Form to send to (choose the correct one): - Scegliere - Gruppo BNP Paribas - Compliance Arval Corporate Do you wish to remain anonymous? YES NO Your identity will be protected in case you want to remain anonymous. In the event that we do not have the possibility to communicate with you, our investigation activity on the report made may be limited. Name Surname Email Telephone / Mobile Phone Preferable time to be contacted Please notice that we will protect your identity if you wish to stay anonymous. Not having the possibility to communicate with you may limit our ability to investigate your concern Please indicate where the event / incident occurred (Specify Country, entity, branch, city, department ...) Please indicate when the event / incident occurred Please describe the illegal, unethical or improper conduct that you want to report, in as much detail as possible way Please indicate how and when you became aware of the event / incident Please indicate your relationship with Arval, indicate the persons and / or functions involved in this behavior Indicate if this behavior has been reported to others by you or someone else Indicate a list of people who may be aware of the behavior or the event Please indicate the estimated amount of damage that the event / incident may have caused, in € (Fill in only if you believe you have elements to assess the potential damage) Do you think someone has tried to hide the behavior or problem reported? (Indicate the name of the person who would have hidden the fact and the description of the actions taken to hide it) Any document or file that can support the report Un solo file.Limite 32 MB.Tipologia di documenti consentiti: pdf, doc, docx, odt, ppt, pptx. Do you give us permission to contact you if we have any further questions? Yes No We assure you that you will not be contacted on your telephone number or e-mail of the office or in other personal contacts provided unless specifically stated in question number 1). Please read your declaration carefully before sending. We will consider the information provided strictly confidential as described in the Ethical Alert procedure. riquadro 2