[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

In the Name of God

The power of belief conquers all forces

(Imam Khomeini)

[Emblem]

Islamic Republic of Iran

Ministry of Interior

National Police Force

[Photo]

[Official stamp over photo] [illegible]

Number -----

Date -----

Enclosure -----

 

From: Police Bureau of Identification (Fingerprinting Unit)

To: Respected Head of Registry and Criminal Records

Re: Sirous Iraninejad, son of Mehraban, birth certificate [redacted] [illegible] zero 1117

The above-mentioned individual has requested a certificate of clean record. Charged with activities in the interest of foreigners and membership in the Zionist sect, under Writ number 33719/2/62 – 21 Dey 1362 [11 January 1984], has been referred to the Inquiry Unit Branch 42 of the Revolutionary Prosecutor’s Office Local Prosecutor’s Office.  [The above-named has been] arrested and according to letter number _____ released on bail.  Please issue an order for action in this regard.

Head of the Bureau of Identification

Colonel [illegible] [signature]

For Colonel [illegible] Vaziri [signature]

[Handwritten note, number and date on top of the page]

14/10109

12 Bahman 1364 [1 February 1986]

30

[Handwriting on the bottom of the page] Enclosure 1