Whistleblowing System Reporting Form

*Required

Whistleblower's Name

Whistleblower's Phone*

Whistleblower's phone field must be filled in.

Whistleblower's E-mail*

Whistleblower's e-mail field must be filled in.

Reported Actions*

Abuse of power

Act that violates work and business ethics and code of conduct

Blackmail

Fraud

Gratification and bribery

Misuse of company assets

Suspicious Transaction

At least one action checklist is reported.

Reported Name*

Reported name field must be filled in.

Reported Position*

Reported position field must be filled in.

Time of Occurrence*

Time of occurrence field must be filled in.

location of Occurrence*

location of occurrence field must be filled in.

chronologic of Occurrence*

chronologic of occurrence field must be filled in.

Nominal

Captcha must be filled in.