[Translator’s notes appear in square brackets]

[Personal information has been redacted.]


  1. Ministry/Organisation: Health Department
  2. [Employee number; illegible]
  3. Given Name: Mrs. Jalalieh
  4. Surname: Samimi
  5. Name of father: Abdol-Rahim
  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: 21/2/[redacted] [11 May (redacted)]
  3. Highest degree and field of study
  • Highest degree: High School Diploma
  • Field of study: Household management
  1. Title of permanent government position:  Nurse
  2. Branch:  Medical health: Filed: Nurse, Group: One
  3. [Employment] Category:  5
  4. [Employment] Level:  7
  5. Government unit: Health Network of Sari
  6. Place of employment: Medical Service Clinic, Town: Sari, Province: Mazandaran
  7. Permit: -----
  8. Category of Decision: Termination of Employment
  9. Details of Decision:

According to letter number 7442, [dated] 8/11/1359 [28 January 1981], of Sari Health Network, and in compliance with instruction number 7560, dated 10/10/1359 [31 December 1980] from the minister of health, and in light of your [adherence] to the Baha’i sect, according to this decision, your initial employment order, which is in contradiction to the content of Article 14 of [the State] Employment Act [clause] 1 and Article 6 of the Employment and Social Security Bylaw, is revoked, and from the date of 1/11/1359 [21 January 1981], you are dismissed [from your employment] and you will have no position in this organisation. It is evident that your [entitlements for] years of services will be calculated in accordance with the Employment Act.


Copy to:

Personnel Head Office of Health Ministry, for your information


  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: 1/11/1359 [21 January 1981]
  4. Date of issuance and ruling number
    Date:-----, Number: -----
  5. Given name and surname of the official in charge: Dr. Houshang [Illegible]

Title of permanent organizational position [of the official in charge]: Head, Central Office of the Department of Education,

Signature [signature]

Copy: Employee