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REA..NLfs'ԓ,=8(3mXPUѱRKF휣L-W?86v cF(mnRtP~џIRñTT")4DHilfz,uDt$Hck:::kIENDB`3 A@@  )bWHISTLEBLOWER INFORMATIONWWW.GOLDENENERGYMINES.COM1.:Email2.WHISTLEBLOWER STATUS9Apakah Pelapor bersedia untuk memberikan laporan tertulis/8Apakah Pelapor menginginkan identitasnya tidak diketahui:Alamat Pelapor yang dapat dihubungi untuk melaporkan hasil*tindak lanjut / investigasi kepada Pelapor3.a.b.c.d..Perbuatan melanggar hukum (termasuk pencurian,5penggunaan kekerasan terhadap karyawan atau pimpinan,3pemerasan, penggunaan narkoba, pelecehan, perbuatankriminal lainnya)e.0Pelanggaran ketentuan perpajakan, atau peraturan6perundang-undangan lainnya (lingkungan hidup, mark-up,$under invoice, ketenagakerjaan, dll)f.5Pelanggaran Pedoman Etika Perusahaan atau pelanggaran"norma-norma kesopanan pada umumnyag.3Perbuatan yang membahayakan keselamatan & kesehatan,kerja, atau membahayakan keamanan perusahaanh.3Perbuatan yang dapat menimbulkan kerugian finansial5atau non-finansial terhadap perusahaan atau merugikankepentingan perusahaani.6Pelanggaran prosedur operasi standar (SOP) perusahaan,2terutama terkait dengan pengadaan barang dan jasa, pemberian manfaat dan remunerasi4.-?Semua informasi yang diberikan akan kami simpan dan rahasiakan.Pelapor yang melakukan fitnah atau melakukan pelaporan palsu akan kehilangan hak mendapatkan perlindungan dan bahkan diancam dengan sanksi sesuai*dengan peraturan perundangan yang berlaku.Perlindungan tidak diberikan kepada pelapor yang terbukti melakukan pelaporan palsu dan/atau fitnah. Pelapor yang melakukan laporan palsudan/atau fitnah dapat dikenai sanksi sesuai dengan peraturan perundangan yang berlaku, misalnya KUHP pasal 310 dan 311 atau peraturanIinternal organisasi (Pedoman Etika Perusahaan, Perjanjian Kerja Bersama).<employees or leaders, extortion, illegal drug use, abuse andunder invoice, labor, etc)<especially related to the procurement of goods and services,LCatatan : lingkari pada pernyataan "ya" atau "tidak" (bisa lebih dari satu).ILampiran untuk Laporan Whistleblower (Attachment of Whistleblower Report)0IDENTITAS WHISTLEBLOWER (WHISTLEBLOWER IDENTITY) &Informasi Umum (General Information) :$ Nama (Name)Perusahaan (Company) No. Telepon (Phone No.) No. Handphone (Cellphone No.)+Informasi Internal (Internal Information) :) Posisi (Position)Departemen/Divisi (Department / Divison)No. Karyawan (Employee No.) Ya (Yes) Tidak (No):(Do the Whistleblower willing to provide a written report)8(Do the Whistleblower willing to anonymous his identity)<(The Whistleblower reporting addresses can that be contacted3to report the results of follow up / investigation)TKATEGORI & KETERANGAN WHISTLEBLOWER (THE WHISTLEBLOWER CATEGORIZATION & INFORMATION)$ NKategori pelanggaran yang dilakukan (The category of offense that committed) :$L Korupsi (Corruption)Kecurangan (Cheating) Ketidakjujuran (Dishonesty)<(Unlawful acts (including theft, the use of violence againstother crime act))?(Taxes or other legislation violations (environmental, mark-up,A(Corporate Ethics Code or decency norms violations, in general)@(Endanger acts that can impact to safety and occupational health*or jeopardize the security of the company)<(Actions that may cause financial or non-financial losses to7the company or detriment of the interests of companies)?(Standard operating procedures (SOP) violations of the company,+the provision of benefits and remuneration)A(Note: circle to "yes" or "no" statement (can be more than one)).KKeterangan pelanggaran yang dilakukan (Remarks of offense that committed) :&I ABUKTI PENDUKUNG WHISTLEBLOWER (WHISTLEBLOWER SUPPORTING EVIDENCE) <Catatan akuntansi & keuangan (Notes of Accounting & Finance)Surat/memo (Letter/memo) <Dokumen / voucher transaksi (Document / transaction voucher)#Pernyataan saksi (Witnes Statement)Kontrak (Contract)(Note: checklist in the provided box (can be more than one) and to upload supporting evidence can be performed at the GEMS website).7(All provided information will be stored and withheld).(Slander or false reporting by Whistleblower will be impact to loss the protection right and threatened with sanctions in accordance with applicable legislation). 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