KPMG ETHICSLINE

KPMG ETHICSLINE

KPMG Forensic has been engaged by MIND ID to provide KPMG EthicsLine, an independent conduit for employees of MIND ID or MIND ID's affiliates, or parties with whom MIND ID or MIND ID's affiliates have business dealings, to report any fraud or misconduct that such employees or parties suspect is happening in MIND ID.

All reports received will be referred to MIND ID organisation for follow-up actions or investigations.

We are committed to preserve the confidentiality of your information and identity. Though it is not mandatory, you are encouraged to disclose your identity for us to follow up on your report. We respect your desire for anonymity and to preserve the confidentiality of the information you provide. However, our ability to contact you if required to seek further clarification or information may play a role in determining the effectiveness of any investigation.

1.1 About which company would you like to make this report?

Company name (*)

Company name is required.

1.2 Where is the company located?

Department / Section

Department / Section is required.

Address

Address is required.

City

City is required.

Province

Province is required.

Country

Country is required.

1.3 Please indicate your relationship to the company reported.

Contractor Customer Employee Supplier Other

Please select your relationship to the company.

1.4 Would you like to provide your name?

I would like to provide my name and contact information. I would like to remain anonymous.

Please choose whether you want to provide your identity or remain anonymous.

Name

Name is required when you choose to provide your identity.

Contact Information

Contact information is required when you choose to provide your identity.

I authorise KPMG Forensic to release my particulars to the appointed person in MIND ID.

Yes No

Please choose whether you authorize release of your particulars.

I acknowledge that I have read and understood the terms stated in the Online Privacy Statement

You must acknowledge the Online Privacy Statement before proceeding.

2.1 Please select the applicable Incident Type from the list below that best describes the issue(s) you are reporting:

Fraud Misconduct Unethical Behaviour (including: favouritism, nepotism, transgression of company policies, conflicts of interest) Conflict of Interest Corruption

3.1 Do you know the name of the person(s) involved?

Yes No

Name(s)

3.2 Do you know of any witness involved?

Yes No

If yes, please provide name

3.3 Has management been notified?

Yes No

First Name

Last Name

Title

What date was the individual notified?

4.1 When did the incident occur?

From

To

4.2 Where did the incident occur?

4.3 How do you know about this incident?

4.4 Is any supporting information available?

4.5 Please provide a detailed description of the incident

4.6 Do you know whether this incident will reoccur?

I don't know It will not occur again Yes, within the next 24 hours Yes, but after 24 hours

5. Attachments

Maximum 5 files. Allowed types: .doc, .xls, .pdf, .jpg, .jpeg. Max 2 MB each.

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