1 Please provide name of the company that the complaint relates to.
2 How are you associated with the company?
Employee
Vendor/supplier
Customer
Contract employee
Director
Other
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
Procurement fraud
Acceptance of gifts and entertainment
Incorrect financial reporting
Sexual harassment
Bribery and corruption
Insider trading
Tax fraud
Harassment of any nature other than sexual harassment
Victimisation or bullying
Discrimination
Inappropriate use of social media
Misuse of authority
Violation of the environment health and safety guidelines
Concurrent employment
Leakage of unpublished price sensitive information
Others
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 occurring 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?
Yes
No
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?
Yes
No
13 Is there any additional information that would facilitate the investigation of this matter?
Yes
No
13.1 If yes, please provide detail:
14 Have you reported this incident to anyone in the company?
Yes
No
Please send a copy of complaint to my email address
Legal | Privacy
© 2021 KPMG, an Indian Registered Partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International Cooperative ("KPMG International"), a Swiss entity. All rights reserved.