WHISTLEBLOWER DISCLOSURE FORM
    If you wish to report any concerns related to misconduct or wrongdoings, please fill in the form below.
    We assure that your identity will be protected.
    
    COMPLAINANT PARTICULARS
    Are you employee of Bank Islam Malaysia Berhad?  
    Name 
    NRIC No. 
    Position 
    Company 
    Office No. 
    Mobile No. 
    Email Address 
    
    COMPLAINT DETAILS
    Nature of alleged misconduct (please choose in the appropriate box)
    
    
    
    
    
    
    
    
    
    
    
    
    
    Date   
    Time  
    Place of Alleged Incident     
    Name of Person(s) Involved     
    Designation of Person(s) Involved     
    
    Details of the alleged misconduct
         
    Witness(if any) 
    Please attach any other information / evidence (eg. document, photograph, etc) together
   with the whistleblower disclosure form
    Attachment(max size: 1MB per file)
    DECLARATION