Whistleblower Form

Please provide the following details for any suspected serious misconduct or any breach or suspected breach of law or regulation that may adversely impact the Company and email to ethics@activesecurity.com.my

Section A: Whistleblower’s Contact Information
(This section may be left blank if the whistleblower wishes to remain anonymous, and not wanting the Organisation to contact for more details nor to provide feedback on outcome of the investigation)

Section B: Suspect’s Information

Section C: Witness(es) Information (if any)

Section D: Complaint
Briefly describe the misconduct / improper activity and how you know about it. Specify what, who, when, where and how. If there is more than one allegation, number each allegation and use additional sheet of papers where needed.

Section A: Whistleblower’s Contact Information
Section B: Suspect’s Information

Section C: Witness(es) Information (if any)

Section D: COMPLAINT