‫ترجمه اسناد و مکاتبات‬

‫ترجمه گواهی فوت ایرانی‬

‫سند فارسی ثبت فوت‬

‫اطلاعات قید شده در سند ثبت فوت‬

‫ماده ‪ 32‬قانون ثبت احوال تصریح میفرماید‪« :‬در سند ثبت مرگ باید اطلاعات زیر قید گردد‪:‬‬

‫‪ .1‬محل‪ ،‬روز‪ ،‬ماه و سال مرگ و تاریخ ثبت‪.‬‬

‫‪ .3‬نام و نام خانوادگی و جنس و تاریخ تولد و شغل و شماره شناسایی و برگ ولادت یا پروانه اقامت و تاریخ‬
‫و محل صدور شناسنامه یا پروانه اقامت در گذشته (متوفی)‪.‬‬
‫‪ .2‬علت فوت در صورتی که مشخص باشد‪.‬‬
‫‪ .4‬نام و نام خانوادگی و شماره شناسایی و محل صدور شناسنامه پدر و مادر درگذشته‪.‬‬
‫‪ .5‬نام و نام خانوادگی و شماره شناسایی و محل صدور شناسنامه و محل اقامت و سمت اعلام کننده‪.‬‬
‫‪ .6‬نام و نام خانوادگی و شماره شناسایی و محل صدور شناسنامه و محل اقامت و شغل گواهان‪.‬‬
‫‪ .7‬نام و نام خانوادگی و امضا نماینده یا مامور ثبت احوال و اثر مهر‪.‬‬
‫‪ .8‬شماره سری برگ مخصوص ثبت مرگ‪.‬‬
‫‪ .9‬محل توضیحات‪.‬‬

‫تمرین ‪8‬‬

‫"خالصه رونوشت وفات" را به انگلیسی ترجمه کنید‪.‬‬

‫نمونه خلاصه رونوشت وفات‬

‫جمهوری اسلامی ایران‬ ‫شماره‪:‬‬

 ‫وزارت کشور‬ ‫تاریخ‪:‬‬

‫سازمان ثبت احوال کشور‬

‫خلاصه رونوشت وفات‬

‫درتاریخ ‪ ......................‬روز ‪ ..........................‬ماه ‪ ....................‬سال ‪ ..................‬شمسی بنگاه‪/‬خانه شماره ‪.........................‬‬

‫کوی ‪ .....................................‬برزن ‪ .......................................‬شهر ‪ .......................................‬قصبه‪ /‬ده‪.......................................‬‬
‫دهستان ‪ .......................................‬شهرستان ‪ .........................................................................‬آقا‪ /‬خانم ‪.....................................‬‬
‫دارای نام خانوادگی ‪......................................................‬فرزند ‪ ..................................................‬و ‪................................................‬‬
‫متولد ‪ .......................................‬دارنده شناسنامه شماره ‪ ......................................‬صادره از شهر‪ /‬قصبه‪ /‬ده ‪.......................‬‬
‫جز دهستان ‪...........................................‬تابع حوزه ‪ .......................................‬اداره ثبت احوال شهرستان ‪ ........................‬به‬
‫مرض‪ /‬حادثه ‪ ....................................‬مرده و مرگش در دفتر مردگان سال ‪...................................‬حوزه ‪.............................‬‬
‫تابع اداره ثبت احوال ‪.......................................‬شهرستان ‪ .......................................‬ثبت شده است‪.‬‬

‫این رونوشت خلاصه وفات بدون هیچ عیب و خدشه و قلم خوردگی برحسب‬

‫تقاضانامه کتبی به آقای‪ /‬خانم ‪ .......................................‬فرزند ‪ .......................................‬تسلیم گردید‪.‬‬

‫محل امضا نماینده و مهر حوزه ‪ .......................................‬ثبت احوال شهرستان ‪.......................................‬‬

‫تمرین ‪9‬‬

‫با استفاده از فرهنگ عمومی و تخصصی دو زبانه "گواهی فوت" صادره از ایالت‬
‫کالیفرنیا را به فارسی ترجمه کنید‪.‬‬

‫ترجمه سند گواهی فوت (زبان انگلیسی)‬

‫‪This Form Must Be Completed In Black Ink‬‬

‫‪Amendment of Medical and Health Section Data – Death‬‬
‫‪State Certificate Number‬‬
 (Instruction on Reverse)
Local Registration District and Certificate Number
IDENTIFICATION OF THE RECORD
1 A. First Name
B. Middle Name
C. Last Name
2 Place of Occurrence – City or county
3 Date of Event
4 Date Original Filed
ORIGINALLY REPORTED INFORMATION
INFORMATION AS REPORTED ON THE ORIGINALLY REGISTERED
CERTIFICATE
22 Death was caused by:
(Enter only One Caused Per Line for A. B. and C)
Immediate Cause
Conditions, if any, which Gave Rise to the Immediate Cause. Stating the Underlying
Cause Last.
(A)__________________________
Due to or as a consequence of
(B)__________________________
Due to or as a consequence of
(C)
23 Other Conditions Contributing but not Related to the Immediate Cause of Death.

Approximate Interval Between Onset and Death

24 Was Death Reported to Coroner
25 Was Biopsy Performed
26 Was Autopsy Performed
27 Was Operation Performed for any Condition in Items 22 or 23
Operation Date
28 Specify Accident, Suicide, etc.
29 Place of Injury
30 Injury at Work
31 A. Date of Injury – Month Day Year
B. Hour
32 Location (Street and Number or Location and City or Town)
33 Describe How Injury Occurred (Events Which Resulted in Injury)
Information as it Should be Stated on the Originally Registered Certificate
22 Death was caused by:(Enter Only One Cause Per Line for A. B. and C)
Immediate Cause
Conditions, if any, which Gave Rise to the Immediate Cause. Stating the Underlying
Cause Last.
(A)__________________________
Due to or as a consequence of
(B)__________________________
Due to or as a consequence of
(C)
23 Other Conditions Contributing but not Related to the Immediate Cause of Death.

Approximate Interval Between Onset and Death

24 Was Death Reported to Coroner
25 Was biopsy Performed
26 Was Autopsy Performed
27 Was Operation Performed any Condition in Items 22 or 23
Operation Date
28 Specify Accident, Suicide, etc.
29 Place of Injury
30 Injury at Work
31 A. Date of Injury – Month Day Year
B. Hour
32 Location (Street and Number or Location and City or Town)
33 Describe How Injury Occurred (Events Which Resulted in Injury)

Declaration of Certifying Physician or Coroner

5 I the certifying physician or Coroner having personal knowledge of supplemental
information which modifies the information originally reported declare under penalty of
perjury that the above information is true and correct to the best of my knowledge.
6 A Signature of Physician or Coroner
B Date Signed
7 A Name of Physician or Coroner (Print or Type)
B Degree or Title
C Address – Street City state

Registrar’s Office
8 A Office of State or Local Registrar
B Date Accepted
State of California. Department of Health Services. Office of the State Registrar of Vital
Statistics
This is to cetify that, if bearing the seal of the San Francisco Department of Public
Health, this is a true copy of the document filed in this Office.
No.
Dated:
San Francisco, California
Director of Public Health and Local Registrar