[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 Ayn-32-(52-4) – Administrative and Recruitment Affairs Organization

1- Ministry/Institution: Education

2 - Employee number: [redacted]

3 - Name: Mr. Farnoush

4 - Surname: Hamidi

5 - Father's name: Ahmad

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 06 Year 1329 [20 February 1951]

9 - Highest level and field of education:  Highest level:  Diploma+, Humanities

10- Permanent organizational position: Middle School Teacher

11- Guild: Education, Field: Middle/high school teacher, Level 2

12 – Group: 5

13 – Class: 3

14 - Organization unit: Department of Education, Area 10 - Tehran

15 - Place of service: Tehran, Province/Governorship of Tehran

16 – Reason: As per the order, Date-----, Number -----

17- Decision: termination of service

18- Details of the Order: As you have declared in writing, and according to the investigations, you are a follower of the Baha’i ideology. Therefore, your employment is in violation of paragraph th of article 14 of the State Employment Act, ratified 1345 [1966], as well as paragraph 4 of article 1 of the Employment Act, ratified 1301 [1922]. These conditions were applicable at the commencement of your employment. Accordingly, as per Circulars number 32902/4, dated 27 /01/1359 [17 May 1980], and 264, dated 19/12/1359 [10 March 1981], of the Ministry of Education, and the above explanation, effective 24/03/1361 [14 June 1982], your services in the [Ministry of] Education is hereby terminated. 

19 - Salaries, benefits, and bonuses

20 - Salaries, benefits and bonuses in this verdict totaling ......rial are payable after deduction of legal debts.

21 - Date of enforcement of the order: 24/03/1361 [14 June 1982]

22 – Order number and date of issuance:  Number 220494/5, Date 25/03/1361 [15 June 1982]

23 - Name and surname of the officer in charge: Sayyid Ali-Akbar Hoseini

Title of permanent organizational position: Director of the Department of Education - Tehran

[signature]

Copy: Employee