[PROVISIONAL TRANSLATION FROM PERSIAN]
[Translator’s notes appear in square brackets]
[Personal information has been redacted.]
It is certified that, according to the circular letter Number 16731/6, dated 25 Shahrivar 1360 [16 September 1981], Niloufar Azadi cannot enroll in this school. In the interim, the circular is about those students who do not believe in the official religions, and the above-mentioned student is a Baha’i.
Principal of Azadi Middle School
[Signature over official stamp]