[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