Form Disclosure of Wrongdoing and Improper Conduct

Preferred method of communication :
Email Phone

*Type of Alleged Wrongdoing & Improper Conduct :
Fraud/Dishonestly
Bribery/Corruption
Abuse of Power and Position
Conflict of Interest
Theft / Embezzlement
Harassment
Misuse of Company's Properties Assets or Resources
Non-Compliance With Laws & Policies of The Company
Others (please specify)

Descriptions of Alleged Wrongdoing & Improper Conduct :

*Please submit supporting documents if available

*Please attach additional sheets if necessary

Declaration:

I declare that all information provided in this Form is true, correct and complete to the best of my knowledge, information and belief.

I hereby agree that the information provided herein shall be used and processed for investigation purposes and further aware that the information provided herein may be forwarded to the relevant parties including authorities for investigation purposes.

Disclosure of Wrongdoing and Improper Conduct

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