Whistleblowing Report Form Step 1 - Fill in Personal Information (optional) *the identity of the reporter will be protected and kept confidential Name Phone Number Step 2 - Fill in the Criteria for Alleged Violation Select Violation Criteria —Please choose an option—Penipuan (Fraud)Korupsi (Corruption)Pencurian (Theft)Penggelapan (Embezzlement)Penyalahgunaan Wewenang (Abuse of Authority)Pelanggaran Perjanjian Kerja (Violation of Employment Agreement)Penyuapan (Bribery)Lainnya (Others) Step 3 - Describe the Chronology of the Violation (required) Chronology of the Violation Step 4 - Fill in the Information of the Alleged Offender (required) Name of Alleged Offender Division / Department Work Location Date / Day the Violation Occurred Step 5 - Upload Supporting Documents (optional) Supporting Documents Or send directly to whistleblower@itama.co.id