“14-00000 * SECRET SCCt/Dma QUALIFICATIONS JR Gn,£R O°fPATI0eS *.. %‘szitt- *0‘;I*L(9, .1 ca G.MLlPICAl ONS 0*j*>6:0 y DL8,1* **tlp‘ le COs.fI: • it 9 Pta’IJN”, SECTICE % COHMI THE TS *- ‘7 *I IS *-." to Pav 3.8JEC: • PEL** §4c ARp, SDICaf ThF • tatr ***** to JI espe is €”
“1 4-00000 19 MILITARY RAPKFIENCK —In order •• milethe Ton effoceve placements of •!” ante -det-rflad tirem -n ce »W alvnaf the rrsteto and erportenica they here demtrel in the Armel Services Fill I-he’gh de geue for wish ----- - ,- ---. Cxespended no eperiol o* Technical eehon”
“14-000) 17 Bnita-f ,7gg:,7. RS’T In the service, *rito in Item (a) '."No after 694 Item () all *»«•!• nine in al'ity assignment, ilcmtieg dalan tol.herot bpeciy.tneni.er Shv atnriod us • yuia Piugest it 1 irel .',»> or vice r.lw Locution. Dotue raticondors -bounthe, yea”
“14-00000 SECRET 1, PRtrIpgwce enw erst assiGmter (continued) C. INDICATE wh)n PERENCE son NEAT aSStCAWENT • INSratINQ noweres I. a AND , ifor jot, 2nd end 3rd choice) i* Nut briesy ACLUOi d RtTUDG 19 uy CURRENT STATIC st assiCntD ro WEADQUARTERS rom A roun or putv. with ”
“A PERSONNEL QUALIFICATIONS QUESTIONNAIRE 1. INCLUSIVE DATES (Proms and To.) 2 GRADE 3. OFFICC/DIVISION/DRANCH OF ASSIGNMENT 1952 - Present 08-14 TSS/APPLIED PHYSICS DIVISION 4. NO. OF EMPLOYEES UNDER YOUR DIRECT s. OFFICIAL POSITION TITLE‘. supervision 20 1 Deputy Ch ief, TS”
“47 Xt 40 0 2 C )0 x he SECRET c 2 *22 se. tecoips 006 rou #0vup qetw GNVENTe B l8 o w3 2 Operations supervisory position in Headquarters or training assignment r**2 —as noted in item 5 above. A rotational assignment which would broaden ME my professional exper”
“14-00000 25 SECRET (e)n Siller :-1 • . SECTIC V GENGRAPHI C AREA KWOWEOGE e. FOREIGN thavE nowirpor acelg r BV..CHECK (3) waive OF REGION TYPE of s/Cratizee DATES or carft Cars 9 PLACE on CouNteV • ANCAIEDGE o. eesierv:s Iiz, R* $‘V0Y •gsi- erect rig sfuev Japan, Okina”
“1 14-00000. SECRET (ahre Fille+f In) SECTION V GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL avetoe a r.Zufk# JaI NAVE or efaion TYPE of PLCIAL1260 nangs or fDp+tL nate & 1a,s 09 coustev 09 PI Stotuce Q, St 00.225 L 1 SECTION VI TYPING AND STENOGRAPHIC SKILLS" t . TY”
“14-00000 StcTiQn VI _SPECIAL MaLiFiCAtiom” AD INTERESTS _ re. IDITArt anv ***** civ PrtaiLs RCLOINS T *tis or #00k> 00 **iCl*9 AIS® NAVES vt PU0L1SM109 ave rumuica- fiOn DATES. 29. SPECIAL SKILLS, Am!Ltrit9, wopbits SUCH AS madre. PuptocesPuy, Etc. geol marknman vit: erni”
“14-00000 LUES 17 MUTACT FITP#‘*‘Y * Kr. offer • * 9-e- D. Hve placements of w-yt vetarina dlotytler f Go le the seNice wette f* Uwe t"NUQR —- 5302trice 11 4. Ae-es Cnv —F ‘( ;. vipore • io i” !’ schools” o»”1 indicote in bemn ") ei- bbosleg dates of such nasignment Las”
