[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

[First Page]

Explanations

Elections stamp

Location [unreadable]

Consecutive number two 965226

 

[Second page]

[Stamp:] Cancelled

[Emblem]

 

Birth Certificate Number: [redacted]

Date of issue: 1 Khordad 1311 [22 May 1932]

 

[Logo]

Ministry of the Interior

The National Census and Personal Status Office

 

Duplicate

[Official stamp]

[Serial Number] Two 965226

 

[Photo]

 

Mr. Yadollah Sepehr-Arfa, son of Faramarz, birth certificate number [redacted], issued by [redacted] T, and Mrs. Shahrbanou, birth certificate number [redacted], issued by 7 T.

 

Born on 4 Khordad 1306 [26 May 1927], in city/village Tehran, ------ street, area 7, ------ alley, ------ house, ------ village/hamlet.  Issued by jurisdiction 7.

 

Name of agent: Mir Mohammad Ali Ghorbani, position Archivist of the Tehran Office of National Census and Personal Status Office.

 

[Signature on official stamp]

27/1/48 [16 April 1969]