I declare that all the information provided is correct, and I hereby undertake, under this document, to grant Stichting Al Amal for Human Rights and Justice full authority to represent me and speak on my behalf regarding my case and my family’s case before local institutions within the Kingdom of Bahrain, as well as international organizations and bodies concerned with human rights, and any other relevant entities working to address or support my case. This authority includes: submitting complaints, correspondence, or statements, and following up on my legal and administrative matters, with the commitment of the Center to use these powers solely within the human rights and humanitarian framework.