[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

In the Name of God

[Emblem]

Islamic Republic of Iran

Ministry of the Interior

Police Force of Iran

Phone number:

Number: 12921

Date: 22/05/ [?] [13 August?]

Enclosure:

 

[It is hereby certified] that:

Master Sergeant Amrollah Khalaj-Abadi, son of Habibollah, with Birth Certificate number [redacted] issued in Farahan, Arak, born in the year 1296 [1917-1918], according to his personal file was retired on 1/11/1341 [21 January 1963]. Because of his being a Baha’i, his pension was cut according to the announcement of the Revolutionary Prosecutor’s Office of the Army of the Islamic Republic of Iran. This certificate has been issued to the Family Support Tribunal at the request of the person named above.

Head of the Department of Services and Retirement

Colonel Arbabi

[signature over official stamp]

On behalf of