Whistle Blowing Form

Please provide the following details for any suspected serious misconduct or any breach or suspected breach of law or regulation that may adversely impact the Company. Please note that you may be called upon to assist in the investigation, if required.

A. Your Contact Information

Your Name*

NRIC Number*

Phone Number*

Email*

Address*

Employment Details* (for employees only)

B. Disclosure

Type of Improper Conduct

Fraud, corruption, bribery, criminal breach of trustWorkplace discrimination or sexual harassmentMisuse or misappropriation of SIPRO’s funds or assetsCriminal offences, unlawful actsAct which can cause danger to lives, health or safety of othersAbuse of powerOthers

Please include the details of the person alleged, nature of allegation and when the alleged Improper Conduct took place.

C. Evidence

Please indicate the witness or evidence to substantiate your disclosure (if any) to facilitate investigation. You may also attach the relevant supporting documents.

D. Declaration

I hereby declare that all the information given herein are made voluntarily and are true to the best of my knowledge and I will ensure that my participation in this matter will be kept confidential. I do understand that SIPRO will use the information and material provided throughout the process.