[Translator’s notes appear in square brackets]

[Personal information has been redacted.]


Date: 4 Mordad 1363 [26 July 1984]

Writ of Summons to Court and Interrogation


In the Name of God


Islamic Republic of Iran

Central Office of the Islamic Revolutionary Prosecutor General


Number: 253-M-17323/M/61


Name and surname: Mr. Abdol-Shoghi Tebyani

Father: -----

Profession: ------

Residential Address: [redacted]

Place of attendance: Shahid Ghodousi Crossroads, Revolutionary Court Execution of Sentences

Time to attend: Saturday 6 Mordad 1363 [28 July 1984] at 9:00 [a.m.]

Signature of the Person Summoned: [signature]

Date of presentation of document: 4 Mordad 1363 [26 July 1984]

Name of the officer: Second Assistant Prosecutor of Judicial Police Force [Signature]

If the summoned individual fails to attend at the appointed time, without any valid reason, a warrant for his arrest will be issued.


[Note at the bottom of the page:]

Sample of writ of summons to the Qasr prison and the Public Prosecutor’s Office [address]