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Whistle Blowing
Personal Information of Whistleblower
Full Name
Gender
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Female
Position
Department/Unit
Place of Work
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Head Office
Branch
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Phone Number
Email Address
Personal Information of Suspicious Person
Full Name
*
Gender
*
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Male
Female
Position
*
Department/Unit
*
Place of Work
*
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Head Office
Branch
Please enter branch name of suspicious person's workplace
Detail of disclosure or Complaint
1. Issue Type
Fraud, theft, embezzlement or dishonesty
Bribery and Corruption
Abuse of Power
Bullying, intimidation, harassment
Threats
Action causing Danger to individual or collective health and safety or can give rise to risk of damage to properties/assets.
Unethical behavior including unethical sales practices (mis-selling)
Misconduct or gross mismanagement or dereliction of duties
Forgery or alteration of any documents belonging to the bank, customers, or another financial institution.
Misuse of position or information, Profiteering directly or indirectly as a result of insider knowledge
Breach of policies procedures and applicable laws and regulations.
Conflict of interest
Breach of tipping off
Any other similar or related irregularities
2. Please clearly detail the misconduct
3. Any Supporting Documents?
4. Other relevant information that are useful to facilitate the investigation
5. Are there any other people involved besides the suspects mentioned above?
6. Are there any witnesses?
Please select an option
Yes (Please fill in the information below)
No
Witness Information
Full Name
Gender
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Male
Female
Position
Department/Unit
Place of Work
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Head Office
Branch
Please enter branch name of witness's workplace
7. Do you have any additional comments / suggestions?
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Yes (Write your desctiption)
No
Additional comments / suggestions detail
Report will be sent to
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Whistle Blowing Champion
Chairman of Risk Oversight Committee
Shareholder Representative
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