[Translator’s notes appear in square brackets]

[Personal information has been redacted.]




I: -------, Son of: -------, Identification Number: --------, Issued from: --------, Born in: --------,

Religion: -------, Telephone: --------, Occupation and address of the place of work: --------


Type of Undertaking:

I undertake and give guarantee to observe the ethical principles, obey [and respect] all the laws and regulations of the trade affairs and the rules of the Public Places Supervision Office and Islamic principles. In case of infringement, the Public Places Supervision Office is allowed, according to the administration and law, to stop me from continuing my activities and I will not have any right to dispute.


Signature and fingerprint