice it?*
Where did it happen?*
Is there any evidence that you could provide us?
Do you have any other details or information which would assist us in the investigation?
Please upload any supporting file/ document