[104-10178-10000.pdf — page 298]
SECRETREQUEST FOR APPROVAL OR INVESTIGATIVE ACTION(Always handcarry 1 copy of this form)PLEASE COMPLETE EACH SECTION AND APPROPRIATE BLANK7 September 1968TO:CI/OPERATIONAL APPROVAL AND SUPPORT DIVISIONCHIEF, INVESTIGATION AND SUPPORT DIVISION, OFFICE OF SECURITYCHIEF, PERSONNEL SECURITY DIVISION, OFFICE OF SECURITYFROM:JP OeverWH/3/Venezuela3 E 2631;4521b/9494rSUBJECT:(True name) Luis Clemente Faustino POSADA CarrilesPROJECT:CRYPTONYM, PSEUDONYM, AKA OR ALIASESCI/OA FILE NO.ANCLEVE-15RI 300985 NO.SO FILE NO.1. TYPE ACTION REQUESTEDPROVISIONAL OPERATIONAL APPROVALOPERATIONAL APPROVALPROVISIONAL COVERT SECURITY APPROVALCOVERT SECURITY APPROVALCONTRACT TYPE APROVISIONAL PROPRIETARY APPROVALPROPRIETARY APPROVALCOVERT NAME CHECKSPECIAL INQUIRY (SO field investigation)CONTRACT TYPE B2. SPECIFIC AREA OF USECaracas, Venezuela3. FULL DETAILS OF USEAs a penetration agent into the Venezuelan General Directorateof Police (DIGEPOL) and as a penetration of the Remberto UZCATEGUIBrusal special group.4. INVESTIGATION AND COVER|                                                                                        | YES | NO  || -------------------------------------------------------------------------------------- | :-: | :-: || A. U.S. GOVERNMENT INTEREST MAY BE SHOWN DURING INVESTIGATION?                         |     |  X  || B. CIA INTEREST MAY BE SHOWN DURING INVESTIGATION?                                     |     |  X  || C. IS SUBJECT AWARE OF U.S. GOVERNMENT INTEREST IN HIM?                                |  X  |     || D. IS SUBJECT AWARE OF CIA INTEREST IN HIM?                                            |  X  |     || E. INDICATE ANY LIMITATIONS ON COVERAGE IN THE INVESTIGATION OF SUBJECT.               |     |     || F. SUGGEST "COVER PRETEXT" TO BE USED IN CONDUCTING PERSONAL INVESTIGATION OF SUBJECT. |     |     || G. DO YOU PLAN TO MAKE SUBJECT WITTING OF AGENCY OR GOVERNMENT INTEREST?               |  X  |     || IF NO INVESTIGATION OUTSIDE CIA. EXPLAIN FULLY                                         |     |     |5. PRO AND GREEN LIST STATUSX PRO 1. OR EQUIVALENT. IN (2) COPIES ATTACHEDPRO 11. OR EQUIVALENT IN (1) COPY ATTACHEDPRO II BILL BE FORWARDEDGREEN LIST ATTACHED, NO:6. RI TRACES|           |              |                |                       || --------- | ------------ | -------------- | --------------------- || NO RECORD | BILL FORWARD | NON-DEROGATORY | X DEROGATORY ATTACHED |7. DIVISION TRACES|           |              |                |                       || --------- | ------------ | -------------- | --------------------- || NO RECORD | BILL FORWARD | NON-DEROGATORY | X DEROGATORY ATTACHED |8. FIELD TRACES|                                      |              |                                  || ------------------------------------ | ------------ | -------------------------------- || NO RECORD                            | WILL FORBARD |                                  || NO DEROGATORY INFO.                  |              |                                  || LIST SOURCES CHECKED: JMWAVE Caracas |              | X DEROGATORY ATTACHED            || NOT INITIATED (Explanation)          |              | SIGNIFICANT INFORMATION ATTACHED |SIGNATURE OF CASE OFFICEREXTENSION SIGNATURE OF BRANCH CHIEFFORM2-63 772SECRET(9)