“carEGORY | IRFAOY RESERVE STANDUY(Active). StaN@By//nective;! RETIRE 9. PRIMARY MILITARY OCCUPATIONAL SPECIALTY (ton or Denig- 10. SECONDARY MILITARY OCCUPATIONAL SPECIALTY (Mon or Des- nator) AND TITLE / Ignator) AND TITLE 11. BRIEF DESCRIPTION as MILITARY RESERVE Dufies ”
“* SECRET ■ SECTOR 1X QUALIFICATIONS FOR OTHER OPEPAT.3 1. J%D:DATE SPECIAL ABILITIES, ralers. 01 QUALIFICATIONS POSSESSED ay S @.€c* MItCh douib CONCE VAR.’ &€ OF VALLE From orega OPEmATlOmS. . . SECTION % COMMITMENTS t. IF s * 15 PROPOSED to Pay SUBJECT a PFGULAR SALARY,”
“to GVN Ministry of Interior, Hds US Special Forces |and Army of Vietnam Corps Commanders. . - AWA e. PREFERENCE FOR NEXT ASSIGNMENT: ‘ . ’ A. #*ITe A BRIEF DESCRIPTION OF tur TYPE OF *ong YOU WOULD Pncrcn roa YOUR NEXT ASSIGNYENT sr IT DIFFERS FROM THAT INDICATED IN ITEM NO.”
“14-00000 . -SECRET ;(her milled (o)i SECTION V GEOGRAPHIC ARE A KNOWLEDGE AND FOREIGN TRAVEL NAME OP- REGION TYPE OF SPECIALIZED- nafr’s OF TRAVEL DATE t PLACE KNOWLEDGE ACQUIRED GV--CHECK4Z) •ott . OR COUNTRY i KNOWLEDGE OR RESIDENCE OF STUDY ent. feavts stupv »Ev - ”
“received. To Genlat in evaluating your overall qualifications it is important that you endeavor to submit documentary evidence. In • thorough end datelied manner, of all training received during the nett three year period. (This information may be submitted in the Snem of notar”
“r SECRET (When Fittedtn) SECTION V GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL KNOWLEDGE ACQUIRre y.- NtCa (MI NAME OF REGION typt OF serdiqkizto:. Dates or TRAVEL DATE A PLACE T 6 16-54 AT 70 OR COUNTRY . - kNOwLEOGE: OF STUDY •eB: oR/R s1C5*ct reaves stuev urem 1”
“14-00000 Rpdbi% O© uira formation 0 L SEC. XIV. MILITARY STATUS 1. Present Draft Status ll yes, indicate your present draft classification 5-A uctici) Have you registered under the Selective Service Act of 1948? - Yes No. - 2. Present Reserve er National Guard Status D”
“14-00000 ,SECT ST / SECTION V GEOGRAPHIC AREA KNOWLEDGES AMO FOREIGN SAVE jy$0alfi., 0001V1D 0y..N (• (%) • —- ------------- ---- • s- ______________ • - NAMt of REGION Tvet or sperlatizto DATF $ "Last •gen 09 COUNTRY OR REStreUE j 1100 v _Or 2 LHP” 1! SECTION VI TY”
“14-00000 SECRET •pen Nillp. /p) SECTION V GEOGRAPHIC ASCA AROMERGE Am D FOREIGN TRAVEL NAME or BtCION Date A rt acr *N04L Ionr C0000-RY--C1ci I• TvPE or SPICIALI/IO BAtrs or mnavct, •i•i• Op counter •NowFnLE os si SIntNCe 0stums reavrt •itiio• 199*0%. —Afi-to -V-12-11”
“14-00000 ■ 5) . SECRET tShen Pillon In) SECTION X CONTINUED FROM PAGE 4. 1. L1pt AN v sichlficant PuLiummAtlalALS or my 1 Che *00 Aur tut utune (l) nef evbeil coptee or’es *tue 994/ DiCatt ttLt. PmICatinn Dstt, AND Tyet or RItING (Non- fiction, onientifte articles, general ”
