[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

Date: 16 Shahrivar 1359 [7 September 1980]

Registration number 22143

Representative’s Office Number: -----

42542

 

[Emblem]

Islamic Republic of Iran, Judiciary

Department of Criminal Records, Commutation and Pardon

(Criminal Records Unit)

[Photo]

[Official Stamp]

 

Certificate

Criminal Records Unit of this department hereby certifies that as per the records available in this office Mrs. Mahvash, born to Mohammad-Taghi, surname Vojdani, Birth certificate number [redacted], issued in [illegible], born [redacted], has no criminal record.

Director of the Department of Criminal Records, Commutation and Pardon

Deputy at the Prosecutor’s Office in Tehran

[Signature]

[Administrative charges paid]