Whistleblowing

Name(Required)

Mr/Mrs/Mdm/Sir

Company / Department(Required)

Contact Number(Required)

Email Address(Required)

Date & Time Incident(Required)

Day - Month - Year , 00:00.

Incident Location(Required)

Name of alleged person / Div / Dept(Required)

Mr/Mrs/Mdm/Sir

Name of Company(Required)

Example:xxxxxx sdn bhd

Description / Circumstances of alleged incident (Please use attachment if necessary)

File Upload (if required)

Drop files here or

Max. file size: 50 MB, Max. files: 5.

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.