[PROVISIONAL TRANSLATION FROM Persian]
[Translator’s notes appear in square brackets]
[Personal information has been redacted.]
[Emblem]
Islamic Republic of Iran
Ministry of Education
Education Department Office of Karaj
Number: -----
Date: -----
Enclosure: -----
In the Name of God
This is to certify that
Student Noushin Jahi Diznab was studying in this institution from 1 Mehr 1363 [23 September 1984] until 17 Mehr 1363 [9 October 1984] and was expelled owing to her written declaration [that she is a follower] of the Baha’i sect. This certificate is issued for the purpose of informing the student’s parents and other schools and has no other value.
[Signature on the official stamp]