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Dear Employee / Supplier, This form is a secure and confidential tool for reporting violations of our Ethical Conduct Code, internal policies, laws, or regulations. Your report is essential for maintaining an ethical, transparent, and safe work environment. All information will be treated with maximum confidentiality and seriousness. Retaliation against good-faith whistleblowers will not be tolerated. Please fill out the fields below with as much detail as possible. The accuracy of the information is crucial for effective investigation.Whistleblower Identification (Optional)You have the right to file an anonymous report. If you choose to identify yourself, your contact information may be used by the investigation team to request additional clarifications, always maintaining confidentiality.
Nature of the Report Select the category(ies) that best describe your report:
Specification (if "Other"):
Details of the Incident
1 - Description of the Event: Describe in detail what happened, including as much information as possible. Aim to be clear, objective, and report the facts chronologically.
2 - People Involved: List the names, positions, and departments of those involved (if known).
Accused(s):
Other people involved:
3 - When and Where Did It Occur?
Approximate date(s) of the event:
Location of the incident: (Ex: Sales Department, meeting room X, etc.):
Is this a recurring event?
Describe the frequency, if applicable.:
Evidence and Witnesses1. Evidence: Do you have any evidence supporting the report (emails, documents, photos, videos, etc.)?
Yes (If yes, describe the evidence. When possible, provide the files to the Investigation Committee.)
No
2. Witnesses: Did anyone else witness the incident?
If yes, provide the name and, if possible, the position/department of the witnesses.
Final Statement
I declare that the information provided in this form is true and complete to the best of my knowledge, and that I am submitting this report in good faith.
Thank you for your cooperation. Your action is essential to building a fairer and more ethical company.
