[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

Ministry of Education

Head Office of Education for all the cities in the Province of Tehran

Education Department Branch Office of the County of Shahriar

Number: M/1918/H

Date: 14/8/1390 [5 November 2011]

Enclosure: Yes

In the Name of God

Confidential

To the respected directors of schools under this jurisdiction

Greetings!

Respectfully, please complete the enclosed form (details concerning Baha’i students) and submit it to the Education Department Management Security Office in a discreet manner, not later than 21/8/1390 [12 November 2011].

1-Pre-school students are also included in this directive.

2-Information on the students should be gathered subtly and in a confidential manner.

3-Those schools who do not have the mentioned students should return the enclosed form after it is signed and stamped by the school principal.

Hokm-Ali Najafi

Director of Department of Education in the County of Shahriar

[Signature]

[Contact details]