[PROVISIONAL TRANSLATION FROM PERSIAN]
[Translator’s notes appear in square brackets]
[Personal information has been redacted.]
Islamic Republic of Iran
Ministry of Education
In the Name of God, the Exalted
Number: 10 / H / 4537
Date: 1/7/1374 [23 September 1995]
Provisional Administrative Violations Review Board
Department of the Education in Tehran
Mr. Ataollah Derakhshan
According to information received by this Board, you are accused of the following [offence]. Therefore, pursuant to Articles 17 and 18 of the Executive Bylaw of the Administrative Violations Review Act, you are given 10 days from the date you receive this notice to submit your defence in writing to this Board along with any supporting documentation you might have in this regard.
Naturally, in the event there is no defence submitted during the given period, the allegations will be reviewed, and decision made accordingly.
[handwritten note in the middle of the page]
Membership in one of the perverse sects that are considered false by Islam.
[signature over official stamp]
Head of the Provisional Administrative Violations Review Board
Address: [contact details]