Whistleblower Form

Chief Audit Executive of POB

Email: cmwong@pacific-orient.com
Tel    : 03-2698 5033
Mail  : 11th Floor, Wisma Bumi Raya
          No. 10, Jalan Raja Laut
          50350 Kuala Lumpur

Audit Committee Chairman of POB

Email: myee@pacific-orient.com

Mail  : 11th Floor, Wisma Bumi Raya
          No. 10, Jalan Raja Laut
          50350 Kuala Lumpur

(Note: Please untick where necessary if you intend to submit to only ONE of the above recipients)

*Mandatory information

SUBJECT OF COMPLAINT

Allegation Details*

(Please state the nature of allegation, where and when the alleged improper conduct took place and any other relevant details)

(Please attach the file here if you have prepared a write-up)
Maximum no. of attachment for allegation is 1

Other Parties Involved

WHISTLEBLOWER'S INFORMATION
(Note: You are strongly advised to disclose some contact information to enable effective investigation)

Name

NRIC No./Passport No.

Designation

Department

Company

Contact No.

Email Address

INFORMATION ON PERSON YOU ARE REPORTING ON

Name

Designation

Department

Company

Contact No.

Email Address

WITNESS(ES) INFORMATION (if any)

ATTACHMENT AND DESCRIPTION

If you have any supporting documents and/or evidence that you wish to share (e.g. photo, image, video, voice clip, etc.), please list them below and/or attach the relevant items together with this form for submission.

Maximum no. of attachment is 5

DECLARATION* (Note: Please tick to acknowledge your understanding below)

I hereby declare that all the information herein is made voluntarily and are true, correct and complete to the best of my knowledge and belief. I do understand that the P&O Group shall use the information and material(s) provided herein and it will be processed in the course of managing the disclosure in accordance with the Whistleblowing Policy and Procedures.