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Select type of Incident
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Compliance with laws and regulations / Violation of Policy
Disclosure of confidential information
Discrimination or Harassment
Embezzlement / Theft
Falsification of contracts, reports or records
Other
Kindly provide all details regarding the incident, include location & timing
Please identify the parties involved
Upload Attachment 1:(If any)
Upload Attachment 2:(If any)
Are you an employee of the Group ?
Yes
No
(Note: Kindly provide your contact details if you wish to be contacted)
Your Name
Your Phone Number
Ex:055XXXXXXX
Your E-mail Address
Best way to communicate with you
-Select One-
By Phone
By email
Either Phone or email
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