Document #1287644
IRB – Immigration and Refugee Board of Canada (Author)
Place for photograph
Place for stamp
First name and surname of the holder
Birth certificate number of the holder
Place and date of issuance
First names of the holder's parents, their birth certificate
numbers and place of issuance
Place and date of birth of the holder Issuing officer and his/her
position
Page 3: Marriage:
Name of spouse
Spouse's date and place of birth
Date of marriage
Place and number of marriage registration office
Marriage registration number
Signature of the registration officer
Page 4: Divorce or death of spouse:
Date of divorce or death of spouse
Place of divorce or death of spouse
Divorce or death registration number
Signature of the authorized person
Name of children
Children's birth certificate numbers
Place of issuance of children's birth certificates
Children's dates of birth
Signature of the authorized person
Page 5: Death:
Explanations
Place and date of death of the holder
Death registration number
Signature of person in charge
Page 6: Military service status:
Educational status
Health status
Family status
Occupation
Marital stats
Dates of exemption, draft, release
Additional and/or corroborating information on the above subject
is currently unavailable to the DIRB.
Embassy of the Islamic Republic of
Iran, Ottawa. 14 June 1993. Telephone Interview with
Representative.
Iranian Association, Toronto. 14 June
1993. Telephone Interview with Representative.