http://www.daroltarjomeh.net/forum/forum.php آدرس و تماس دارالترجمه داریان 44001629__09127050669 44061411__44061412 09199505041__09199505042 ایمیل دارالترجمه : IRAMAHD@YAHOO.COM آدرس دارالترجمه : تهران ، فلکه دوم صادقیه ، ضلع شمال غربی ، مجتمع صادقیه ، طبقه زیر همکف ، واحد 19

1. In the Name of God
Emblem
Medical System Organization of the Islamic Republic of Iran
No. …………….
Date: ………………….
National Code: ……………………
Surgery Certificate
Private Medical Practice
Holder’s photo
Pursuant to Paragraph N of Article 3 of Medical System Organization Act of the Islamic Republic of Iran 16 Mar. 2004 ratified by the
Islamic Council, the Surgery Establishment Permission Act 9 Aug. 1983 and the related executive regulations, this certificate is awarded
to Dr. ………………., bearing Medical System No. …………, who is holder of Ph D in …………., to practice medicine in
…………, in the private sector and establish a surgery, observing medical ethics principles and regulations.
Sealed and signed by Dr. …………. . ….., the Director General
1. Installing the original certificate in public view at the surgery is obligatory.
2. This certificate is valid until ………………...
3. This certificate has been issued with the provision that the husband resides in Tehran
TRUE TRANSLATION CERTIFIED
Date: …………….