[PROVISIONAL TRANSLATION FROM PERSIAN]

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

[Emblem]

Islamic Republic of Iran

In the Name of God, the Exalted

Foreign Travel Application Form

[The questionnaire for foreign travel applicants contains different sections requiring information, including personal details, occupation, accompanied travelers, and background. In the personal details section, the religion of the applicant and the spouse (if accompanied) is asked.]