1 Please provide name of the company that the complaint relates to.
2 How are you associated with the company?
3 Your details:
I would like to share my name and contact information
I would like to share my information with KPMG, but not with the company
I would like to remain anonymous
4 Please select the applicable incident type(s) from the list below that best describes the issue(s) you are reporting. Please note that multiple issues can be selected
Misappropriation of company assets/resources
Conflict of interest
Mishandling of confidential information
Acceptance of gifts and entertainment
Incorrect financial reporting
Sexual harrassment against women
Bribery and corruption
Harassment of any nature (other than sexual harassment)
Victimisation or bullying
Inappropriate use of social media
Misuse of authority
Violation of the environment, health and safety guidelines
5 Please provide name, designation and department of the person(s) involved?
6 When did the incident occur?
(Please provide tentative date if you do not know the exact date)
7 Please confirm the location of the incident
8 How did you find out about this incident?
9 How long has this been occuring for?
Less than a month
1 - 6 months
6 - 12 months
Greater than 12 months
10 Please provide a detailed description of the incident. To enable your company to act on your complaint, you are requested to provide specific information where possible including names, location, date, time etc. Please note that this field is limited to 5,000 characters.
11 Do you have any evidence in support of your allegations?
11.1 If yes, please provide details of the evidence:
11.2 Please attach the evidence:
(Maximum file size is 500 KB)
(Allowed files - .zip, .doc, .docx, .pdf, .jpg, .png)
(Please zip the files for multiple attachments)
12 Is anyone else aware of this incident?
13 Is there any additional information that would facilitate the investigation of this matter?
13.1 If yes, please provide detail:
14 Have you reported this incident to anyone in the company?
Please send a copy of complaint to my email address
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