DISCLOSURE ON IMPROPER CONDUCT FORM



A.PERSONAL INFORMATION OF WHISTLEBLOWER

 
 
 
 
 
 
 
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B.DETAILS OF INDIVIDUALS INVOLVED IN IMPROPER CONDUCT

 
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(if known)
 

(if known)
 

(if known)
 

(if known)
 
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Details of Personnel 2
 

(if known)
 

(if known)
 

(if known)
 

(if known)
 
 
Details of Personnel 3
 

(if known)
 

(if known)
 

(if known)
 

(if known)
 
 
 
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Today
 
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Have you ever reported this improper conduct to other agencies?:*
If YES, please specify:

 
 
 
Today
 
(Other agencies)
 

Supporting Document


All documents should be uploaded either as a PDF / JPEG / JPG /. Please ensure that the file size does not exceed 25MB. As an alternative, Whistleblower may email the supporting documents to wbc@mcmc.gov.my
 
I declare that all information provided in this form is true and I am willing to provide all the necessary assistance to ease the investigation process if required: *
 
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