Teraju Farma Sdn Bhd - 28 Years Pharmaceutical Bumiputera Agent

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A. Disclosure Details

1. PARTY INVOLVED IN CONCERN RAISED

Designation

Name of Party

Division/Company

How do you know this party

2. DETAILS OF CONCERN

Date/Time

Location

Description of Concern

3. SUPPORTING INFORMATION TO ASSIST INVESTIGATIONS

Witness Name

Witness Department

Supporting Evidence

B. Reporting to Other Parties

Have you raised your concern to any other person / department / authority? If yes, please state the person/department/authority the report was made/lodged and insert the date of the report. You may attach a copy of the report made.

C. Particular of Whistleblower

Designation

Name

Occupation

Contact No.

Email Address

Relationship with Teraju Farma (if not Employee)

D. Attachments

Attachments (png, jpg, pdf)

E. Declaration

I hereby declare that all information provided herein are made voluntarily and are true to the best of my knowledge, information and belief. I do understand that Teraju Farma shall use the information and materials provided herein throughout the process in accordance with the Whistleblowing Policy.