TİRSAN BİLDİRİM FORMU EN

Form for Ethics Notification Channel

Please fill in the following form in order to make new notification by Ethics Notification Channel.

*Filling in the mandatory fields will ensure a healthier evaluation and examination of your statement.

Notification Follow-up No

Date

Disclosure of Your Name to the Company

Personal Information

Are you an employee or a stakeholder?*

Title of Company You Work for

Department

Your Title or Position

Country*

Province*

What is the Subject of Notification?*

Unethical Behaviour Subjects

Abuse and Other Critical Issues

Brand of the Notified Company*

Title of the Notified Company*

Name of the Place of Incident (Name of Store, Warehouse, etc.)*

Province of the Place of Incident (Province of Store, Warehouse, etc.)*)*

Person/Persons Causing or Realising the Incident*

How have you been aware of the incident?*

If you have heard of the incident, who is your resource?

If your have heard of the incident, do you think that alleged notification is reliable enough?

When did the incident take place (date and time)*

Has the incident been continuing?

Are there any other people witnessing the incident?

Have there been any people trying to cover or hide the incident?

Have you notified your company managers about the alleged incident?

Have you shared the incident with someone else?

If there is a material damage incurred by the company as a result of the incident, what is the amount of such damage according to you?

Are there any other people who may want to provide information about the incident?

Do you have any evidences such as document, etc. in order to facilitate intracompany case examinations about the incident?

What is your expectation from the company? What kind of an action do you expect to be taken with relation to your claims? *

Please write the notification in a detailed and clear manner*

If there are supportive data, such as document, picture, etc., you want to add to the notification, you can upload them at pdf. doc. jpg. etc. formats or you can send over Whatsapp Notification Channel no. +90 552 384 5000.

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