Whistleblowing Report Form Report a new case Follow up on a case Whistleblowing report Who is make report* I am a consumer or shareholder I am an employee or ex-employee with concerns Someone I know well witnessed wrongdoing at work Someone I know well is committing wrongdoing at work I want to report wrongdoing on behalf of my employer Please provide a brief outline of the issue* Please provide the names and/or designation of the people involved* Please enter the time period of the issue in question Is the alleged conduct still ongoing?* Yes No Don't know Please provide links to documents, photographs and any other proofs supporting your claim What is the nature of your information?* I heard/saw it myself I heard people talking about it Please provide names of superiors you have communicated this with beforehand, if any Declaration of Policy Awareness* I hereby confirm that I have read and understood the organization’s Whistleblowing Policy. Declaration of Truthfulness* I hereby declare that, to the best of my knowledge, the information I have provided is true and has been submitted voluntarily. Acknowledgment of Use* I understand and acknowledge that the information provided may be used during the investigation and reporting process, and that disclosure of my identity may be required by law, regulatory authorities, or judicial proceedings. Submit Please copy and retain this token for future login and for follow-up on the response. Copied