Whistleblowing Information Form

1. PARTICULARS OF WHISTLEBLOWER

Name*

NRIC/Passport no*

Designation (if applicable)

Department (if applicable)

Contact Number*

Email Address*

2. INFORMATION OF MMM EMPLOYEE(S) INVOLVED IN IMPROPER CONDUCT

Individual 1

Name of alleged person*

Designation of said Employee in MMM*

Individual 2

Name of alleged person

Designation of said Employee in MMM

3. EVIDENCE/SUPPORTING DOCUMENT(S)

Please provide evidence or supporting documents to substantiate your disclosure (if any) to facilitate investigation. You may also attach relevant documents.

What misconduct/improper activity occurred?*

Who committed the misconduct/improper activity?*

When did it happen and when did you notice it?*

Where did it happen?*

Is there any evidence that you could provide us?*

Are there any other parties involved other than the suspect stated above?*

Do you have any other details or information which could assist us in the investigation?*

Attach your evidence* *File format accepted: .zip. Maximum file size: 5MB.

4. DISCLOSURE (Details of Improper Conduct)

(Insufficient details in the Whistleblowing Form may impede the investigation and resolution of the concerns raised)

Date*

Time*

Place

I hereby agree to the terms of the Privacy Notice

Whistleblowing Information Form

1. PARTICULARS OF WHISTLEBLOWER

2. INFORMATION OF MMM EMPLOYEE(S) INVOLVED IN IMPROPER CONDUCT

3. EVIDENCE/SUPPORTING DOCUMENT(S)

4. DISCLOSURE (Details of Improper Conduct)

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