[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]