[PROVISIONAL TRANSLATION FROM PERSIAN]
[Translator’s notes appear in square brackets]
[Personal information has been redacted.]
Order to Amend Retirement or Disability Pension
Government of Islamic Republic
Form (36-12) 61-4 – Administrative and Recruitment Affairs Organization of Iran
1 - Ministry/Institution: National Iranian Railways
2 - Main ledger: 82557
3 - Retirement number: [redacted]
4.- Given name: Mr. Amir Bahador
5 - Surname: Nourasa
6 - Father's name: Seyyed Abol-Ghasem
7- Birth certificate number and place of issue:
Birth certificate number: [redacted], Place of issue: Province/Region: [redacted]
8 - Place of birth: -----
9 - Date of birth: 10 Bahman [redacted] [30 January [redacted]]
10 - Group: 7
11 - Base: 14
12 – Highest position held during service: In charge of equilibrium affairs
13 - Gender: Male
14 - Place of deposit: City: Tehran Bank: -----
15 - Date and number of final order:
Date: 1 Shahrivar 1358 [23 August 1979] Number: 54987
16 - Length of official service:
Total: 27 years, 5 months, 2 days
17 - Employee status: Retired
18 - Highest level of education: Grade 5
19 - Date of retirement or disability: 20 Ordibehesht 1354 [10 May 1975]
20 - Details of the Order:
Subsequent to directive number 54987, [dated] 1 Shahrivar 1358 [23 August 1979], and in accordance with verdict number 156, [dated] 15 Shahrivar 1362 [6 September 1983], of the Provisional Council for the Restructuring of Human Resources for the Islamic Republic of Iran Railways, effective 15 Sharhrivar 1362 [6 September 1983] (date of issuance of the verdict), you are permanently dismissed from governmental services, and your pension is hereby terminated.
21 - Pension deduction debt:
22 - Date of issuance of order: 10 Mehr 1362 [2 October 1983], Number: 30/11782
23 - Retirement or disability pension is payable from ----- [location] following required deductions.
24 – Given name and surname of the officer in charge: Abbas Nadimi
Official Title: on behalf of the Director of Retiree and Employees’ Affairs
Signature: [signature]
Copy: Employee
Pension Bureau
This Order is certified and valid
Given name and surname of the Pension Bureau Representative ---- Signature: ---- Date: ---- Number: ----
This Order is verified by the Pension Bureau under number 6086, 18 Mehr 1362 [10 October 1983], and registered under number 83557 in the main ledger.