[PROVISIONAL TRANSLATION FROM PERSIAN]

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

[Emblem]

Islamic Republic of Iran

Decision of the Personnel Office

Form: 32 Ayn (52/4), Administrative and Recruitment Affairs Organization of Iran 

1- Ministry/Institution: [Ministry of] Education

2- Employee number: [redacted]

3- Given Name: Nahid

4- Surname: Danesh

5- Father's name: Hasan

6- Birth certificate number and place of issue: Birth certificate number [redacted], Issued in: [redacted]

7- Place of birth: [redacted]

8- Date of birth: Day 17, Month 3, Year 1318 [8 June 1939]

9- Highest degree and field of education: Highest degree: High School Diploma, Field: Literature

10- Title of permanent position: Vice-Principal of Amir Kabir Primary School

11- Guild: Culture and Education, Rank: Teacher, Level: 5

12- Group: 6

13- Base: 7

14- Organizational unit: Department of Education, Mashhad, Area 2

15- Location of service: City: Mashhad, Province/Region: Khorasan

16- Reference: Decision

Dated….., Number…..

17- Type of Decision: Termination of service

18- Details of decision: Pursuant to paragraph (t) of Article of the State Employment Act, ratified 5/1345 [August 1966], and paragraph 4 of Article 2 of the said Act, ratified 9/1301 [November 1922], as well as directive number 8118/1-[dated] 22/12/1358 [12 March 1980], and Ministry’s telegram dated 31/1/1359 [20 April 1980], your adherence to the Baha’i sect, as indicated in your correspondence dated 31/6/1359 [22 September 1980], is in violation of the State Employment Act; therefore, by virtue of this order, effective 8/5/1359 [30 July 1980], your services at the Ministry of Education is terminated.  

19- Salary, Benefits, and Bonuses

A: Base salary 29200 rial

B: Adjustments in salary….. rial

C: Total temporary benefits……. rial

Bonuses….. rial

D: Adjustments in bonuses….. rial

E: Bonuses for positions aboard….. rial

F: Bonuses for inclement weather….. rial

G: Bonuses for undue hardship in remote areas…. rial

H: Bonuses for specific placements…. rial

I: Other bonuses….. rial

Total:

20- Salary, benefits, and bonuses indicated in this decision, for the total sum of (in letters) ----- rial subsequent to statutory deductions from credit ---- section ---- items ---- are payable.

21- Date of enforcement of decision: 8/5/1359 [30 July 1980]

22- Date of issuance and decision number: Date:    , Number 72465 [illegible]

23- Given name and surname of Officer in Charge: Mohammad Mehdi Asadi

Title of permanent organizational position: Head of the Department of Education of Khorasan

[signature]

First copy: Employee