[PROVISIONAL TRANSLATION FROM PERSIAN]

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

Assistant, Personnel Office

Copy: Personnel File

I, Afshin Nowrouzi-Iranzad, holder of birth certificate number [redacted], issued in Tehran, born in 1333 [1954], son of Younis, am a follower of denomination/ Faith Baha’i, and I so stipulated this fact in my file at the commencement of my employment.

[signature]

Date: 2/10/1360 [23 December 1983]

[contact details]

[handwritten note at the bottom of the page]

Seen in Karaj

[signature]

7/9/1361 [28 November1982]