“qualifications record up to date. 3. Your cooperation is requested in completing the questionnaire as • thoroughly and accurately as possible and returning it to your Administrative Officer within the time allotted. George E. Melon SEC RKT Security Information PO No. 1, ”
“14-00000 SECRET (then Filled tr) SECTION V GEOGRAPHIC AREA KROWEOGE 30 FORCICs TRAVEL NAM or *tLICN topi or seClaLiten nates or read OFFICE Tr FERS KMNVoce DA’r • PtAq# atcorsin are-coccere - - -------------------------- --------------- - --------- .— da counter snOrp”
“14-00000 SECRET (when FilleA !n) section • GEOGRAPHIC AREA KNOMEOGE ARD FOREIGN TRAVEL aeLrOGE aculgo #v-'C*(ci (%) NAME OF REGION TYPE OF SPECIALIZED DATES OF TRAVEL DATE • PLACE •esi nova OR RESIDENCE. ARE 32 ON COUNTRY KNOWLEDGE • 1 or STUDY Peerga stvov aor:en o”
“14-00000 SECRET (hen Filled In) SECTION v GEOGRAPHIC AREA KNOWLEDGE AND RWEGA TRAVEL KNOWLEDGE aczyioge Qv-.CHECa (#) NAME or REGION TYPE or SPECIALIZED DATES of TRAVEL QArr a PLace*1 vove •t«*. on covstev KNOWLEDGE OR RESIDENCE: OF stupy ***** I ever “2319, 1 Mar 1 %”
“1 4-000 0 -J i SECRET (When Pillp.f fA1 SECTION • GHNG PNIC AREA EROMLEOGE AND FOREIGA TRAVEL anDeirnor acoulest *'- rotta (31 MAGE or stnice tepe or %PeCILIfID nafrs or teavrl Dave A react on Counter • NOEL not 00 Brpinthcr or stutv •end. orare reavtu •1. 90 Ara 0 62”
“WHAT TRAINING YOU BELIEVE YOU SHOULD HAVE IN ORDER TO INCREASE YOUR VALUE TO THE ORGANIZATION (refer to catalog of courses, if available) 1 To be determined by Headquarters or Chief of Station, based on next assign- fo@X*™9; 202 OBSOLETE PHLviOUS OITIONS. SECRET (4)”
“14-00000 4; " SECRET DATE. ope ■ CUMULATIVE TRAINING RECORD a Jr Jas roc 1 NAME PROJECTED PERSONNEL ACTION , - Paomofions nrassiGtht-, orutn.(Explojn)S -noon Dt, Ann D NMOrAviow.3 :rhAveL.7-3/ FROM:. TO: ' AOS % - -Arca’Onc ,757: DATE OTHER, v REMARKS: X, COURSE - TA”
“HANK 9. EXPIRATION DATE OF CURRENT OBLIGATION 4. CHECK CURRENT RESCavE CATEGORY READY RESERVES •] stntey a’five) 1STNOBY(inactive RETIRED DISCHARGED s. MILITARY MOBILIZATION ASSIGNMENT 6. RESERVE' UNIT To WHICH ASSIGNED OR ATTACHED MILITARY SCHOOLS COMPLETED (Extended Tetiv”
“14-00000 SECRET (When Filled In) SECTION V GEOGRAPHIC AREA KNOWLEDGE ARD FOREIGN TRAVEL •NOetroGE acqul O Ay.CHECK <»> NAME OF REGION TYPE of spECyaLizrp. QAJES or TRAVEL Le-% • PLACE voNn on COUNTRY 08 RESIDENCE zasrupv •Fgl Tesetk :100 7 ofncr MET 1, ETHIOPIA INT”
“EXPIATION DATE or CURRENT Ont ICA TION 4. Cck CUWWCNT ReSrnvF CATEGORY ME ADY etSERVr • STANDBY( active) S1wbny(inactive) Iff rimp RIS CHARD 5. MILITARY MOBILIZATION ASSIGNMENT 6. #EBFOVI unit ro WHICH ASSIGNED OR ATTACHED MILITARY SCHOOLS COMPLETED (Evtendei tetive. Posorve”
