[Translator’s notes appear in square brackets]

[Personal information has been redacted.]


In the Name of God

Islamic Republic of Iran


Decision of the Office of Personnel


Government of the Islamic Republic of Iran


Form: Ayn – (52 – 4) 32 Department of State for Administration and Employment Affairs


  1. Ministry of Education
  2. Employee number :[redacted]
  3. Given Name: :[redacted]
  4. Surname: :[redacted]
  5. Name of father: Hadi
  6. Birth certificate number and place of issuance
  • Birth certificate number: :[redacted]
  • Issued in: :[redacted]
  • City: : [redacted]
  • Province:  : [redacted]
  1. Place of birth: [redacted]
  2. Date of birth: 11 Esfand [redacted] [2 March [redacted]]
  3. Highest degree and field of study
  • Highest degree: Diploma
  • Field of study: Natural Sciences
  1. Title of Permanent Government Position:  Teacher
  2. Branch:  Educational and Cultural, Course: Teaching, Group: 5
  3. [Employment] Category:  6
  4. [Employment] Level:  4
  5. Government unit: Department of Education, Shiraz
  6. Place of employment: City of Shiraz, Fars Province
  7. Permit: As described in the text of the ruling
  8. Category of Decision: Termination of Employment
  9. Details of Decision:

According to Article 14 of the Public Services Employment Act, because you are not a member of any official religions of the country, from the date of issuing this decree, your employment in the Ministry of Education will be terminated.

  1. Salary, benefits and bonuses ………..
  2. Salary, benefits and bonuses specified in this ruling amounting to a total of (spelled out) ……….. are payable after ……….
  3. Date of the ruling’s execution: [effective on the date of] issuance
  4. Date of issuance and ruling number
    Date: 18 Khordad 1359 [8 June 1980], Number: 16732
  5. Given name and surname of the official in charge: Aboulharari

Title of permanent organizational position [of the official in charge]: General Manager, Office of Education & Training of the Islamic Revolution of Fars

Signature [signed] 18 Kordad 1359 [8 June 1980]

Copy: Employee