[PROVISIONAL TRANSLATION FROM PERSIAN]
[Translator’s notes appear in square brackets]
[Personal information has been redacted.]
Decision of the Personnel Department
In the Name of God
Islamic Republic of Iran
Form A 32(52-4) State Administrative and Employment Affairs Organization
1- Ministry/Organization: Education
2- Employee Number: [redacted]
3- Name: Mrs. Aghdasol-Molouk
4- Surname: Jananpour
5- Father’s name: Yaghoub
6- Identification number and place of issue - Identification number [redacted], place of issue: County Kermanshah, Province/Governorship of Kermanshah
7- Place of Birth: [redacted]
8- Date of Birth: Day 8; Month Aban; Year [redacted] [30 October [redacted]]
9- Highest qualification: Diploma in the field of Technical Studies
10- Title of Organizational Position: Nursery School Teacher
11- Educational Field in the Field of Teaching, Classification -----
12- Group 8
13- Base 12
14- Organisational Unit: Bahareno School
15- Place of service: Sector 14 City Tehran, Province/Governorship of Tehran
16- Licence as per the order
17- Type of order: Dismissal from service
18- Summary of the Order:
Based on the questionnaire form A, you have identified yourself as a member of the Baha’i sect. Therefore, you are not covered by the State Employment [Act], and effective [date:] 1 Shahrivar 1359 [23 August 1980] your employment is terminated, and you no longer hold a position in the Ministry of Education.
19- Salaries, benefits and allowances
20- Total of salary, benefits, and additional bonuses in this order: ----- rial, following the statutory deductions from the [remuneration] ----- Chapter ----- Paragraph ----- is payable.
21- Verdict enforcement date: 1 Shahrivar 1359 [23 August 1980]
22- Date of issue and the order number: Date 12 Shahrivar 1359 [3 September 1980] Number 17533/14
23- Name and surname of the responsible authority: Asghar Nowrouzi
Title of the organizational position: Director of the Department of Education - Sector 14
Signature: [Signature]
13 Shahrivar 1359 [4 September 1980]
Copy: Employee