IN RE: GUANTANAMO BAY DETAINEE LITIGATION

Filing 1593

NOTICE DECLARATION RE: AUTHORIZATION OF REPRESENTATION by GUANTANAMO BAY DETAINEE LITIGATION, SHAWKI AWAD BALZUHAIR (Attachments: # 1 Exhibit A)(Gunn, Carlton)

EXHIBIT A

NON-PRIILEGED COMMUNICATION

JTF-GTMO Habeas Attornev Refusal Communication
Date:
From:
To:

,Iu/or , Time:
/

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(please p,'int)

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(pleneprint) I rj)(

(Print name øi delivery to detainee)

English version

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Do you wish to meet with your habeas attorney?

DYes

~No

Detainee Sii¡nature:
GTMO L.FORM 4 (SEP 06)

THIS PAGE TO BE RETAINED BY JTF SJA

NON-PRIVILEGED COMMUNICATION

JTF-GTMO Habeas Attornev Refusal Communication
Date:
From:
To:
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Translation

Time:

JTF Witness:
(Print nome !d deliveiy to detainee)

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(Yes)

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(No)

GTMO L-FORM 4 (SEP 06)

THIS PAGE TO BE RETAINED BY JTF 5-5

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