Whistleblowing Form

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Please describe the Infringement you want to disclose and how it happened *

When do you find out about the infringement or noticed it? (dd/mm/yyyy or identified period) *

Where (In which country) did the infringement happen? *

Have you already notified someone about this infringement? *

Yes No

Additional notes and comments.

Please fill in Information about the person or persons who committed the infringement

Liable person No. 1

Name, surname

Workplace *

Position

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Are there any other persons who participated or could have been involved in the infringement? *

Yes No

Are there any witnesses of the infringement? *

Yes No

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Document 1

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I confirm that I am aware of the legal consequence of providing false information. The information I have indicated in this Disclosure is correct. I've read and agree to the Privacy Notice *

Date

2024-11-21

Whistleblowing Form

Please fill in Information about the person or persons who committed the infringement

Liable person No. 1

please provide information about such persons and their contact details, if available, below.

Person who was involved/could have been involved 1

please provide information about such persons and their contact details, if available, below.

Witness 1

Click here to add supporting documentation

Document 1