[PROVISIONAL TRANSLATION FROM PERSIAN]
[Translator’s notes appear in square brackets]
[Personal information has been redacted.]
[Emblem]
Iranian Imperial Government
Decision of the Personnel Office
Form Ayn-32 (52 - 4) Department of State for Administrative Affairs and Employment
1- Ministry/Department of: Education
2- Staff Number: [redacted]
3- Name: Mrs. Manijeh
4- Family name: Yazdani
5- Father’s name: Akbar
6- Birth certificate number and place of issue: Birth certificate number [redacted], Place of issue: [redacted] – Province/ Governorate of [redacted]
7- Place of birth [redacted]
8- Date of birth: day:1, month: Farvardin, year: [redacted]
9- Highest education degree and subject: Highest degree: Bachelor, Branch: Profession and Technique
10- Title of the permanent position in the Department: High-school teacher
11- Branch: Educational and Cultural, Field: High School teacher, Classification: 5
12- Group: 8
13- Level: 9
14- Organisational Unit: School [redacted]
15- Place of Service: Section 3, City of Isfahan, Province/Governorate of Isfahan
16- Licence: Date: … Number: .....
17- Type of Judgement: Dismissal from service
18- Explanation of judgement: As one of the original conditions for employment and continuation of service is not having corrupt opinions, and [believing] in one of the official religions of the country and as you have clearly declared your religion as Baha’i, therefore to enforce the letter number
3129/15 - [date] 19 Ordibehesht 1358 [9 May 1979] of the Department of Education of Isfahan, from the date of issuance of this judgement, your service in the Ministry of Education is suspended.
19- Salary, benefits and extras:
A- Basic salary of the group and level: 41,200 rials
B- Difference comparing salary: rials
C- Extra for deprivation of life’s comforts: 3,296 rials
D-Total of permanent and temporary extras of occupation: twenty three thousand and five hundred rials
E- Extra of occupation: twenty-three thousand and five hundred rials
F- Difference comparing benefits: 0 rials
G- Extra for working out of country: 0 rials
H- Extra for working in bad climate: 0: rials
I- Extra for deprivation of life’s comforts: 3,296 rials
J- Extra for place of work: 0 rials
K- Other extras: 0 rials
Total: 67,996 rials
20- Salary, benefits and extras written in this judgement: total amount (in words): sixty-seven thousand nine hundred and ninety-six rials [67,996], which will be paid after legal deductions from:....section....subjects....are payable.
21- Date of execution of judgement: 1 Tir 1358 [22 June 1979]
22- Date of issue and number of judgement:
Date: 31 Khordad 1358 [21 June 1972]- Number:14966 /2
23- Name and family name of responsible authority: Jafar Rezaei
Title of position in the organisation: Head of the Department of Education of area 3 of Isfahan.
[Signature]
Copy: to the employee