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?
#an#an ko khoe-i di /onsa xoa!ga!ga.
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.
Sao ra na ra sîsenūse: //aeb, //khâbtsēdi,!kaib tsî /ondi hoadi. Tare-e ge dī khoe-e? Mâpa ge nē xū-e dī khoe-e? Mâ//ae ge nē xū-e a dī khoe-e? Mati ge nē xū-e a di khoe-e?
ǂAnsa ū re ne !harib / !khaib ge kai /oa disi (5000) soadi /guide !khōǂgā ha.
4.6 Do you know whether this incident will reoccur: