Full Name

Organization/Group Name (if applicable)

Phone

Email

Address

Grievance to be submitted to the following Subsidiary

Grievance to be submitted to the following individual

Location of Complaint

Information on Complaint*

How did this complaint violate the Company’s Sustainability Policy or RSPO P&C?

Have you done any step towards resolution? Yes/No Pilih Sudah Belum

What are the steps that you would like the Company to consider?

What method(s) do you deem appropriate to resolve this matter?

What is your desired outcome of this grievance?

Evidence [UPLOAD]