WHISTLEBLOWING DISCLOSURE FORM

Note: This form allows you to report breaches of Al Seer Marine Code of Conduct, the principles of integrity, transparency and ethics involving company activities or its employees.

Whistleblowing Policy

How would you like to report the incident: Anonymously I am willing to share my details

Please select

SECTION-1: WHISTLEBLOWER’S INFORMATION: (If you wish to remain anonymous you can skip this section)

Name

Please provide a valid Sim Card Request Form No

Date of Report

Please provide a valid Sim Card Request Form No

Please provide a valid Email

Contact Number

Please provide a valid Email

Department (If, ASM employee)

Please provide a valid Email

Sector (If, ASM employee)

Please provide a valid Email

Company Name (Anyone other than ASM employee)

Please provide a valid Email

SECTION-2: MAKE A REPORT: (Describe the misconduct / improper activity involving ASM or Its employees and how you came to know about it. Specify what, who, when, where and how and provide any supporting documents / details if applicable)

Explain in detail, what misconduct / improper activity occurred ? (Provide full description of the incident / misconduct / any facts that led you to concern)

Please provide Explain in detail, what misconduct / improper activity occurred?

Who committed the misconduct / improper activity ? (Specify name & details of people or company involved or suspected in the above incident)

Please provide Who committed the misconduct / improper activity?

When did it happen and when did you notice it ? (Specify date, time and any other personal details and how you become aware of the incident)

Please provide When did it happen and when did you notice it ?

Where did it happen ? (Specify the location in detail with country, city, area etc.)

Please provide Where did it happen ?

How will these facts affect Al Seer Marine ? (Clarify how such allegations will affect the company in anyway)

Please provide How will these facts affect Al Seer Marine ?

Have you previously reported this case to anyone / any channel in Al Seer Marine ? Please provide details

Please provide Have you previously reported this case to anyone / any channel in Al Seer Marine ?

Any supporting details / documents provided: (Any supporting or other contact details or information that you wish to provide)

Please provide Have you previously reported this case to anyone / any channel in Al Seer Marine ?

Document 1

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Document 2

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WHISTLEBLOWING

WHISTLEBLOWING DISCLOSURE FORM

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