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Name
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Phone
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Email
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Staff No
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Address
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Address Line 2
Postcode
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City
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State
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Johor
Kedah
Kelantan
Kuala Lumpur
Melaka
Negeri Sembilan
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Pahang
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Sabah
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Incident Particulars
Suspect Name
*
Remark
Add Suspect
Date of Incident
*
Location
*
State
*
-Select State-
Johor
Kedah
Kelantan
Kuala Lumpur
Melaka
Negeri Sembilan
Others
Pahang
Perak
Perlis
Pulau Pinang
Putrajaya
Sabah
Sarawak
Selangor
Terengganu
Reason of Complaint
*
-Select Reason-
Already reported to supervisor/department head, but no action taken.
Offense has occured multiple times.
Already reported to Integrity Department, but no action taken.
Complaint made on the basis of responsibility to TSG/Company.
Complaint Title
*
Complaint Details
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Witness Particulars (Optional)
Witness Name
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