[Translator’s notes appear in square brackets]

[Personal information has been redacted.]



Islamic Republic of Iran


Decision of the Office of Personnel

Form: (52 – 4) 32-A Department of State for Administrative Affairs and Employment


  1. Ministry/Institution: Physical Education Organization of the Islamic Republic of Iran
  2. Employee number [redacted]
  3. Given Name: Mr. Mohammad
  4. Surname: Keshani-Neyrizi
  5. Name of father: Abdol-Hosein
  6. Birth certificate number and place of issue
  • Birth certificate number: [redacted]
  • Issued in:
  • City: [redacted]
  • Province:  [redacted]
  1. Place of birth: [redacted]
  2. Date of birth: 1 Dey [redacted] [23 December (redacted)]
  3. Highest degree and field of study
  • Highest degree: Sixth grade, elementary school
  • Field of study: -----
  1. Title of Permanent Government Position:  Driver – Organizational Position number (38)
  2. Branch:  Services

Field: Driver

Level: 3

  1. [Employment] Category: 4
  2. [Employment] Level: 8
  3. Government unit: Main office of the Physical Education [Organization] of Fars Province
  4. Place of employment: City of Shiraz, Fars Province
  5. Permit: -----, Date: ----- Number -----
  6. Category of Decision: Termination of Employment
  7. Details of Decision:

Based on your written admission and confirmation in the bottom of letter number 1/3751, dated 30 Tir 1360 [21 July 1981] of the main office of the Physical Education [Department] of Fars Province, indicating explicit confession of belief in the perverse Baha’i sect, citing Section “Th”, Article 14 of the State Employment Act, you are terminated from government employment. Starting on 30 Tir 1360 [21 July 1981], you have no position in this organization.

  1. Salary, benefits and bonuses ------
  2. Salary, benefits and bonuses specified in this ruling amounting to a total of (spelled out) ----- rials are payable after applying legal deductions to credit ----- section ----- articles -----
  3. Date of the ruling’s execution: 30 Tir 1360 [21 July 1981]
  4. Date of issuance and ruling number

Date: 8 Shahrivar 1360 [30 August 1981], Number: 7/10720

  1. Given name and surname of the official in charge: Mostafa Davoudi

Title of permanent organizational position [of the official in charge]: Acting Director, Physical Education Organization of the Islamic Republic of Iran

Signature [signature]

8 Shahrivar 1360 [30 August 1981]

Copy: Employee