1.1 About which company would you like to make this report?
1.2 Where is the company located?
1.3 Please indicate your relationship to the company reported.
1.4 Would you like to provide your name?
2.1 Please select the applicable Incident Type from the list below that best describes the issue(s) you are reporting:
3.1 Do you know the name of the person(s) or organisation(s) involved?
3.2 Do you want to add another involved party?
3.3 Has management been notified?
Gandja edhina lyaangoka ta lopotelwa.
4.1 When did the incident occur?
4.2 Where did this 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.
Efimbo, efiku, onhele nomadina. Keshe tuu ouyele todulu okuhandja. Tumbula nee oonakukufambinga? Eshi vaninga/ ilo aninga? Apa shaningilwa? oNaini? Omunhu okweshi enda ngahelipi?
Ino shanga itya ya pitililapo po5000.
4.6 Do you know whether this incident will reoccur: