[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

In the Name of God

Name of the School: ---

Location: ---

Number: ---

 

Name and Surname of the Father: Jalaloddin Mazloumi, Father’s Age: 60 years old

Father’s Occupation: Retired Employee (Without Pension), Father’s Local Language or Dialect: Shahmirzadi

Father’s Place of Birth: Village [redacted] - Father’s Place of Employment: ---

Father’s Place of Residence before Marriage: County [redacted], Date: From 1336 [1958] until 1340 [1962]

Place of Residence at the Time of Marriage [redacted] – Date: 1338 [1960]

Has He Married Before (Father): No; How Many Times He Has Married: ---

 

Locations or neighbourhoods where the father has resided with complete dates, from and to

1. City of Shahmirzad from 1301 [1923] until 1308 [1930]

2. City of Fereydunkenar (Province 2, Mazandaran) from 1308 [1930] until 1312 [1934]

3. City of Shahi (Qaemshahr) (Province 2, Mazandaran) from 1312 [1934] until 1316 [1938]

4. City of Semnan (Province of Semnan) 1316 [1938] until 1320 [1942]

5. City of Qaemshahr [Shahi] from 1320 [1942] until 1332 [1954]

6. City of Astara (Province 1 Gilan) from 1332 [1954] until 1340 [1962]

7. City of Chalus from 1340 [1962] until 1360 [1982]

 

Father’s Place of Birth, Grandfather – County: [redacted], Place of Birth of the Father of Mother, County: [redacted]

Number of Children from the Current Marriage of the Father and the Mother [parents]: 4 People, How Many are Dead: ---, How Many are Alive: 4 People

Mention the Date of Birth of Each of the Children, whether dead or alive, in the order of age

 

     Boy or Girl               Age                 Place of Birth   Place of Work  Type of Work

  1. Boy                  20                    Qaemshahr,                   ----                    ---

2.   Boy                  19                    Chalus,                         ----                   ---

3.   Girl                   17                    Chalus                         ----                   Student

4.   Girl                   15                    Chalus                         ----                   Student
 

Name and Surname of the Mother: Saideh Sorourieh Khoshkhou, Mother’s Age: 56 years old

Mother’s Occupation: housekeeping, Mother’s Language of Conversation or Dialect: Mazandarani

Mother’s Place of Birth (County, City or Village) City [redacted]

Mother’s Place of Residence Before Marriage: Deleted, Shamsi (Solar) Calendar Date: 1338 [1960]

Mother’s Place of Residence at the Time of Marriage: Redacted, Shamsi (Solar) Calendar Date: 1338 [1960]

 

If the Mother Has Married Before: How Many Times? ----

Different Locations, where and when the mother has lived and resided:

Their complete dates, from and to

  1. City of Sari (Province 2, Mazandaran) from 1304 [1926] until 1316 [1938]
  2. City of Chalus from 1316 [1938] until 1338 [1960]
  3. (Province 1, Gilan) City of Astara County from 1338 [1960] until 1340 [1962]
  4. City of Chalus from 1340 [1962] until 1360 [1982]

 

Name and Surname of the Student and Age: Fariba Mazloumi, 15 years old

Please state in which province, county, or city and village are the locations that you are referring to.

With gratitude for this cooperation, I wish you success in your goal.