Report a Concern Whistleblower QuestionnaireReport a Concern FormReport Attach supporting fileChoose File Category Bribery, Corruption, Fraud or Other Illegal Acts Conflict of Interest Discrimination, Bullying, Intimidation, Harassment or Other Inappropriate Behavior Equality, Diversity and Inclusion Health & Safety Improper Procurement Practice Inappropriate Gifts, Inducement, Entertainment, or Meals Inappropriate Hiring Practice Integrity of Financial Reporting, Accounting, and Internal Controls Misuse, Abuse, or Theft Unfair DismissalAdditional InformationPlease answer the following questions, include as much detail as possible. It’s OK to skip a question that is not required.1. In order to help with the investigation of your report, would you be willing to provide the Group Internal Audit with your contact information? Yes NoIndividuals are encouraged to add their name and contact information in the report a concern form; however, concerns expressed anonymously will be considered based on the following factors: the seriousness of the issues raised, the credibility of the concern, and the likelihood of confirming the allegation from attributable sources.2. Is your concern related to? Corporate Heavy Equipment Division Motors Division Food & Beverage Division Engineering Division Media Division Ventures Division3. What is your relationship to the organization? Employee Customer Vendor Business partner Others4. Describe the general nature of the issue, giving as much specific information as possible about the type of concern and to identify the parties involved (within the Group/BU, at the BU’s client or other third parties).5. Do you suspect that a supervisor or someone in leadership is involved? Yes No6. Has anyone tried to cover up or hide the existence of this matter? Yes No7. Is anyone in the organization aware of this issue? Yes No8. How did you become aware of this issue? 9. When did you become aware of this issue?10. Has there been a previous attempt to report this activity to anyone? I consent to receive marketing communications relating to products, services, and events from Galadari Brothers Co LLC and its subsidiaries.By submitting this form, I acknowledge that my personal data will be processed in accordance with the Privacy Notice. I consent to receive marketing communications relating to products, services, and events from Galadari Brothers Co LLC and its subsidiaries.By submitting this form, I acknowledge that my personal data will be processed in accordance with the Privacy Notice.SUBMIT
