Complaint Form (Anonymous)

Report Category

Company Name

Are you a baramulti group employee?

Yes No

If you are an employee of Baramulti Group, in which business unit do you work? If not, what is your relationship with Baramulti Group and its subsidiaries?

Case Explanation

Where did case/incident occur

When did case/incident occur

Job Title/Position committed to this case

Person name related to job title/position

Are you willing to be interviewed/clarified on your report? (Yes/No)

Yes No

How can we contact you?(By Phone, Email, Text, Meet in Person… Etc)

Did this case/incident impacted in financial to you or Baramulti Group?

If there is a financial loss, how much is the estimated amount of loss?

Chronology of Case/event :

is there anyone else involved? (Name/Job Title/Posistion)

Has this case/incident happened before?

Have you reported the case or incident to another party? Who? What suggestions does he or they have?

Is there any documentation or evidence related to this case/incident (What, Who, Where)

Upload Evidence (Max 5 File, total 20 MB, file: txt, words, excel, pdf, jpg, png, mp3, mp4, zip)