Whistle Blowing Form

REPORT OF IMPROPER CONDUCT,
WRONGDOINGS, BRIBERY,CORRUPTION, FRAUD,
OR ABUSE OF POWER/AUTHORITY

To :

The Whistleblower Committee,
 
Evergreen Fibreboard Berhad
PLO 22 Parit Raja Industrial Area,
86400 Batu Pahat, Johor, Malaysia
 
E-mail : [email protected]

1. Name of the person(s) you are reporting about :
2. Department in which that person works :
3. Please provide a summary of the alleged improper conduct, wrongdoings, corruption, fraud, waste or abuse of power that you are reporting :
4. Please attach documentations to support your claim :
5. Provide information on relevant witnesses, if any, including email, contact number and/or the best way to get in touch with them :
Witness #1
Name: Email: Phone No.:
Witness #2
Name: Email: Phone No.:
6. Please provide dates that the alleged activity took place : 7. Location of where activity took place : 8. Please provide any other information you may find relevant :
Note :
We will not document information concerning your name if you wish to remain anonymous;
however, if you do not want to be anonymous please provide information below:-
Name:
Contact No:
Email Address:

*If you decide to remain anonymous, please contact us within 7 working days of your report, as we may need more information concerning the alleged activities reported.