[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

[Emblem]

Iranian Imperial Government

Decision of Office Personnel

 

Form (57-7) 72, Department of State for Administration and Employment Affairs

 

  1. Ministry of Education
  2. Employment Number:  [redacted]
  3. First Name:  Minou
  4. Last Name:  Abdollahi
  5. Father’s Name:  Hoseingholi
  6. Birth certificate number and place of issue:
  • Birth certificate number:  [redacted]
  • Place of Issue:  [redacted]
  • City of Abadeh, Province: Fars
  1. Place of Birth:  Koushkek
  2. Date of Birth:  03/01/28 [23 March 1949]
  3. Highest level of education and degree:  High School Diploma in Housekeeping,
  4. Title of Permanent Government Position:  Teacher
  5. Branch:  Education and Culture, Course: Teaching, Group: 3
  6. [Employment] Category:  5
  7. [Employment] Level:  3
  8. Organizational Unit:  Zargan Schools
  9. Place of Service:
  10. Permits:
  11. Category of Decision:  Dismissal from Employment
  12. The Decision:

Given that in your employment application you have admitted to be a follower of Baha’ism, and in accordance with section S of Article 14 of the State Employment Act, and approval number 6809/3 dated 08/02/58 [28 April 1979] of the Head Office of the Ministry of Education’s administrative office, your employment with the Ministry of Education is terminated effective the date of this decision.

  1. Salary, benefits, and allowances:
  2. Salary, benefits, and allowances included in this directive total an amount of (in words)________ Rials, are payable after all legal deductions have been made _____ chapter____ article____.
  3. Date of implementation:  [Effective on the date of] Issuance
  4. Date of Issue and Decision Number:  Date 02/03/1358 [23 May 1979], Number: 13526
  5. Name of Officer:  Mohammad-Riza Aboul-Ahrari

Permanent Government Position Title:

On behalf of the director general of the Ministry of Education-Islamic Republic of Fars Province

 

Signature:  [Signature]

Copied to:  The employee