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1. ‫اپرسیس‬ ‫رمسی‬ ‫الرتمجه‬‫ر‬‫دا‬
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Nature of the Instrument: Certificate (ID Card) of Completion of Occupational Health Examinations
Issuing Authority: Ahvaz Jundishapur University of Medical Sciences-Health Deputy
OFFICIAL TRANSLATION FROM PERSIAN
Emblem
Ahvaz Jundishapur University of Medical Sciences
Health Center of Eastern Ahvaz
Date: March 12, 2019
No.: 10967
Name and Surname: HAMID ASAKEREH Date of Birth: November 06, 1972
National ID No.: 1755516401 Job/Position: Contractor
Workplace: Saadatgostar e Khalij e Fars Co.
The abovementioned was medically examined for occupational health. The result of the exams
has been reported on the reverse side.
Signed and Sealed by:
Person in charge of occupational health of eastern Ahvaz
Head of the health center of eastern Ahvaz
This Card shall be valid for one year as of the date of issue.
Overleaf:
Occupational Health Doctor’s View about the above-mentioned person’s occupational activity:
Positive
Signed and Sealed by the Occupational Health Doctor
True Translation of the Produced Persian Text Certified. April 9, 2019. JS. 1068.
Holder’s Photo
Affixed and
Sealed