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Whistleblower's Information

Please only answer the first two questions if you want to be anonymous

Are you an internal/ external party? *Internal partyExternal party

Are you a JASARA's employee, client, contractor, supplier, etc.? *

Whistleblower's Name

Department/ Project

Phone Number

E-Mail Address

Subject's/ Offender's Information

Please complete this section to the best knowledge you have. Please write "NA", if you do not have the details

Are you reporting an internal or external party? *Internal partyExternal party

Is the Subject a JASARA's employee, client, contractor, supplier, etc.? *

Are you reporting more than one subject for the same complaint? *YesNoIf yes, please provide all suspected names and info below separated with a comma ","

Subject's Name *

Department/ Project *

Phone Number

E-Mail Address

Witnesses' Information

Please leave this section blank if the witnesses do not wish to disclose their information or if there are no witnesses

Is the witness an internal or external party?Internal partyExternal party

Is the Witness a JASARA's employee, client, contractor, supplier, etc.?

Are there more than one witness?YesNoIf yes, please provide all witnesses' information below separated with a comma ","

Witness Name

Department/ Project

Phone Number

E-Mail Address

Report Details

Mandatory to answer all questions under this section

What are you reporting? What is the misconduct, fraud, etc.? What has led to it?

Has the subject been getting any perosnal benefit or financial gains? If not, why did the Subject do it?

Can you estimate the monetary value of this misconduct/ fraud in Saudi Arabian Riyals?

If you suspect any collusion between the Subject and any other parties, please provide all suspects' names and information

Do you know when and where did it occur? And is the misconduct/ fraud/ etc. still ongoing?

When did you discover this misconduct/ fraud/ etc.? And how did you discover it?

Is there any other information/ comments that might be useful for the investigation?

Does anyone else know about this?

Supporting Documents

Do you have any evidence that may help with the investigation that you can provide? If yes, please attach all documents within this report.

Attachments

Thank you for speaking up! JASARA values your effort in keeping its environment healthy and ethical! Please do not talk about this with anyone unless if you have been approached for more information by the Investigation team.

Jasara PMC | Cooperative Training

Riyadh

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Report violations

Whistleblower's Information

Please only answer the first two questions if you want to be anonymous

Subject's/ Offender's Information

Please complete this section to the best knowledge you have. Please write "NA", if you do not have the details

Witnesses' Information

Please leave this section blank if the witnesses do not wish to disclose their information or if there are no witnesses

Report Details

Mandatory to answer all questions under this section

Supporting Documents

Do you have any evidence that may help with the investigation that you can provide? If yes, please attach all documents within this report.

Jasara PMC | Cooperative Training

Riyadh

Whistleblower's Information

Please only answer the first two questions if you want to be anonymous

Subject's/ Offender's Information

Please complete this section to the best knowledge you have. Please write "NA", if you do not have the details

Witnesses' Information

Please leave this section blank if the witnesses do not wish to disclose their information or if there are no witnesses

Report Details

Mandatory to answer all questions under this section

Supporting Documents

Do you have any evidence that may help with the investigation that you can provide? If yes, please attach all documents within this report.

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