[PROVISIONAL TRANSLATION FROM PERSIAN]
[Translator’s notes appear in square brackets]
[Personal information has been redacted.]
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]
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]
[Handwritten note on the page margin]
The first page of the Birth Certificate of Farhang Mavaddat, after annulment and issuance of the burial certificate.