[Translator’s notes appear in square brackets]

[Personal information has been redacted.]


Islamic Republic of Iran

Decision of the Office of Personnel


Form:  (52 – 4) 37-A   Department of State for Administrative Affairs and Employment


  1. Ministry of Labour and Social Affairs 
  2. Employee number: [redacted]
  3. Given Name: Mr. Enayatollah
  4. Surname: Ghodsianzadeh
  5. Name of father: Masihollah
  6. Birth certificate number and place of issuance
  • Birth certificate number: [redacted]
  • Issued in: [redacted]
  1. Place of birth: [redacted]
  2. Date of birth: 3 Farvardin [redacted] [23 March]
  3. Highest degree and field of study
  • Highest degree: High school diploma
  • Field of study: Natural sciences
  1. Title of Permanent Government Position:  In charge of complaint investigation
  2. Branch:  Social Affairs
  • In charge of labour and social affairs
  • Classification: 2
  1. [Employment] Category:  5
  2. [Employment] Level:  4
  3. Government unit: Labour Relations and Agricultural Department of Marvdasht
  4. Place of employment: City of Marvdasht, Fars Province
  5. Permit: Date: ----, Number: ----
  6. Category of Decision: Termination of Employment
  7. Details of Decision:

According to this decision, and citing Clause “Th”, Article 14 of the State Employment Act, your employment at the Ministry of Labour and Social Affairs is terminated from the date of this decision’s implementation.

  1. Salary, benefits and bonuses
  1. Base salary of Category: 20,700 rials
  2. Total permanent and temporary benefits of the job/job bonus: 16,500 rials
  3. Bad climate allowance: 1,656 rials
  4. Allowance for deprivation of life comforts: 6,624 rials
  5. Employment location bonus: 2,070 rials

Total: 47,550 rials

  1. Salary, benefits and bonuses specified in this ruling amounting to a total of (spelled out) ----- are payable after applying legal deductions from Credit ----, Articles -----.
  2. Date of the ruling’s execution: 20 Tir 1360 [11 July 1981]
  3. Date of issuance and ruling number

Date: -----, Number: 4915

  1. Given name and surname of the official in charge: Ahmad Mohammad-Ali Sharifi

Title of permanent organisational position: Administrative and Financial Deputy Director

Signature [signature]

Copy: Employee