[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

Order of the Personnel Office

Islamic Republic of Iran

Form 32 – Ayn (52-1) Department of State for Administrative Affairs and Employment

 

  1. Ministry/Institute: Education
  2. Employee number: [redacted]
  3. Name: Mrs. Golchehreh
  4. Surname: Asadi Darzikolaie
  5. Father’s name: Badiollah
  6. Birth certificate number and place of issue:

      Birth certificate number: [redacted], place of issue: City [redacted], Province [redacted]

  1. Place of birth: [redacted]
  2. Date of birth: day: 2, month: Shahrivar [6], year: [redacted]
  3. Highest educational degree and field:

Highest educational degree: diploma, Field: natural sciences

  1. Permanent organizational position: childhood educator
  2. Class: educational and cultural, Field: childhood educator, Category: 3
  3. Group: 4
  4. Rank: 3
  5. Organizational unit: Education and Training Department of Qaemshahr
  6. Service location: City of Qaemshahr, Province: Mazandaran
  7. Authorization as detailed in the Order: Date: ------  Number: -----
  8. Type of order: dismissal from service
  9. Description of order:

According to reports number 14583 [date:] 24 Khordad 1361 [14 June 1982], and 19742 [date:] 16/4/1361 [7 July 1982] of the Department of Education and Training of the City of Qaemshahr, and considering the letter dated 20 Khordad 1361 [10 June 1982] of the designated representative, since your religion of Bahaism has been confirmed by the local office, according to circular number 52 [date:] 17 Tir 1360 [8 July 1981] of the Administrative Office, you will be dismissed from service at the Ministry of Education as of 1 Dey 1360 [22 December 1981] / Ch 4/26

  1. Salary, benefits and bonuses
  2. Salary, benefits and bonuses written in this order, a total of (in letters) ---- rials are payable after legal deductions from ---- credits ---- section ---- articles ----.
  3. Date of enforcement of the order: 1 Dey 1360 [22 December 1981]
  4. Date of issue and number of order: date: 27 Tir 1361 [18 July 1982], number: 19077
  5. Name and surname of authority in charge: [illegible]

Permanent Organizational Title: General Manager

Signature: [signature]

 

Copy: Employee