“14-00000 4 %wo* _ne NOT USE THIS SPACE rm-, DA f l; (Fill In PERSONAL HISTORY STATEMENT INSTRUCTIONS1 1. Answer all questions completely or check appeoyniste box. If question is not applicable, write “NA”. Write "Un- known" only if you do not know the answer and it can”
“A . to WCT USE ;-5 SPACE -ts BATE (Pill b) BLJES 8' PERSONAL HISTORY STATEMENT —pio , 1064 INSTRUCTIONS I. Answer all questions completely or check appropriate box. If question is not applicable write "NA”. Write “Un- keown" only af you do not know the answer and it canno”
“4:040 9 Gore PERSONAL HISTORY STATEMENT E ce 5840ohrdisaissveldlstte Instructions: 1. Answer all questions completely. If question is not applicable vrite "NA" Write "unknown" only if you do not know the answer and cannot obtain the anaover from personal records. Use the ”
“PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question is not applicable write "NA." Write "unknown” only if you do not know the answer and cannot obtain the answer from personal records. Use the blank pages at the end of this form for extra d”
“14-00000 / ,00 HOT MS THIS SPACE THIS DATE (Piltizn) ISSUED BY PERSONAL HISTORY STATEMENT * INSTRUCTIONS 1. Answer all questions completely or check appropriate box. If question is not applicable, write “NA”. Write “Un known" only if you do not know the answer and it c”
“14-00000 Form 2209 7 Ara PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question does not apply write "not applicable." Write "unknown" only If you do not know the answer and cannot obtain the answer 1 from personal records. Use a separat”
“1 4-00000 60 0 PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question does not apply write “not applic- able." Write "unknown" only if you do not know the answer and cannot obtain the answer from personal records. Use the blank pages at th”
“PERSONAL HISTORY STATEMENT INSTRUCTIONS: A*S*£6 ALL QUESTIONS COMPLETELY. IF CUES71C9 A*Sw[6 QueSTice DOES NOT APPLY WRITE "PCT ACT. APPLICABLE". WRITE UNKNOWN" 0NLY-1F 100 00 NOT KNOW THE ANSWER AND CAREC” OBTAIN THE ANSWER FROM PERSONAL RECORDS. USE A SEPARATE SHEET CE PAP”
“14-00000 PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question is not applicable write "NA.” Write "unknown" only if you do not know the answer and cannot obtain the answer from personal records. Use the blank pages at the end of this form”
“14-00000 PERSONAL HISTORY STATEMENT Instructions: Answer all questions completely. If question does not apply write "not applic- able 19 Write “unknown only if you do not know the answer and cannot obtain the answer from personal records. Use the blank panes at the end of th”
“14-00000 w€ 07 17 PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question does not apply write “not applic able." Write "unknown" only if you do not know the answer and cannot obtain the answer from personal records. Use the blank pages at ”
“STATEMENT OF PERSONAL HISTORY. PSSTRUSTIONS: Read the certification at the end of this questionnaire before entering the required data. Print or typ: all anas nd questions and statements roust be completed. If the answer is "None," so state. Do not misstate or omit material fa”
“14-00000 PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question is hot applicable write "NA." Write “unknown" only if you do not know the answer and cannot obtain the answer from personal records. Use the blank pages at the end of this form”
“0 PERSONAL HISTORY STATEMENT INSTRUCTIONS: ■ ANSWER ALL QUESTIONS COMPLETELY. IF QUESTION DOES NOT APPLE WRITE "NOT APPLICABLE". WHITE "UNKNOWN" ONLY IF YOU DO NOT KNOW THE ANSWER AND CANNOT OBTAIN THE ANSWER FROM PERSONAL RECORDS. USE A ST PARATE SHEET OF PAPER FOR EXTRA DE”
“14-00000 05s (5G PERSONAL HISTORY STATEMENT INSTRUCTIONS:. ANSWER ALL CREST IONS COMPLETELY. IF QUESTION DOES N3T IPPUT WHITE NOT APPLICABLE*. "WRIT "UNKNOWN" 0*LY IF Y00 De NOT NOW THE ANSWER AND CANNOT OBTAIN Int NS=ER FROM PERSONAL RECORDS. USE A SEPARATE SHEET CF PAPER”
“1 4-00000 Sh, t €37 $ eri 7 $1 -a-pry”worn 11 8 PERSONAL HISTORY STATEMENT Instructions : 1. Answer all questions completely. If question does not apply write "not applic able." Write "unknown" only it you do not'know the answer and cannot obtain the answer from p”
“pPb "PERSONAL HISTORY STATEMENT? Instructions: 1. Answer all questions completely. f question does not apply write “not applio 31833 dyl. able.” iWrite “unknown” only if you do not know the answer and cannot obtain gare-o. wettey u the answer from personal records. Use the bl”
