[PROVISIONAL TRANSLATION FROM PERSIAN]
[Translator’s notes appear in square brackets]
[Personal information has been redacted.]
In the Name of God
[Emblem]
Islamic Republic of Iran
Ministry of the Interior
Police Force of Iran
[Official stamp]
[Photograph]
Telephone -----
Number -----
Date -----
From: Identity Verification Office (fingerprints section)
To: Chief Justice of the Public Prosecutor’s Office, Tehran
Related to: Giti Zebarjadi, daughter of Abdor- Rasoul, identity number [redacted], Tehran, born [redacted]
The above-named person has requested a police clearance and has the following criminal record. Please take the necessary action in this matter.
1 – Accusation: Espionage in favor of foreigners, writ of summons number 1/41893/2/62 - 18 Esfand 1362 [8 March 1984], the Public Prosecutor of the Central Islamic Republic.
2 – Accusation: Membership in Baha’i organizations and spying for Israel, writ of summons number 2/34666/2/63 - 22 Farvardin 1363 [11 April 1984], the Public Prosecutor of the Central Islamic Republic.
Head of Identity Verification Office [illegible]
From: Colonel [illegible]
[Signature]
[Handwritten note, number and date at the top of the page]
14/8294
25 Azar 1364 [16 December 1985]