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# STANDARD I ORM 144JANUARY 11צU.S. CIVIL SERVICE COMMISSIONFPM CHAPTEAS LI AND RISTATEMENT OF PRIOR FEDERAL AND MILITARY SERVICEIMPORTANT: The information on this form will be used in determining creditable service for leave purposes and retention creditsfor reduction in force. The employre should complete Part I and the Personnel Office should complete Parts IIthrough IV.## PART 1.-EMPLOYEE'S STATEMENT1. NAME (Last, first, middle initial) CASASIN2. DATE OF BIRTH 20 January 19243. LIST THE FOLLOWING INFORMATION CONCERNING ALL FEOCRAL AND DISTRICT OF COLUMBIA SERVICE YOU HAVE HAD   PRIOR TO YOUR PRESENT APPOINTMENTS (Du not include military service.)| NAME AND LOCATION OF AGENCY | FROM- |       |     | TO   |       |     | TYPE OF APPOINTMENT IF KNOWN |     || --------------------------- | ----- | ----- | --- | ---- | ----- | --- | ---------------------------- | --- ||                             | YEAR  | ΜΟΝΤΗ | DAY | YEAR | MONTH | DAY |                              |     || None                        | CIA   | 49    | 11  | 20   |       |     |                              |     |## PART II. THIS COLUMN 'IS FOR PERSONNEL OFFICE USE.9. RETENTION GROUP10. CSC STATUS (For permanent emplaress only)*   YES*   NO11. SURVICE| YEAR | MONTH | DAY || ---- | ----- | --- ||      |       |     |4. LIST PERIODS OF SERVICE IN ANY BRANCH OF THE ARMED FORCES OF THE UNITED STATES. IF YOU HAD NO MILITARY   SERVICE, WRITE "NONE."| BRANCH             | FROM- |       |     | TO-    |       |                | DISCHARI-E (Hon. or dishon.?) || ------------------ | ----- | ----- | --- | ------ | ----- | -------------- | ----------------------------- ||                    | YEAR  | MONTH | DAY | YEAR   | MONTH | DAY            |                               || United States Army | 143   | Feb   | 15  | 18-Oct | 27    | Yes; honorable |                               ||  |  |  | 5 | 8 | 12 |5. DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM 3, DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ADSENCE 12. TOTAL SERVICE|  |  |  | 5 | 8 | 12 |WITHOUT PAY. INCLUDING PERIODS OF MERCHANT MARINE SERVICE, DURING ANY ONE CALENDAR YEAR! ☐ YES ☑ NOIF ANSWER IS "YES." LIST FOLLOWING INFORMATION.|     | TYPE IF KNOWN (LWOP, Furl, Susp. AWOL, Mer Mar) | FROM- |     |     | TO-   |     |       | TOTAL  || --- | ----------------------------------------------- | ----- | --- | --- | ----- | --- | ----- | ------ ||     | YCAN                                            | MONTH | DAY | YAR | MONTH | DAY | YEARS | PONTHS |13. NONCREDITABLE SERVICE (Leave purposes only):114. NONCREDITABLE SERVICE    (RIF purposes ony!:6. DURING THE FEDERAL SERVICE LISTED IN ITEM 3, UID YOU ACQUIRE A FERMANENT COMPETITIVE CIVIL SERVICE STATUS?*   YES ☑ NO(Il answer is "Yes," in what agency were you employed at the time status was acquired?)15. REEMPLOYMENT RIGHTS*   YES*   NO7. ARE YOU:   A. THE WIFE OF A DISABLED VETERAN? YES ☑ NO   B. THE MOTHER OF A DICEASED OR DISABLED VETERANI YES ☐ NO   C. THE UNREMARRIED WIDOW OF A VETERAN? YES ☐ NO16. RETENTION RIGHTS*   YES*   NO17. EXPIRATION DATE OF RETEA TION RIGHTS8. TO BE EXECUTED BEFORE A NOTARY PUBLIC OR OTHER PERSONS AUTHORIZED TO ADMINISTER OATHS.   I swear (or affirm) that the above statements are true to the best of my knowledge and belief.1 August 57CASASINSubscribed and sworn to before me on this day of 1952 at(NONTH) (CITY) (STATISEALNOTE: If oath is taken before a Notary Public, the date of expiration of his Commission should be shown.