“0000 ■ DO NOT USE THIS SPACE THIS DATE (Fill in) ISSUED BY • PERSONAL HISTORY STATEMENT September 6, 1961 INSTRUCTIONS OPSER./CUS 1. Answer all questions completely or check appropriate box. If question is not applicable, write “NA”. Write “Un known” only if you do not kn”
“".A PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question is not applicable write. "NA.” Write . “unknown” only if you do not know the answer and cannot obtain the answer from personal records. Use the blankpagesat the end of this form for”
“14-00000 CIEROMED FOR RELEASE 1993 - COROO-REMIE GRAM . to NCT use Tea SPACE 7-3 BATE (Paul Jna % MiJes av PERSOKAL HISTORY STATEMENT I—p , E 10/L° q - -•• 9 •. INSTRUCTIONS I. Answer all questions completely or check appropriate box. If question is pot applicable write "”
“14-00000 4 / / PERSONAL HISTORY STATEMENT INSTRUCTIONS ANSWER ALL QUESTIC’S COMPLETELY. If QUES’ICN pers NOT APPL: WRITE -nor APPLICABLE*. MITE *UkNOWN* ONLY IF YOU 00 NCT ATCh THE ANSAER AND CANNOT OBTAIN THE ANSWER FROM PERSONAL 7EC0ons Use 4 SEPARATE GHFET OF PAPER FOR ”
“1 ) / 4 ce or CSE THiS te*CE PERSONAL HISTORY STATEMENT 3 sor 6, 1361 1. Answer all questions completely or Check an *bot If tuestion 13 got Alicable, Sl*. Arite “Un- ino mn° only it you de te 13. Use coma space at end of form for extra details on any t-esta 4 ter ami”
“14-00000 INSTRUCTIONS: AN",w$o QUFST+097 COMPLETELY, ir GLELTION H',»!» ALL QUFST109T PERSONAL HISTORY STATEMENT DC15 NOT APEIe GUFLTICh D15 APE! Wwi’l AC: APIICABLE*. wiT PItICBiE*. WRITE "duvbdh" 0aLr it (90 DO NOT sn0W 716 AND [9 500 CANNOT OBTAIN THE ANSWER FEON ple-O”
“14-00000 0 PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question is not applicable write "NA.” Write “unknown" only if you do not know the answer and cannot' obtain the answer from personal records. Use the blank pages at the end of this ”
“14-00000 1 1 ! 9• X 00 NOT USE THIS SPACE THIS DATE (Pitt tn) ISSUED BY PERSONAL HISTORY STATEMENT 25 Sentember 10(1 2INSTRUCTIONS 1. Answer all questions completely or check appropriate box. If question is not applicable, write "NA". Write “Un known" only if you ”
“4 Iof 1 1 1 1 : 1 rerm 2206 . 958478 PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question den not apply write "not applicable." Write "unknown" only if you do not know the answer and cannot obtain the answer from personal reco”
“14-00000 SECRET (enen Pilled In) JUN. PERIODIC SUPPLEMENT * PERSONAL HISTORY STATEMENT INSTRUCTIONS- re50 aotam! This form provides the ovano whereby your official personnel records watl he Even though st duplicates inforeation-you have furnished previously, it well be”
“14-00000 Ta995 PERSONAL HISTORY STATEMENT Instructions: 37833 1. Answer all questions completely. If question does not apply write “not applic apple able." Write "unknown" only if you doand not know the answer and cannot obtain cannot octal the answer from personal rec”
“1 4-00000 to nt srorvor; L—l ehene ev Sting I ..P1, ■! @rat.e o Zeirstors . of the United States sho are NOT related to you and who have definite knowledge of yovar qualifications and fitness for the position bw who h you ore applying [he net repeat nemee of pereesiecca listed”
“14-00000 PERSONAL HISTORY STATEMENT INSTRUCTIONS: QUSTllks COMPLETELY ANSWER ALL QUESTIONS COMPLETELY. I QUESTION OCES * IF QUESTION APPLY WRITE NOT APPUlcs (%, WRITE UNKNOWN ONLY IF YOU 00 NOT’ANOW TE AS=E9 AND CANNOT’CETAIN T € ANSWER FROM PERSONAL £39795.9 USE A SEPARAT”
“14-00000 (6 ,3 PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question does not apply write "not applic- able." Write "unknown" only if you do not know the answer and cannot obtain the answer from personal records. Use the blank pages at th”
“14-00000 PERSONAL HISTORY STATEMENT Instructions: 1. Answer all orations completely. if question le not applicable write "NA." Write "unknown" only if you do not know the nnewer astid cannot obtain the answer from 1 personal records. Use the blank pages at the end of this f”
“Amendment to Due to MoRRiage PHs Date: 17 May 1952 PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question is not applicable write "NA." Write "unknown" only if you do not know the answer and cannot obtain the answer from personal records. ”
