Whistleblowing Form Whistleblower’s Contact Information Full Name IC No Mobile No Email Address Suspect’s Information Full Name Job-title Division Email Address Mobile No Witness(es) Information (if any) Full Name (1) Division Email Address Mobile No Full Name (2) Division Email address Mobile No Incidents Incidents/Details of Allegation Incident Date and Time Location of Incident How Incident was Detected Estimated value involved Evidence of the Allegation Other suspected parties involved Additional comments/remarks I declare that the information provided in this report is true to the best of my knowledge and belief and I have made this disclosure voluntarily. I acknowledge that the KCC Realty will use the information furnished in this report for investigation purposes. Send
