[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 Mordad [illegible] [13 August [illegible]]

Enclosure: -----

 

[It is hereby certified] that:

Master Sergeant Amrollah Khalajabadi, son of Habibollah, with Birth Certificate number [redacted] issued [redacted], born in the year [redacted], according to his personal file was retired on 1 Bahman 1341 [21 January 1963]. Because of his being a Baha’i, his pension was cut since Khordad 1346 [May/June 1967] 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

On behalf of

Colonel Arbabi

[Signature over official stamp]