[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

To -----

From -----

Subject -----

[Emblem]

Ministry of the Interior

Personal Status Registration Office

Office -----

Date -----

Number -----

Enclosure -----

 

Since Mr. Sadrollah Golshan states that he is a Baha'i and the Baha'i religion is not an officially recognized religious minority, in accordance with the Personal Status Act we are excused from providing him with a certificate for his son.

[illegible] Reza Nia

[signature]

[handwritten note:  date at the bottom of the page]

Approved date: 15/8/1358 [6 November 1979]