[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

Decision of the Office of Personnel

Government of the Islamic Republic of Iran

Form A - 32 (52-2) Department of State for Administration and Employment Affairs Ministry

  1. Ministry/Department: Education
  2. Employee Number [redacted]
  3. Name: [Mr./Mrs.] Mr. Kamran
  4. Surname: Khoshmashrab
  5. Father’s Name: Ziaoddin
  6. Birth Certificate Number and Place of Issue:
    1. Birth Certificate Number: [redacted]- Place of issue: County: [redacted] Province/Governorate: [redacted]
  7. Place of Birth: [redacted]
  8. Date of Birth: Day: 26 - Month: Khordad - Year: [redacted]
  9. Highest Education Degree and Field of Study:
    1. Highest Degree: Diploma in Natural Sciences
  10. Title of Organizational Determined Position: Teacher
  11. Field: Educational and Cultural Field: Teacher, Grade: 4
  12. Group: ---
  13. Rank: ----
  14. Organizational Unit: Education Department [redacted]
  15. Place of Employment:
    1. District ---- b. City--- [redacted] c. Governorate/ Khorasan Province
  16. Justification: Description according to the text of the order
    1.  date: ----    number:----
  17. Type of Order: Exiting Service
  18. Description of the Order:

Based on paragraph C, section 14, of the Public Employment Services Act, dated Mordad 1345 [July 1966] and paragraph 4, section 2 of the Public Employment Services Act, dated Azar 1301 [November 1922] and instructions number 81118/1, dated 26 Esfand 1358 [16 March 1980], and the telephone message dated 31 Farvardin [illegible] [20 April] from the ministry, your recruitment as a member of the Baha’i Faith has been in violation of the country’s Public Services Employment Act; therefore, according to this order, effective 1 Khordad 1359 [22 May 1980], your services with the Education Department will be terminated. /1

  1. Salary, Benefits, and Extraordinary Benefits
  2. Salary, benefits, and extraordinary benefits provided in this order total in the amount of (in words)----- rial after applying legal deduction and liabilities, chapter----- article-----, ----- is payable
  3. Date of Enforcement of the Order: 1 Khordad 1359 [22 May 1980].
  4. Date of Issue and Number of Order:  Date: [illegible] - Number:13140
  5. Name and Surname of the Responsible Authority: Dr. Hosein Razmjoo [signature]

Title of Organizational Determined Position: Director General of the Education Department of Khorasan

 

Signature [Signature]

 

Copy: The Employee