Whistleblowing Form

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Please provide as many details as possible of the infringement so that we can investigate it further. Please use the attached button at the bottom of the form to add any supporting document, file, or image.

Information about the person notifying about the infringement

Name, Surname *

Date of birth *

Company * (current or former employment relationships or other contractual relationship with the Company)

Position *

Phone number *

E-mail *

Information about the infringement

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?

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

Click here to add supporting documentation

Document 1

Upload file (Maximum allowed size for file is 10 MB)

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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