Whistleblower Form

WHISTLEBLOWER FORM/ BORANG WHISTLEBLOWER

Private & Confidential

Name/ Nama
Contact No. / No. HP
Email/ Emel
Department/ Jabatan (if applicable/ jika berkenaan)

This section to be left blank if whistleblower chooses to remain anonymous
Bahagian ini akan dibiarkan kosong jika pemberi maklumat memilih untuk tidak dikenali

Details of Concern/ Perincian Salah Laku

Description of the alleged event or misconduct that is of concern and include the following details: Penerangan mengenai kejadian atau salah laku dan disertakan perincian berikut: 1. name(s) of the person(s) involved/ nama orang yang terlibat 2. date/ tarikh 3. time/ masa 4. location of the event/ lokasi kejadian 5. attach / provide supporting documentation/ lampirkan/ sediakan dokumeni sokongan

Mandatory to fill/Wajib diisi

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