[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

Summary Form of In-Person Applicants of the Judiciary of Mazandaran Province

The Applicant’s Information

Name: [redacted]

Surname: [redacted]

Father’s Name: [redacted]

Date of Birth: [redacted]

Identification Number: [redacted]

Province: Mazandaran

City: Sari

Fixed Telephone: -----

Mobile Phone: [redacted]

Full Address: [redacted]

 

Subject: Review of the Sealing of the Shop

Summary of the Complaint

 

General Directorate of Justice of the Province

Respectfully, I would like to inform you that forty days have passed since the closure of the business premises of my husband and despite several appeals to relevant offices and departments, I am still in suspension. I request your Highness to investigate the matter.

With deep appreciation

[Signature]

 

The place for the response of the respected authority

[Handwritten note at the bottom of the page]

In the Name of God

The distinguished Mr. [illegible]

Considering the records, please investigate the matter and announce the results.

[Illegible] –Head of the Department

23 Azar 1395 [13 December 2016]

[Signature]