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Whistleblowing

Form

All reports received will be referred to the Investigative Committee for follow-up actions or investigations.

While you are encouraged to disclose your identity, this is not mandatory. We respect your desire for anonymity, and to preserve the confidentiality of the information you provide. However, our ability to contact you if required to seek further clarification or information may play a role in determining the effectiveness of any investigation.

1.1 About which company would you like to make this report?

1.2 Please indicate your relationship to the company reported.

1.3 Would you like to provide your name and contact details?

2.1 Please select the applicable Incident Type from the list below that best describes the issue(s) you are reporting:

3.1 Do you know the name of the person(s) or organisation(s) involved?

3.2 Do you want to add another involved party?

3.3 Has management been notified?

Please provide the name of the person/s notified.

What date was the individual notified?

4.4 Please provide a detailed description of the incident. Provide as much detail as you are able to, using times, dates, places and names whenever possible. Indicate WHO did it? WHAT did the person do? WHERE did the person do it? WHEN did the person do it? HOW did the person do it? Please note that this field is limited to 5,000 characters. Please also attach any relevant documents, such as emails or photographs that contain or supplement this information.

4.5 Do you know whether this incident will reoccur:

5. Attachments (Supported file formats: .PDF,.GIF,.JPG,.JPEG,.xls,.xlsx,.doc,.docx)

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