Whistleblowing e-Form – Boustead Plantations

Integrity

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Whistleblowing E-Form

Please provide the following details if you wish to report Improper Conduct which are unlawful and are in breach of law and regulations that may adversely impact the Group. Please be assured that your report will be treated as confidential.

Note: Please provide information as accurate as possible.

REPORT DETAILS

Name of Alleged Person(Required)

Designation of Alleged Person(Required)

Department of Alleged Person(Required)

Company of Alleged Person(Required)

Incident Date & Time

Date

Time

:

Location of Incident(Required)

REPORT

Parties Involved (if any)

Types of Allegation(Required)

Description of Complaint(Required)

1. Please describe the nature of your complaint. Include the details of the parties involved, date(s), time(s), location(s), etc. and any other relevant details.

Name of witness (if any)

2. Please provide details of witness(es) who can support your complaint e.g name, position, company etc.

Attachments

3. Please state and attach the documents and other evidences to support your complaint, if any.

Drop files here or

Max. file size: 1 GB.

DETAILS OF INDIVIDUAL LODGING THE REPORT

Name

Designation

Department

Company

Telephone Number(Required)

Email Address(Required)

DECLARATION

I hereby declare that this report is made voluntarily and that to the best of my knowledge, the details and information provided are true.