[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

[Emblem]

Imperial Army of Iran

Army Ground Forces

From -----

To -----

Department -----

Unit -----

Number 18 [?] 2

 

Day 30/3/1342 [20 June 1963]

Subject -----

 

It is hereby certified [that]

 

Dr. Ezzatollah Forouhi has served with utmost endeavor for a period of one year from 4/4/1341 [25 June 1962] to 4/4/1342 [25 June 1963], in the 9th Division of Khuzestan, and his military service and behavior were met with total satisfaction. 

 

Head of the 9th Division of Ahvaz Clinic – Lieutenant Colonel Dr. Ruhi 

[Signature]

[Official stamp]

Lashgar Hospital