[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

[Emblem]

Islamic Republic of Iran

Administrative Order of the Office of Personnel

Form (52 – 4) 32 – A, of the Department of State for Administrative Affairs and Employment

 

  1. Ministry of Energy
  2. Employee Number: [redacted]
  3. Given Name: Mr. Ezzatollah
  4. Surname: Nikjou
  5. Father’s Name: Zabihollah
  6. Birth Certificate number and place of issue
  • Birth certificate number: [redacted]
  • Place of issue: Town: [redacted]
  • Province [redacted]
  1. Place of birth: [redacted]
  2. Date of birth: Day: 27, Month: Aban, Year: [redacted] [18 November]
  3. Highest academic degree and subject
  • Highest degree: Masters of Science
  • Subject: Geology
  1. Title of Permanent Government Position:  Retired
  2. Branch:  11
  3. [Employment] Category:  11
  4. [Employment] Level:  4
  5. Organizational Unit: -----
  6. Place of service/duty:
  • Town: Tehran
  • Province/Governorate: Central
  1. Permit:

Date: -----

Number: -----

  1. Type of Ruling: Permanent dismissal from government offices (Discontinuation of retirement pension)
  2. Description of Ruling: Based on decision number 16, dated 22 Farvardin 1362 [11 April 1983], communicated via letter number B/240, dated 22 Farvardin 1362 [11 April 1983], from the Preliminary Commission for the Restructuring of Human Resources Office in the Ministry of Energy, and enacted on 5 Mehr 1360 [27 September 1981] with reference to Clause 8 of Article 29 of the aforementioned regulation, you are dismissed from all governments offices and those affiliated with the government effective from 16 Farvardin 1362 [5 April 1983]. Your pension will be cut off according to decision number 17042/411, dated 24 Azar 1358 [15 December 1979].
  3. Salaries, benefits, bonuses-----
  4. Salary [illegible] ----- rials, after the condition [illegible] ---- is payable.
  5. Date of enforcement of decision: 16 Farvardin 1362 [5 April 1983]
  6. Date of issuance and ruling number:
  • Date: 25 Ordibehesht 1362 [15 May 1983]
  • Number: 6 [illegible]/4670/611
  1. Name and surname of officer in charge: Hasan Ghafouri

Title of permanent Organizational Position: Ministry of Energy

Signature [signature]

[Official stamp]

Copy: employee D/