[104-10182-10007.pdf — page 76]
# SECRETREQUEST FOR APPROVAL OR INVESTIGATIVE ACTION(Always handcarry 1 copy of the form)PLEASE COMPLETE EACH SECTION AND APPROPRIATE BLANKTO:*   CI'OPERATIONAL APPROVAL AND SUPPORT DIVISION*   CHIEF. INVESTIGATION AND SUPFOFT DIVISION, OFFICE OF SECURITY*   CHIEF PERSONNEL SECURITY DIVISION OFFICE OF SECURITYSUBJECT:WHITEHOUSE Insua, Eduardo Julius(True name)CRYPTONYM, PSEUDONYM, AKA CA ALIASESDATE2 Oct 1964FROM: David C. LamoureuxOP5/3/A3/SOD2 D 39PROJECTWI THHUSHCI/OA FILE NO.PI 201 FILE NO.SO FILE NO.1. TYPE ACTION REQUESTED|                                      |                                          || ------------------------------------ | ---------------------------------------- || X PROVISIONAL OPERATIONAL APPROVAL   | PROVISIONAL PROPRIETARY APPROVAL         || OPERATIONAL APPROVAL                 | PROPRIETARY APPROVAL                     || PROVISIONAL COVERT SECURITY APPROVAL | COVERT NAME CHECK                        || COVERT SECURITY APPROVAL             | SPECIAL INQUIRY (50 field investigation) || CONTRACT TYPE A                      | CONTRACT TYPE B                          |2. SPECIFIC AREA OF USECongo, Africa3. FULL DETAILS OF USEPilot4. 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 J.S. GOVERNMENT INTEREST IN HIM?        |     |     |  X  |     || D. IS SUBJECT AWARE OF CIA INTEREST IN HI७१-                   |     |     |  X  |     |E. INDICATE ANY LIMITATIONS ON COVERAGE IN THE INVESTIGATION OF SUBJECT.NoneF. 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?|                                                 | YES | X NO || ----------------------------------------------- | :-: | :--: || IF NO INVESTIGATION OUTSIDE CIA. EXPLAIN FULLY. |     |      |5. PRO AND GREEN LIST STATUS|                                                |                                    || ---------------------------------------------- | ---------------------------------- || X PRO I. OR EQUIVALENT. IN (2) COPIES ATTACHED | X PRO 11 WILL BE FOR ARDED         || PRO 11. OR EQUIVALENT. IN (1) COPY ATTACHED    | X GREEN. LIST ATTACHED. NO: 156219 |6. RI TRACES|           |              |                          || --------- | ------------ | ------------------------ || NO RECORD | BILL FORWARD | X NON-DEROGATORY      WH ||           |              | DEROGATORY ATTACHED      |7. DIVISION TRACES|           |           |                     || --------- | --------- | ------------------- || NO RECORD | BILL FGRA | X NON-DEROGATORY    ||           |           | DEROGATORY ATTACHED |8. FIELD TRACES|                             |     |                                  || --------------------------- | --- | -------------------------------- || NO RECORD                   |     |                                  || X NO DEROGATORY INFO. HAVE  |     |                                  || LIST SOURCES CHECKED        |     | XI BILL FORBARD Congo            ||                             |     | DEROGATORY ATTACHED              ||                             |     | SIGNIFICANT INFORMATION ATTACHED || NOT INITIATED (Explanation) |     |                                  |MICROFICHESIGNATURE OF CASE OFFICERDavid C. LamoureuxFORM2-63 772 USE PREVIOUS EDITIONS.EXTENSION7367SIGNATURE OF BRANCH CHIERRezaar! J. Fra Jr. (2 c-t 643SECRET201-300614