[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

[Emblem]

Islamic Republic of Iran

 

In the Name of God

Order to amend or increase retirement or disability pension

Form A - 57 (36-1) National Administrative and Employment Affairs

 

1 - Ministry/Institution: Roads and Transportation/Ports and Shipping Organization

2 - Employee Number:

3 - Pension Number: [redacted]

4 - Details of Employee:

Name: Mr. Aziz; Surname: Afshar; Son of Ali; Date of birth 2 Khordad [redacted] [24 May [redacted]]; Birth certificate number: [redacted]; Issued by: Division 2; County: Shadegan, Province/Governor General: Khuzestan, Gender: Male

5 - Employee Status: Retired

6 - Date of Retirement or Disability: 22 Tir 1359 [13 July 1980]

7 - Employee Status:

B - As per State Employment Act, ratified 31 Khordad 1345 [21 June 1966]

8- Verdict details:

According to verdict number 23, dated 26 Farvardin 1369 [15 April 1990] of the Appeal Council for Investigating Administrative Offences of the National Ports and Shipping Organization. Your pension subject of order number 14500, dated 5 Tir 1359 [26 June 1980] is terminated as of the date of this verdict.

9 - Date and Number of the Last Order: Date: 5 Tir 1359 [26 June 1980]; Number: 14500

10 - Retirement or Disability Pension Determined in Final Order ----- rial

11 - Current Retirement or Disability Pension ----- rial

12 - Increase ----- rial

13 - Pension Debt/Arrears:

14 - Retirement and disability pension are payable after deductions from ----- (location)

15 - Date of Execution of Judgment: 26 Farvardin 1369 [15 April 1990]

16 - Date and Number: Date: 18 Esfand 1369 [9 March 1991]; Number: 2/29008

17 - Name and Surname of the Officer in Charge: Ebrahim Aziz Abadi

Corporate Title: Administrative and Finance Deputy

Signature: [Signature]

Copy: Employee