WHISTLEBLOWING e-FORM

Please provide the following details if you wish to report any improper conduct which are unlawful and are in breach of law and regulations that may adversely impact Boustead Plantations Berhad (“Company”). Please be rest assured that your report will be treated as confidential.

Please provide information as accurate as possible. The fields marked with (*) are required.

Sila berikan butiran di bawah sekiranya anda ingin melaporkan sebarang salah laku yang menyalahi undang-undang dan melanggar peraturan serta undang-undang yang boleh memberi kesan negatif kepada Boustead Plantations Berhad (“Syarikat”). Sila ambil maklum bahawa laporan anda akan dirahsiakan dan dikendalikan secara sulit.

Sila kemukakan maklumat yang setepat mungkin di ruang bawah. Ruang bertanda (*) adalah perlu diisi.

    REPORT DETAILS / BUTIRAN ADUAN*

    Name of Alleged Person / Nama Individu Yang Disyaki

    Designation of Alleged Person / Jawatan Individu Yang Disyaki

    Department of Alleged Person / Jabatan Individu Yang Disyaki

    Company of Alleged Person / Syarikat Individu Yang Disyaki

    Date and Time of Incident / Tarikh & Masa Kejadian

    Location of Incident / Lokasi Kejadian

    REPORT / ADUAN

    Parties Involved (if any) / Pihak Yang Terlibat (Jika ada)

    Nature of Allegation(s) / Jenis Dakwaan

    (Please mark (X) where applicable / Sila tandakan (X) di mana yang berkenaan)

    Description of Complaint / Butiran Aduan*

    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. Please use additional papers, if necessary.

    Sila huraikan jenis aduan anda termasuk maklumat- maklumat penting mengenai pihak atau pihak - pihak yang terlibat, tarikh, masa dan lokasi kejadiaan serta butiran lain yang berkaitan. Sila guna kertas tambahan sekiranya perlu.

    Name of Witness(es) (if any) / Nama Saksi (Jika ada)

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

    Sila kemukakan maklumat mengenai saksi-saksi atau individu-individu terlibat yang boleh menyokong aduan anda (nama, jawatan, syarikat dsb).

    Attachment(s) (if any) / Lampiran (Jika ada)

    Please state and attach the documents and other evidence to support your complaint.

    Sila nyatakan dan lampirkan dokumen serta bukti-bukti lain bagi menyokong aduan anda.

    DETAILS OF INDIVIDUAL LODGING THE REPORT / BUTIRAN INDIVIDU YANG MEMBUAT LAPORAN

    Phone No. / Nombor Telefon*

    E-mail Address / Alamat emel

    DECLARATION / AKUJANJI