MAKLUMAT PENGADU | COMPLAINANT'S INFORMATION (*) wajib diisi | (*) compulsory field
Nama Pengadu| Complainant's Name *
No.KP@ Pasport @ Tentera @ Polis | IC @ Passport @ Army @ Police No.(without - | tanpa - )
Alamat Surat-Menyurat | Mailing Address
No. Telefon | Telephone No. * (without - | tanpa - )
Emel | Email *
MAKLUMAT ADUAN | DETAILS OF COMPLAINT (*) wajib diisi | (*) compulsory field
Tarikh Aduan | Date of Complaint
Kategori Salah Laku | Category of Misconduct * -- SILA PILIH | PLEASE CHOOSE -- Rasuah atau Penipuan| Corruption or fraud Kesalahan Jenayah | Criminal offense Salah guna wang atau harta MQA | Misuse of money or property of MQA Kesilapan pengurusan ynag melampau dalam MQA | Extreme management error in MQA Ketirisan kewangan yang serius dalam MQA | Serious of finance leakage in MQA Gangguan seksual | Sexual Harrasment Kesalahan tatatertib yang lain | Other misconducts
Nama Pegawai yang diadukan| Name of the subject complaint *
Jawatan Pegawai yang diadukan | Position of the subject complaint
Tarikh Kesalahan | Date of Allegations
Masa Kesalahan | Time of Allegations
Tempat Kesalahan | Place of Allegations
Keterangan Aduan | Description of Complaint *
Bukti Kesalahan (Jika Berkaitan)| Proof of Allegations (If Applicable) (.gif/.jpeg/.png/.pdf) MAX SIZE : 5MB