Whistle Blowing

Please provide the information as follows

* Are you an employee of Primera Africa?

* Do you wish to remain ANONYMOUS for this report?

If you want Primera Africa to know your identity please fill the following

Report - Conflict of Interest.

Please identify the person(s) engaged in this behaviour

Example, John Doe, Director of Internal Audit

S/N
First Name
Last Name
Title
1
2
3

Do you suspect or know that a supervisor or management is involved?

If yes, then who?

Example, John Doe, Director of Internal Audit

Any persons mentioned here will be restricted from access to this reported information.

* Is the managment aware of this problem?

What is the general nature of this matter?

This should be a general description only, you will be asked for specifics later.

Where did this incident or violation occur?

We recognize that this incident may not have occurred in a particular location. However, if this incident was observed in some documentation or business transactions, please indicate this accordingly.

Please provide the specific or approximate time this incident occurred:

Examples:Tuesday, May 3, 2002 Two weeks ago Approximately a month ago

*How long do you think this problem has been going on?

*How did you become aware of this violation?

If other how?

Please identify any persons who have attempted to conceal this problem and the steps they took to conceal it:

Please identify by name and title.

If you have a document or file that supports your report, most common file types can be uploaded:

* Please provide all details regarding the alleged violation, including the locations of witnesses and any other information that could be valuable in the evaluation and ultimate resolution of this situation.

When you submit the report, you will be issued a Report Key. Please write it down and keep it in a safe place. We ask you to use this Report Key along with the password of your choosing to return to EthicsPoint through the website or telephone hotline in 5-6 business days. By returning in 5-6 business days, you will have the opportunity to review any Follow-up Questions or submit more information about this incident

Please take your time and provide as much detail as possible, but exercise care to not provide details that may reveal your identity unless you wish to do so.