“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 ”
“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”
“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 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”
“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 ”
“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”
“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. ”
“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”
“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”
“".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 (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”
“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”
“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”
“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”
“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 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 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”
“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 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”
“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 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 ”
“14-00000 11/5/49 ** PERIODIC SUPPLEMENT SECRET (When Filled fn) DEB WingCurio6-thK THIS DATE 513842 PERSONAL HISTORY STATEMENT - INSTRUCTIONS Ji nur ry 6,1967 Thin lota provides the neane whereby your official personnel records will be kept current. Even though At dup”
“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”
“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”
“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 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 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”
“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”
“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”
“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”
“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 59 36447 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 the end ”
“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”
“% AMENDMENT TO W OMB PERSONAL QUALIFICATIONS STATEMENT APPROVED 50-R0048 IMPORTANT: Read these instructions carefully before completing this form. This form may be used to update your Personal Qualifications Statement provided you have had no more than three additional positio”
“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. (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”
“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 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”
“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”
“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”
“1 4-00000 SECRET /‘• ..... Fille- In) tis nate PERI IC SUPPLEMENT PERSONAL HISTORY STATEMENT 21 January 1959 INntatCTIONs if, wilt he lent < rent Even though it uplecates This form provides the infecestion You need complete • sherehi boer official personnel see ou ”
“14-00000 17 7 .Retain to SECRET (When,’ rited 2n) F) , DECC PERIODIC SUPPLEMENT 10 THIS DATE 103820 SE PERSONAL HISTORY STATEMENT *A4 * 8 January 1957 / JmgreA T870 fata provides the means vhoreby yjur’official preonnel records will b kept current. Even though de dup”
“T4-00000 € HI U - Ciett * :» crveiitias STATEMENT OF PRIOR FEDERAL CIVILE’! A59 ILICARY SERVICE tai >-,, 2-9-30 BARTOLTATIT: In a fairon lt used only to esteblish creditability Of sere ech is otherwita pS! wyrchieid in the OMlibat Persoongt Potter, * and reduction in fo”
“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 ”
“YOU HAVE BEEN BNOwN INCLUDING MARRIED WANES, IF MARRIED MORE THAN once, GIVE DATES OURING WHICH RANES WERE USED. TalSan 20. REFERENCES: LIST FIVE PERSONS, EXCLUSIVE of SUPERVI soRs, LIVING IN THE UNITED STATES WHO A9E BoT RELATED TO YOU |a* D WHO HAVE DEFINITE KNOWLEDGE OF Y”
“14-00000 SECRET in (When Fitted In) 8 Cigar 58 TwtS DATE PERIODIC SUPPLEMENT L PERSONAL HISTORY STATEMENT‘ I. .SEP INSTRUCTIONS This fore provides the means wherely your official personnel secovda will be.kept current. Even though it duplicates information you have ta”
“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”
“* JPER VA. - Decss mlires - BAME A4D-TITLC or mia supavison outico PCKrGiAge By you Josc/ 1 00 Airline Pilot aft &_2 Sr- —21-7- € -:. . Political HAVE YOU EVER SEEN DISCHARGED OR FORCED TO RESIGN FOR MISCONDUCT OR UNSATISFACTORY SERVICE FROM ANY PCSITIONT IF ANSWER IS ”
“14-00000 . 16 - SECTION XXVI CERTIFICATION •Nt. YOU ARE INFORMED THAT THE CORRECTNESS CF avy STATEMENT MADE IN THIS APPLICATION WILL SE INVESTIGATED Ihave read and on-deestand the indructions / Cer.t, rhgt the foregoing a and correc? the best of my knowledge and belief. I”