Whistleblower Form - Carsem (M) Sdn Bhd

You should raise any concern on any improper conduct or wrongful act that is committed within MPI Group. Any grievance of a personal nature should be raised through the HR grievance procedures and not through this Whistleblower Form.

Your Full Name

Name of Your Employer

Your Contact Details

Address

Telephone

DETAILS OF YOUR CONCERNS (please provide as much information as possible)

Description of Incident (use the additional information sheet, if necessary)

Where did the incident occur?

When did the incident occur?

Name and position of person(s) involved.

Details of any witness(es).

Did you report the incident to any authorities? If yes, please give details.

Supporting document(s) attached? (Please tick)
YesNo

Please upload your supporting document(s) here. (If any)

Any additional information. (Optional)
Provide any further details you think may be relevant, for example, whether you approached the person(s) concerned, any financial impact to MPI Group, etc.

Any employees may make reports of any such concerns to the Chairman of the Board Audit & Risk Management Committee of MPI Group:

Chairman of the Board Audit & Risk Management Committee
Malaysian Pacific Industries Berhad
Level 31, Menara Hong Leong
No.6, Jalan Damanlela, Bukit Damansara
50490 Kuala Lumpur, Malaysia