[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.