Whistle Blowing System

1

Apakah Anda ingin mengungkapkan identitas kepada PT Wahana Adireksa Pratama* This field is required.

Yes

No

2

Nama* This field is required.

First Name

Last Name

3

Email* This field is required.

example@example.com

4

Apakah PT Wahana Adireksa Pratama dapat menghubungi Anda untuk menindaklanjuti laporan? Apabila ya, mohon dapat diinformasikan nomor telepon dan alamat email* This field is required.

Yes

No

5

No Telepon* This field is required.

6

Email* This field is required.

example@example.com

7

Penjelasan mengenai pelanggaran yang ingin dilaporkan, termasuk bagaimana kejadian yang dilaporkan dapat terjadi. Minimal melampirkan dua alat bukti* This field is required.

8

Lampirkan Bukti 1* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

9

Lampirkan Bukti 2* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

10

Pihak yang dilaporkan meliputi nama, jabatan, dan departemen.* This field is required.

11

Apakah terdapat pihak lain selain terlapor yang terlibat?* This field is required.

Yes

No

12

Name* This field is required.

First Name

Last Name

13

Jabatan

14

Departemen

15

Apakah terdapat saksi mata yang mengetahui pelanggaran yang dilaporkan?* This field is required.

Yes

No

16

Name* This field is required.

First Name

17

Jabatan

18

Departemen

19

Tanggal Pelanggaran* This field is required.

Date

20

Waktu Pelanggaran* This field is required.

Hour

Minutes

21

Apakah Anda pernah melaporkan pelanggaran kepada pihak PT Wahana Adireksa Pratama atau pihak lain, selain melalui saluran WBS?* This field is required.

Yes

No

22

Tanggal laporan disampaikan* This field is required.

Date

23

Waktu laporan disampaikan* This field is required.

Hour

Minutes

24

Siapa yang menerima laporan* This field is required.

25

Bagaimana status tindak lanjut saat ini* This field is required.

Dalam Proses

Telah Selesai

Ditolak