[PROVISIONAL TRANSLATION FROM PERSIAN]
[Translator’s notes appear in square brackets]
[Personal information has been redacted.]
[Emblem]
Islamic Republic of Iran
Regional Office of Health and Welfare
Mazandaran Province
Health and Welfare Network
Nowshahr-Chalus
Number: 1478
Date: 30 Khordad 1360 [20 June 1981]
Enclosure -----
In the Name of God
Miss Olouhiyeh Kian, third year student of the Nurse’s Aid School: you are required to immediately declare your standing--explicitly and in writing--with respect to your affiliation with the Baha’i sect.
Dr. Seyyed Nasrollah Fattahi
Head of Health Network, Nowshahr-Chalus
[Signature]