The document is a power of attorney form for shareholders of Al Sagr National Insurance Company. It allows the signatory or signatories to appoint a representative to attend and vote electronically on their behalf at the company's general assembly meeting. The meeting is scheduled for 12:00 PM on Wednesday, May 18, 2025, at the company's headquarters in Dubai, either in person or electronically. The representative has the right to vote on all matters presented at the meeting, whether it occurs as planned or is postponed. The form includes space for special instructions, contact information, the name and number of the representative, the date, and the shareholder's signature.