Internal Complaint form Internal Complaint Form Full Name: Employee No / Student Register No: Designation: Departmemt / Shift: Date of Incident: Time of Incident: Perosn(s) you allege committed the sexual Harassment : Name Shasun EmployeeVendorOutsider Please describe the incident in detail, including your reaction to the incident: Person(s) who witnessed the incident, if any: I confirm that the information given in this form is true, complete and accurate, and I have stated the facts to best of my ability and knowledge. Employee Signature: Date: