Form Pelaporan Kecurangan

Integrity Line Report Form

Reporter Information

This section may be left blank if the reporter chooses to remain anonymous. We guarantee the confidentiality of the reporter’s personal information should they choose to provide their name, contact number, and email address.

Name (Optional)

Contact Number (Optional)

Email Address (Optional)

What (Describe the fraud or misconduct that occurred) *

Who (Who committed the fraud or misconduct) *

When (When did the fraud or misconduct occur — date and time/period) *

Where (Where did the fraud or misconduct occur) *

How (How did the fraud or misconduct occur) *

Are there any other parties involved besides the reported person(s)? *

Do you have any additional details or information that may assist us in this investigation? *

Attach File / Document *

Upload supporting evidence (PDF, JPG, PNG, DOC, XLS, PPT, MP4, AVI, ZIP – max 5MB).

Please ensure the file ≤ 5MB and in the allowed formats.

Your privacy and identity are important to us. All information submitted through this form will be treated as strictly confidential. Security measures have been implemented to protect your identity as the whistleblower.

I hereby declare that this report has been made in good faith and that the information provided is true and accurate.