“fil PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question is not applicable write “NA.” Write, “unknown" only if you do not know the answer and cannot obtain the answer from- rc personal records. Use the blank pages at the end of this form ”
“14-00000 / ronu osp-30 9-3-98 Di PARTEE yA STATE I vr peessu so. er-edtt. 1 APPLICATION. EMPLOYMENT APPR . EXPIRES Avcusr 91, 1930 FORMERLY FS-372 1% THE FOREIGN SERVICE OF THE UNITED STATES ruts sracs’ros orrtcs tsu ovlr JASTRUCT1O%S—4s-vere so all questions must b ty”
“14-00000 21. S FELENCLS -List three pernoy.e Unni in the them131256 or Terra: -., • ot the Uinited Stia*i siw’to dre NC1 pleg*c.s • ys.-**. detnitely wiojye of your , goa.lts utions and utross t. r the position for whss it too a e urtiyuias Do not rotout numos ot superviaye li”
“14-00000 SECRET (When Filled ‘n) SECTION III CONTINUED FROM PAGE a 21. OATt9 Of MILITARY SERVICE (From- and To. ) Dv Vow Di AND vEAR 22. BRANCH OF SERVICE 23. COURTAY with BC MiLtTARY SERVICE ArrILlatto 24. DETAILS or OTHER GOVERNMENT SERVICE, U.S. on FOREIGN SECTION I”
“14-00000 DO / 09 .SECRET1 When Filled fev 0 /AC PERIODIC SUPPLEMENT THIS DATE PERSONAL HISTORY STATEMENT A RD 16 May 1957 INSTRUCTIONS TNi. Form provide the r-anowhermly your inloteatisn you hova furnished previunely, # 80 personnel recerife will he hept current. Ev”
“14-00000 4 CONFIDENTIAL (iMen Filled In), 3 Complete in duplicate. The ostu recorded on thee fern nessential in determining travel expenses allowable in connection with leave - . al gortrnmient exper se, over seas duty,rotuin to residence upon separation, and for providing”
“PERSONAL HISTORY STATEMENT INSTRUCTIONS: 411 QUESTIONS COMPLETELY. If ANSWEP B1L II 0UE 3*19% OOFS Quts*i9* APPLICABLE". D0FS NOT APPLY WRITE NOT APPLICABLE®. WRITE UNr&OWR* ONLY IF rou 09 NOT KNOW THE ANSWER AND CANNOT OBTAIN THE ANSWER FROM PERSONAL R[C0005. USE A SEPARAT”
“14-00000 SECRE 17 ; % (WNen Pillen'Iny wis Oars PERIODIC SUPPLEMENT PERSONAL HISTORY STATEMENT ISTECTIONS el records walt This fota provides the dehoe ebeeoby your official personnel wilt No hept eweront. Even rhougo it duplicates information you have furnished previou”
“14-00000 DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer all questions. Admitted unfavorable information about such matters as arrests or discharges will be considered together with the favorable information in your record in determining”
“14-00000. (WNer SECRET Fitted In) LY THIS 0AT[ PERIODIC SUPPLEMENT PERSONAL HISTORY STATEMENT 9 February 195 ‘i INSTRUCTIONS This form provides the means whereby yeur official personnel pers ei records will be kept current. Even though st duplicates information you h”
“14-00000 Note: information contai is supplemental. n ed here in PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question does not apply write “not applic able.” Write "unknown” only if you do not know the answer and cannot obtain the answe”
“STATEMENT O. PERSONAL HISTORY INSTRUCTIONS: Read the certification at the end of this questionnaire before entering the required data. Print or type all answers. All questions and statements must be completed. If the answer is "None," so state. Do not misstate or omit material ”
“14-00000 j N EVUONO .) CONFIDENTIAL s (when Fitted In) Complete in duplicate. The doto recorded on this form is essential in determining travel expenses ollewable in connection with leave at government expense, over seas duty,return to residence upon separation, and for”
“14-00000 5,/ DASeceemI 8 snet FaElodhid) 1 th DEC THIS DATE PERIODIC SUPPLEMENT 109734 PERSONAL HISTORY STATERENT? / \ Q • Thia form provaden the means whereby your ofi inforoation you have furnished previously, i 160 Cutie current. Even though it duplicates to Section”
“SECRET 0 JAN *** (When Filled In) THIS DATE PERIODIC SUPPLEMENT 159198 PERSONAL HISTORY STATEMENT 4 February 1957 INSTRUCTIONS This form provides the means whereby your official personnel records will be kept current. Even though it duplicates information you have furnishe”
“14-00000 45/. PERIODIC SUPPLEMENT _ = PERSONAL HISTORY STATEMENT SECRET (When Filled tes nst OddeA J* - Tuts Cats - 30 July 1957 4 INSTRUCTIONS Than form provides the mesne whereby your official personnel records witt he hept current Fen though It duplicates info”
“1 4-00000 634 PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question is not applicable write "NA.”, Write “unknown” only if you do not know the answer and cannot obtain the answer from personal recordB. Use the blank pages at the end of t”