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This form is intended to enable employees, customers, contractors, and other relevant stakeholders to report suspected misconduct, violations, unethical practices, or other concerns, while maintaining confidentiality and protecting the whistleblower in accordance with applicable policies, regulations, and laws.

Fields marked * are required. Your report is handled in confidence by the Internal Audit Office.

1. Whistleblower Information

Please select one of the following options:

2. Type of Violation / Misconduct

Please select the category that best describes the concern. More than one option may be selected:

3. Details of the Person(s) or Entity Concerned

4. Details of the Incident / Violation

Is the violation still ongoing?
How did you become aware of the violation?

5. Supporting Evidence and Documents

Do you have any evidence or documents supporting the report?

6. Whistleblower Declaration

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Department of Finance – Ajman

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