[PROVISIONAL TRANSLATION FROM PERSIAN]

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

[Emblem]

Islamic Republic of Iran

Decision of the Personnel Office

Form: 32 Ayn (52/4), Administrative and Recruitment Affairs Organization of Iran 

1- Ministry/Institution: [Ministry of] Education

2- Employee number: [redacted]

3- Given Name: Mrs. Farahangiz

4- Surname: Laghaie

5- Father's name: Seyyed Ali Mohammad

6- Birth certificate number and place of issue: Birth certificate number [redacted]

Place of issue: [redacted]

7- Place of birth: [redacted]

8- Date of birth: Day 1, Month Mehr, Year 1326 [24 September 1947]

9- Highest degree and field of education: Highest degree: High school diploma, Field: Natural Sciences

10- Title and position: Laboratory technician

11- Guild: Education and culture, Rank: High school teacher, Level 1

12- Group: 4

13- Base: 2

14- Organizational unit: Motaheri Laboratory

15- Location of service: Province/Region: Hamadan, City: Hamadan

16- Reference: Circular No. 52--D1, dated 17 Tir 1360 [8 July 1981]

17- Decision: Termination of Service

18- Details of decision: As specified in the report dated 29 Mehr 1360 [21 October 1981] of the Department of Education, registered under number 28798--[dated] 9 Aban 1360 [31 October 1981], and endorsed by the representative of the Bureau of Review, Guidance, and Placement of Human Resources in Hamadan Province, in view of your written acknowledgment that you adhere to the perverse Baha'i sect, in accordance with the provisions of Circular No. 52--[dated] 17 Tir 1360 [8 July 1981], and the instructions of the honorable Minister, effective on the date of the issuance of this decision, your employment at the Ministry of Education is terminated.

Copy: - Office of Administrative Affairs; - Bureau of Review, Guidance, and Placement of Human Resources, with attachment

19- Salaries, Benefits, and Bonuses

20- Salaries, benefits, and bonuses indicated in this decision, for the total sum of (in letters) ----- rial subsequent to legal deductions from credit ---- section ---- items ---- are payable.

21- Date of enforcement of decision: Date of issuance

22- Date of issuance and decision number: Date: 11 Aban 1360 [2 November 1981], Number 29196

23- Given name and surname of officer in charge: Moshtagh

Permanent organizational title: Administrative and Financial Deputy of the Department of Educational Affairs, Hamadan Province

[signature]

First copy: Employee