Whistleblowing Reporting

Your Contact information

Company website

Submit this report anonymously

You may submit this report without providing your contact details. If you choose to remain anonymous, please avoid including information that may identify you elsewhere in the report or attachments. However, we recommend that you share your contact details so that, if necessary, we may seek additional information from you during our investigation process.

Name

Title/Designation

Department

QFC Licensed/Registered Entity

Yes

Company Name

License Number

Phone Number

Email Address

Subject(s) Information

Provide any information you know about the person(s) or organisation(s) involved. Leave any field blank if the information is not known.

Name

Title/Designation

Department

Company Name

QFC Licensed/Registered Entity

Yes

License Number

Phone Number

Email Address

Witness(es) Information

Information of any other person(s) who has/have information relating to the reported misconduct.

Name

Title/Designation

Department

Company Name

QFC Registered Entity

Yes

License Number

Phone Number

Email address

Details of the misconduct

Describe the misconduct and how you came to know about it. If you wish to report more than one allegation, please number each allegation in the text box below.

What alleged misconduct occured?

Describe what happened and provide as much relevant detail as possible.

When did it happen and when did you become aware of it?

Approximate dates or time periods are acceptable if the exact dates are not known.

Where did it happen?

How did it happen?

Explain how the alleged misconduct occurred, if known.

Are there any other parties involved in the alleged misconduct?

If yes, please provide their names and designations, if known.

Are you concerned that you or another person may suffer, or has already suffered, consequences arising from this matter or its reporting?

Have you reported the activity to your employer?

Yes

The Reporting Date

Provide the date, if known.

To whom was it reported?

Upload Document

Choose file

If the matter was reported in writing, you may upload a copy here.

What actions have been taken (if any) by the party to whom it was reported

Is there any individual who is conflicted by the misconduct and who should not be assisting in reviewing or assessing the alleged misconduct?

Yes

Please provide details

Provide the name of the individual and why you believe there may be a conflict of interest.

Were any internal controls to prevent the alleged misconduct circumvented?

Yes

Please provide details

Describe the controls that were circumvented and how, if known.

Are there any supporting documents or evidence you can provide in relation to the misconduct?

Choose file

Supporting documents or evidence can be uploaded below.

Please provide any other details that you think could assist in the investigation.

Provide any additional information that has not already been covered above.

Declaration

I declare that all of the information provided by me in this form is, to the best of my knowledge and belief, true and correct and that all documents provided (if any) are true and accurate copies of the originals. I understand and agree that the QFC Authority will use the information provided in this form to investigate the matter(s) reported in accordance with the applicable regulations, rules, policies, and procedures. By clicking the "Submit" button below, I consent to the processing by the QFC authority of my personal information set out in this report.