[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

[Emblem]

Islamic Republic of Iran

 

Administrative Order of Office of Personnel

Form (52-4) 32 – A‘ Department of State for Administrative Affairs and Employment

 

  1. Ministry/Institute: Physical Education Organization of the Islamic Republic of Iran
  2. Employee number: [redacted]
  3. Name: Mrs: Tahereh
  4. Surname: Izadi
  5. Father: Esmail
  6. Identification number and place of issue

Identification number: [redacted], Place of issue: City: [redacted], Province/Governorate: [redacted]

  1. Place of birth: [redacted]
  2. Date of birth: 12 Bahman [redacted] [2 February]
  3. Highest academic certificate achieved and field of study:

Highest academic certificate: Fifth year of high school, Field of study: Literature

  1. Organizational Position: Office Clerk
  2. Class: Administrative and Finance, Field: Public affairs, Level: 1
  3. Group: 4
  4. Base: 5
  5. Organizational Unit: Physical Education Organization of the Province of Fars
  6. Place of Service: City: [redacted], Province/Governorate:
  7. Warrant: ---
  8. Decision: Dismissal from service
  9. Description of the Decision: According to your confession and written declaration under letter number 1/3751, dated 30 Tir 1360 [21 July 1981], of the Physical Education Organization of the Province of Fars, confessing your belief in the perverse Bahai sect, according to paragraph E of Article 14 of the Public Services Employment Act, you are dismissed from government services, and, as of 30 Tir 1360 [21 July 1981] you do not bear any title in this organization.  
  10. Salaries, benefits and extras
  11. Salaries, benefits and extras stipulated in this order total an amount of (in letters) ---- rials, which, after the lawful deductions, is payable from the Trust --- Chapter --- Articles---.
  12. Date of enforcement of the decision: 30 Tir 1360 [21 July 1981]
  13. Issuance date and the number of the decision: 8 Shahrivar 1360 [30 August 1981], number: 7/10718
  14. Name and surname of the responsible officer: Mostafa Davoudi

 

Title of the determined organizational position: Head of the Physical Education Organization of the Islamic Republic of Iran

[Signature]

8 Shahrivar 1360 [30 August 1981]

Copy: Employee