“• . » .1- % - * • €. • % SECTICH YI SPECIAL QUALIFICATICHS 2aD INTERESTS 1. ISBICATE ANY WRITING GIVE DETAILS INCLUDING TITLES OF BOOKS QB ARTICLES, AL SD **ES OF PER: WERS AND POICA- from DATES. 4 2. SPECIAL SKILLS, ABILITIES, HOBBIES such AS R&DID PHOTOGRAPHY. ETC. s”
“14-00000 twin Of IvnO.vre: (month, year ERACT Tirlt or vuua rOS’tm (ef : STAPTING D‘ TO I Gw 010A1 9 RACE or twnovrxt (oity and Srato) ‘NAME anp TITLE or jowrrestg surimyivoq NvE AND - ADe:%* - - OF (VRO R (Arm, * . or dimiratron, or permon, st Peioral, aIND or RUANE as”
“14-00000 . SECRET . (when Pilled In) SECTION V GEOGRAPHIC AREA KNOWLEDGE AID FOREIGN TRAVEL **0^1OCt *C<W ■ IPJ^ • • €w£* <«2. NaNC Or REGION Type or SPECIALIZED nAfes or TRAVEL DATE • PLACE cost MARIT LA A 0% COUNTRY KNOWLEDGE or stuov eget. bsucu TUH1 stvpr asgion- v”
“14-00000 SECRET then Fillee In) SECTION V GEOGRAPHIC AREA ANOWLEDGE AID FOPEIGa TRAVEL seeLron ACQUIPTO BY --CHECK (*) bifgion **idet: GATE a PLACE NAME or REGION TYPE OF SPECIALIZED eou 09 COuNreY NOBLEOGE 09 RESIDENCE1 Or S’uDy feavtL srupv 5. Sep 30 8 se AH ‘71 SE”
“14-00000 •, • SECRET■ (When Filled Ze). SECTION XI CONTINUED FROM PAGE * 1‘ UIST.ANY SIGNIFICANT PUBLISHED «ATERLALS OF WIT Wich Tit Autwo. Ch YOUTARE THE autwdn ( (Do not submit copsea Do not undone requested). copsen unless :N INDICATE TITLE, PUBLICATION park. AND T”
“14-00000 5 04H5 or (PLOYMIN kreonth, year) fRoM TO tuG TITLE of itu R position Ormnra irios) staemiscs FINAL 8 ve* won roe MACE or WKLOYMENT veakgerui Seato) HV and TITLE of IMMEDIATE surcavIsOR MALE AND anbarss or fwaen (Bar, organisation, or person, il Pedocal, son t”
“14-00000 SECTION V ADMINISTRATIVE NTERNAL USE ONL GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL aNowirocs acquingp BGENECK (MJ NAME OF REGION. TYPE or SPECIALIZED DATES OF TRAVEL DATE A PLACE on OR countaY’- KNOWLEDGE on RESIDENCE OF STUDY •1*t » reavtu Study An 2-2i-m u”
“14-00000 i SECRET (when shed % % SECTION IV GFOGRAPHIC AHA ANOWItOGE ave FCEBON TRAVEL •OwIOGE acQcer • NAME OF REGION Nag O* SPECIALISED DATS o NOS J4T & PLACE $ 0.09 RBI % COUNTRY wowGOGe or EVOUNC OF stuOy favB Suc. : S*ey ornct Feb ‘51 - ■ Philippines May ‘53. X ”
“12-00000 r **"." S/t - • SECTION V __ tt SPECIAL QUALIFICATIONS AND JN"ERESTS_ 0 Ja.IDitATF ser ERITiNG. Give DETAILS : CLUDING TITLES or #pD*5 OR asticuts, uso sawES or PUBiSNeS and Pusica- TIOU DATES. Z5.SPECIAL KILLS. ABILITIES, ROBBIES Sue* as 11010, PNOTDCkAPmV, Etc. ”
“14-00000 SECRET Cohen Filtea‘s) SECTION V /- GEOGRAPHIC AREA KROM EDGE ARO FOREIGN TRAVEL NAME or REGION DATE • PLACE ANOLrOGE/AlTen eve-CHECA * a) Tver Or SPECIALUED DATES OF TRAVEL On COUNTRY -."-kceLtOGE- OR RESIDENCE or stum- ««•1• vkwce TBAGSL srupr. wrer 1. M”
