[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

[Emblem]

Islamic Republic of Iran

 

In the Name of God

Order to amend or increase retirement or disability pension

Form Ein - 57 (36-1) National Administrative and Employment Affairs

1 - Ministry/Institution: Roads and Transportation/Ports and Shipping Organization

2 - Employee Number:

3 - Pension Number: [redacted]

4 - Details of Employee: Name: Mr. Aziz, Surname: Afshar, son of: Ali, date of birth 2/3/1306 [24 May 1927], birth certificate number: [redacted], issued by: Division 2, County: Shadegan, Province/Governor General: Khuzestan, Gender: Male

5 - Employee Status: Retired

6 - Date of Retirement or Disability: 22/4/1359 [13 July 1980]

7 - Employee Status:

B - As per State Employment Act, ratified 31/3/1345 [21 June 1966]

8- Verdict details:

According to verdict number 23, dated 26/1/1369 [15 April 1990], of the Appeal Council for Investigating Administrative Offences of the National Ports and Shipping Organization, your pension, subject of order number 14500, dated 5/4/1359 [26 June 1980], is terminated as of the date of this verdict.

9 - Date and Number of the Last Order: Date: 5/4/1359 [26 June 1980], number: 14500

10 - Retirement or Disability Pension Determined in Final Order   ....  rial

11 - Current Retirement or Disability Pension   ...  rial

12 - Increase   ...  rial

13 - Pension Debt/Arrears:

14 - Retirement and disability pension are payable after deductions from ----- (location)

15 - Date of Execution of Judgment: 26/1/1369 [15 April 1990]

16 - Date and Number: 18/12/1369 [9 March 1991], 2/29008

17 - Name and Surname of the Officer in Charge: Ebrahim Aziz Abadi

Corporate Title: Administrative and Finance Deputy

[signature]

Copy: Employee