[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

[Emblem]

Islamic Republic of Iran

 

Special Form (Extending, Renewing and Issuing Replacement Passport)

Applicants Residing Abroad

 

 

[This questionnaire consists of different sections requesting information. In the personal details section, the religion of the applicant is enquired.]