Whistle-blowing Report Form | Qatar Finance and Business Academy

Your Contact Information

(This section may be left blank if you wish to remain anonymous. However, we recommend that you share your contact details so that, if necessary, we may seek additional information from you during our investigation process. Please note that all sections marked with an * below are mandatory).

Reference No. (system generated number): QFBA-160426491036

الاسم

Title/Designation

Department

License Number

Company Name

Telephone Number

Email Address

Subject Information

(The person(s)/company in respect of whom/which you are submitting this report).

Subject name *

Title/Designation *

Department *

License Number *

Company Name *

Telephone Number *

Email Address *

Witness(s) information

(Information of any other person(s) who has/have information relating to the reported misconduct)

Witness name

Title/Designation

Department

License Number

Company Name

Telephone Number

Email Address

Details of the misconduct you are reporting

(Describe in detail the misconduct and how you came to know about it. If you wish to report more than one allegation, please number each allegation in the text box below.)

What Alleged Misconduct Occurred? *

When did it happen and when did you become aware of it? *

Where did it happen? *

How did it happen? *

Are there any other parties involved in the alleged misconduct? If yes, please provide their names and designations. *

Are you concerned that you or any other person may suffer (or has already suffered) consequences arising from this matter or from its reporting? *

Have you reported the activity to your employer? *

Yes

Is there any individual who is conflicted by the misconduct and who should not be assisting in reviewing or assessing the alleged misconduct? *

Yes

Were any internal controls to prevent the alleged misconduct circumvented? If yes, what controls were circumvented and how were they circumvented. *

Yes

Are there any supporting documents or evidence which you would be able to share in relation to the misconduct? These can be uploaded using the button below. *

Are there any Supporting Documents? (Optional)

انقر للتحميل.

formats: jpg, jpeg, png, pdf, doc | upto 10 MB

Please insert any other details that you think could assist in the investigation. *

Declaration

I declare that all of the information provided by me in this form is, to the best of my knowledge and belief, true and correct and that all documents provided (if any) are true and accurate copies of the originals. I understand and agree that the QFBA Authority will use the information provided in this form to investigate the matter(s) reported in accordance with the applicable regulations, rules, policies, and procedures. By clicking the "Submit" button below, I consent to the processing by the QFBA Authority of my personal information set out in this report.

I agree to the above declaration

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