[Translator’s notes appear in square brackets]

[Personal information has been redacted.]


Decision of the Office of Personnel

Government of the Islamic Republic of Iran

Form: (52 – 4) 32-A    Department of State for Administrative and Employment Affairs


  1. Ministry of Education
  2. Employee number [redacted]
  3. Given Name: Mrs. Shahla
  4. Surname: Heidari-Gazik
  5. Name of father: Mohammad-Ali
  6. Birth certificate number and place of issue
  • Birth certificate number: [redacted]
  • Issued in: [redacted]
  • City: [redacted]
  1. Place of birth: [redacted]
  2. Date of birth: day 28; Month Bahman ;Year [redacted] [18 February]
  3. Highest degree and field of study
  • Highest degree: High school diploma
  • Field of study: Natural Sciences
  1. Title of Permanent Government Position:  Teacher
  2. Branch:  Education and Culture, Course: Teaching, Group: 4
  3. [Employment] Category: -----
  4. [Employment] Level: -----
  5. Government unit: Department of Education, Chenaran
  6. Place of employment: Khorasan Province
  7. Permit: As described in the text of the ruling

Date: ----- Number -----

  1. Category of Decision: Termination of Employment
  2. Details of Decision:

As cited in Clause “Th”, Article 14 of the State Employment Act, ratified in the month of Mordad 1345 [July/August 1966]; Clause 4, Article 2 of the State Employment Act, ratified in the month of Azar 1301 [November/December 1922]; guideline number 81118 R 1 – 26 Esfand 1358 [16 March 1980]; and the ministerial telephone-gram, dated 31 Farvardin 1358 [21 June 1979], since your employment as a Baha’i is in contravention of the Public Services Employment Act, your employment with the Ministry of Education will be terminated as of 1 Khordad 1359 [22 May 1980].

  1. Salary, benefits and bonuses -----
  2. Salary, benefits and bonuses specified in this ruling, amounting to a total of (spelled out) -----

rials, are payable after applying legal deductions to credit ----- section ----- articles -----

  1. Date of execution of the ruling: 1 Khordad 1359 [22 May 1980].
  2. Date of issue and ruling number

Date: 22 Ordibehesht 1359 [12 May 1980]

Number: 11245

  1. Given name and surname of the official in charge: Dr. Hosein Razmjou

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

Signature [signature]

Copy: Employee