WTA(_________)

WARRAT TO ACT
We, Mr._____________________________________(IC No...............................................)

and Mrs._____________________________________(IC No…………….……………….),

being the biological/adopted parents & legal guardians of the following children that have
not reached the age of majority and/or are still dependants to us as above, and as follows :

1) ________________________________________(IC No……………………………….)

2) ________________________________________(IC No……………………………….)

3) ________________________________________(IC No……………………………….)

4) ________________________________________(IC No……………………………….)

5) ________________________________________(IC No……………………………….)

do hereby appoint Mr.______________________________________, as our legal counsel

to act in and/or to appoint as deemed fit any other legal counsel and/or initiate any & all
necessary legal proceedings against any & all parties be it the Ministry of Health ("MOH")
of Malaysia, the National Pharmaceutical Regulatory Agency (NPRA), and/or the relevant
Pharmaceutical Company that has supplied their relevant products to the Malaysian
Government and/or Regulatory body/bodies with their unlawful waivers/indemnity terms
that violate ours and/or that of our children’s basic human rights, to therefore defend our
constitutional rights under the Constitution & Laws of Malaysia in tandem with our human
rights as enshrined under the United Nations Charter of Universal Basic Human Rights so
as to enable us, as their Legal Guardians to be able to make a conscientious and informed
decision in objection, to the MOH programme to vaccinate all school-going children in the
age category of twelve to nineteen (12-19) years old with these Irreversible Gene Therapy
pharmaceuticals that have been unadvisedly & hastily categorised as COVID Vaccines
under the Emergency Use Authorisation(EUA), from the World Health Organisation.

We understand that this legal representation shall be on a pro bono basis.

Signed for and on behalf,

______________________ _________________________
Name : Name :
………………………………………………………………………………………………...

I, Mr. ____________________________________(NRIC No…………………………….)

do hereby accept this Warrant to Act under the terms and conditions as spelled out above
on this the ________day of ___________2021.

…………..............................
Name :
Legal Counsel

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