WHISTLEBLOWER FORM

You should raise any genuine concerns about any improper conduct or wrongful act ("Improper Conduct") involving Hong Leong Capital Berhad ("HLCB") and/or any person associated with HLCB through BARMCChairman@hlcap.hongleong.com.my. Concerns on your personal position or your employment, should be raised through HR grievance procedures, and not through this Whistleblower Form.

 

 

YOUR FULL NAME*

NAME OF YOUR EMPLOYER

YOUR STAFF ID
(if an employee of HLCB)

YOUR DEPARTMENT

YOUR POSITION / DESIGNATION

YOUR CONTACT DETAILS

Address:

Telephone*:
 

Email*:

 

 

DETAILS OF YOUR CONCERNS
(please provide as much information as possible)

DESCRIPTION OF IMPROPER CONDUCT*:
(use the additional information sheet, if necessary)


 

WHERE DID THE IMPROPER CONDUCT OCCUR?*


 

WHEN DID THE IMPROPER CONDUCT OCCUR?*


 

NAME AND POSITION OF PERSON(S) INVOLVED:


 

DETAILS OF ANY WITNESS(ES):


 

DID YOU REPORT THE IMPROPER CONDUCT TO ANY AUTHORITIES? IF YES, PLEASE GIVE DETAILS:


 

 

 

ADDITIONAL INFORMATION SHEET

 

ANY ADDITIONAL INFORMATION:

Provide any further details you think may be relevant, for example, whether you approached the person(s) concerned, any financial impact to Hong Leong Capital Berhad, etc.

 

 
 

 

 

* Required