[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

[Photocopy of birth certificate]

Explanations:------

Stamp of election----

[Stamp]

Place for rationing stamp 

[Handwritten note in the middle of the page]

Sugar and lump sugar

[Stamp] Bank Saderat Iran – Nahid Boulevard 2528

Serial number: 270483

Four

[Stamp]

 

[Administrative fee was paid]

 

[Emblem]

[Stamp] Duplicate

Ministry of the Interior

Main Office of the Census and Personal Status Registration

[Photo]

[Stamp on the photo]

Birth certificate number: [redacted]

Day of issue: second day of the month of Mehr [redacted]

Mr. Ghodratollah, Family name: Rowhani; son of: Mr. Fazlollah; Birth certificate number: [redacted]; Issued from: --- Mrs. Mahlagha; Birth certificate: [redacted], issued from: ---, on the date of ninth of the month of Dey, year [redacted]; in the City of: [redacted]; Street:---, Division: 20---, Lane: --- House: ---, Borough:---[redacted]; was born---; Issued from: Division 20 of the City of [redacted]; Name of authority in charge: Shahab, Family name: Behr-Ni; Position: [Illegible]

Main Census and Personal Status Office

[Stamp]

[Signature]

 

[Handwritten note at the end of the page]

11 Shahrivar 1351 [2 September 1972] [illegible]

 

[Handwritten note on top of the page]

Has explanation