[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

[Emblem]

The Judiciary of the Islamic Republic of Iran

Department of Criminal Records, Pardons, and Clemency

(Criminal Records Office)

 

[Photograph]

[Official stamp over the photograph]

 

Date:  6/6/1359 [28 August 1980]

Registration No:  30552

Agency Office No:  39463

 

Certificate

 

The Criminal Records Section of this Department certifies that as stipulated in the records available in this Department, Mr Shahaboddin, child of Ziaoddin, surname Mazloumi [holder of] birth certificate number [redacted], issued in [redacted], born in [redacted] has no record of criminal convictions.

 

Director of Department of Criminal Records, Pardons, and Clemency

Deputy Director, Public Prosecutor’s Office of Tehran

[Signature]

 

[“Cancelled” stamps for the payment of the Stamp Duty]