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1 How are you associated with the company?
Employee Vendor/supplier Director Other
2 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
3 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
Acceptance of gifts and entertainment Bribery and corruption Concurrent employment Conflict of interest Discrimination Harassment of any nature other than Sexual Harassment Inappropriate use of social media Incorrect financial reporting Insider trading Misappropriation of company assets or resources Mishandling of confidential information Misuse of authority Procurement fraud Sexual harassment Tax fraud Victimization or bullying Violation of the environment - health and safety Others
4 Please provide name, designation and department of the person(s) involved?
5 When did the incident occur?
6 Please confirm the location of the incident
7 How did you find out about this incident?
8 How long has this been occurring for?
Less than a month 1 - 6 months 6 - 12 months Greater than 12 months
9 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.
10 Do you have any evidence in support of your allegations?
Yes No
11 Is anyone else aware of this incident?
12 Is there any additional information that would facilitate the investigation of this matter?
13 Have you reported this incident to anyone in the company?
You can also report the matter through following reporting channels
Legal | Privacy
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