“14-00000 17. MTLTAPT grarrisr’t, -In or’sm • evol wyzne dot-nled tekwe. fite eprice k vy •. wr+e shred trote hive rablovry law t »W HU"!1 the training 06-4 eyavar atay have "terled ne sp-oniel v teehrirel eshonts while docyrrart • 4. / —me! ‘coevicen Pot tes 4. - le the om”
“14-6 3000 tfn e ie l Sikufaiands Bjo 1.... SECRET CAREER SERVICE QUESTIONNAIRE (To he completed by epinyee). SECTIONI____ -(Middle) - us. or mos. 19 “ “ efiedidle GRaDF MAM (Lost) (First) AGE cantEN DESIGNATION GPADF Wigren Lee Hobart 30 _.9. _ 114 Fl ptAFP On DIVISI”
“14-00000 DATES OF wnoiwtst ^»A, yoor) - ERcT ring of your Pceiton GiASSification GRAD1 SAL hnv OA LAR INC. * ii8 in FROtDal service) StaRtiNG 1 FEB FR 19 FIAL PER RACE OF Emrlcists! fvity and State) MME anD rrtig or wuttin CUrERVISOR BINE AND AnwISS oivrcovra (Aem, organiz”
“14-00000 SECRET (when Fille) Zn) SECTION V GEOGRAPHIC AREA SHOW EDGE tao FOREIGN TRAVEL KNOWLEDGE a00::e€ sp. CwEcK‘(%) NAME OF REGION Tver of SPECIALIZED DATES of TeavEi DATE B PLACE OR COUNTRY KNOWLEDGE OR RESIDENCE OF STUDY PE a • • ! $*uev assian. --- 3 2.25.22 .411-”
“14-00000 SECRET (When Filled 1+) SECTION y GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL •NQeLEDCr *C00n P9S-CHLCR1S pau€ or *60* Tyet of SPTCALizen Dates or TQ+VLL 9009 on Counter kNOwLroar OR prsincyce o, sT00Y neota pence t0sv1% stzav ret 1■ Mai 22 9 43-17'71 t. ”
“14-00000 SECRET (When Fillet fei SECTION V GEOGRAPHIC ARCA KNOW EDGE AND FOREIGN TRAVEL 1. .-, % eausLinor tvosin By-.FHrC,*) NAME or REGION mipt or PECiELisro Dates of rwavr harr • rLace? ------------------------------------------ on COUNTRY " RnOmtrOGF 0 RESIDENCE Of STH”
“PREFERENCE ron Next esiquurhys A. WRITE A unier 0tSCR;/ti99 OF THE TYPT OF work. You wouLb PREPER FoW voun Njkt ASBICEMENT If IT DIPPERS FROM THATINDICATED THAT INDICATEDINsTEM IN TE* AdovE. IF YOU HAVE MORE THAN ont PasrenEecE, INDICATE YOUR cHorceS, ' vs.va.0, 8,ABOVE. R”
“14-00000 SECRET (When PUlled to) ottioniv.".: GEOGRAPHIC ARCA know toGE MO FOREIC# TRAVEL / ■ ■»o#irodr •rqucfo ov^CHceji ijn want or atcron tveg- or SPkCiALizuo DATES or TRAVEL DATE • PLACE oe counter ssoeltocE - on NESIOENCE or stuov stuev assign. • Ui II 9.23 37—- i”
“14-00000 SECRET (When Filled (e) SECTICA V GTOGRAPNI C AREA KNOW. COGE AHO FOREIGN TSAVEL stfeltfr.f ACQUIelD nv..weda («: NauE or REGION Tver or sprciALuip Dates of tavr 003 on Counter AAQritocr IOn RESIDENCE csrgy„ stup v 119168 , VO riHa ico UU ----------------- ’”
“X le) ll you are willing to travel, specify: outside the Ucttrd Statear.... ...X... 0 Occasionally • Frequently Constantly 16. EXPERIENCE —You qte recqueefod t furnish all information astel tor below tia sufficient detail to anclile the Civil Serncs Commwwta axl the appointin”