12345 DEAR CORRUPTION FIGHTER, WELCOME TO OUR WHISTLE-BLOWING PLATFORM At the core of Corruption Watch’s mandate is the reports that we receive from the public. We need to know where corruption is happening, what form it takes, and who is doing it. This information helps us to identify corruption trends and hotspots, as well as informs our campaigns and advocacy projects that address specific issues. By submitting a report and blowing the whistle on corruption, you are assisting us in developing research initiatives, public mobilisation campaigns, public interest litigation and policy advocacy in order to improve the state of corruption in South Africa. It is important to note that Corruption Watch is not an investigative institution, and due to funding and capacity constraints, we can only investigate a small number of complaints received. We do encourage you to report any incident of corruption, in as much detail as possible, in order for us to find the best holistic solutions to address corruption in our communities, municipalities, provinces and the country as a whole. By taking a stand, you are actively contributing towards a corruption-free society! Please note that all reports submitted to Corruption Watch are treated with care and processed in a safe and secure environment. We will NOT share any details or identifying information with any individual or organisation, without your express permission and consent.Before you proceed with submitting your corruption report, please tick the following boxes:Consent* I consent to Corruption Watch storing my information in a safe and secure environment, as specified in its privacy policy. I understand that if necessary, Corruption Watch may have to share my information with law enforcement agencies in a similarly safe and secure manner, and I consent to this. Acknowledgement of Expectations* I acknowledge that by submitting a report, Corruption Watch is not expected to investigate this matter and can use this information to inform their research, campaigns, litigation and policy advocacy Corruption Watch respects the privacy of our whistleblowersIf you wish to make an anonymous report, please ensure that you fill out the report in as much detail as possible so that we can proceed with an intended course of action. Do you want to remain anonymous?* No Yes How can we get in touch with you? In order for us to understand the profile of our corruption fighters, please fill out the following details:Name and Surname Age 16 - 24 25 - 35 36 - 45 46 - 55 56 - 65 65 + Gender Male Female Other Nationality Race African Asian Coloured Indian White Other Contact Details How did you learn about Corruption Watch?InternetSocial mediaTVRadioWord of mouthNewspaper Please select the type of corruption involved in the incident:Type of Corruption* Dereliction of Duty Fraud Misappropriation of Resources Bribery / Extortion Procurement Irregularities Employment Irregularities Maladministration Whistle-blower Victimisation DERELICTION OF DUTY Failure to Act Failure of a person in a position of power to carry out what they should do as part of their job; failure to actFRAUD Election fraud Ghost learners Fraudulent Documents / Qualifications Misrepresentation or deception by someone for personal gainMISAPPROPRIATION OF RESOURCES Mismanagement of resources Theft of resources Misuse of resources Embezzlement Irregular / wasteful expenditure Improper use of public resources (including money, vehicles, assets etc.) that someone or a group of people have been entrusted withBRIBERY / EXTORTION Bribery Extortion Bribery: To offer, give, receive or solicit any something the offering, giving, receiving, or soliciting an item or service of value in order to influence someone’s actions. Extortion: to obtain something by force or through threatsPROCUREMENT IRREGULARITIES Kickbacks (bribery for tenders) Conflict of interest (favouritism / nepotism) Fronting Tampering with tender process / documents Irregular activity in relation to the procurement of goods or servicesEMPLOYMENT IRREGULARITIES Conflict of interest (favouritism / nepotism) Dual employment Bribery for a job / promotion / salary increase Claim for time not worked or work not done Ghost workers Irregular activity in relation to employmentMALADMINISTRATION Service delivery Compliance Dishonest or inefficient administration / mismanagement of duties that have been entrustedWHISTLEBLOWER VICTIMISATION Abuse of power Violence Please indicate the sector that the corruption took place:Where did the corruption take place?* Public Sector Private Sector PUBLIC SECTOR Construction Basic education Healthcare Immigration Policing Traffic & Licensing Higher education Housing Mining State-owned entities Defence Other Private Sector Construction Education Healthcare Business Legal/Financial Services Defence Mining Other Please choose the location where the incident took placeProvince*Eastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth WestWestern CapeCity or town When did it happen?* DD slash MM slash YYYY What happened?*Name of the person involved Role of the person involved Do you have evidence or information to support your claim?* Yes No Have you already reported this incident to another authority?* Yes No Δ