[PROVISIONAL TRANSLATION FROM PERSIAN]

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

[Logo]

Ministry of the Interior

National Census and Personal Status Office

[The administrative tariffs have been paid]

Birth Certificate number [redacted]

Date of issue: 10 Saratan 1304 [1 July 1925]

[Official stamp]

[Photo]

[Official stamp]

Mr: Farhang, Surname: Mavaddat, Son of: Fazlollah, Birth Certificate: [redacted], issued from [redacted] [and] Mrs. Batul, Birth Certificate [redacted] issued from [redacted], was born on the twenty seventh of the month of Jowza of the year one thousand and three hundred and four 1304 [17 June 1925] in Tehran, street---- road---- house---- village/borough-----.

Issued in area/district ----

Name of officer [illegible], Surname: Parvin, Position: Archivist at the National Census and Personal Status Office, Tehran

[Signed over official stamp]

29/3/47 [19 June 1968]

[Signed]

29/3/47

[Handwritten note on the page margin]

The first page of the Birth Certificate of Farhang Mavaddat, after annulment and issuance of the burial certificate.