Francesco/who-killed-jfk huggingface dataset:
[104-10194-10026.pdf — page 244]
CONFIDENTIALYou will utilise your established cover as a newspaper publisher and lecturer on Latin American affairs resident in Santiago, Chile.You have chosen to live temporarily in Cuba because of unfulfilled lecture contracts in the United States. You have not returned to your business in Santiago because of the great expense of traveling between Chile and the United States. You will, in fact, return to the United States on two occasions to deliver lectures contracted before your employment as a Staff Employee of this Agency. (February 14 and 15 in Sioux Falls, South Dakota, and Wichita, Kansas; and March 13 in Palm Beach, Florida). You are strictly enjoined against using any material relating to intelligence or other covert activities. You are advised that the income received from the three scheduled lectures shall not be subject to the offset provisions of (this letter of instruction). It is understood that the lectures will be made while on annual leave and that all expenses incidental thereto will be met by you. At some future date, should it be decided that you should renew your lecture activities, the decision as to whether or not the income will be subject to offset provisions will be made at Headquarters.You are also informed that should the manuscript entitled "Popcorn in the Andes", now in the hands of your literary agent, be published during your tour of duty the income therefrom will not be subject to the offset provisions of this contract.
[104-10194-10026.pdf — page 245]
# SECRETCONTRACT INFORMATION AND CHECK LISTCASE OFFICERRobert S. GoralskiDIVISIONNEATELEPHONE EXTENSION3548DATE9 May 1957SECTION I1. NAME2. PROJECT   PECTATE3. PREVIOUS CIA PSEUDONIM OR ALIASES4. ALLOTMENT NO.5. SLOT NO.6. INDIVIDUAL IS PRESENTLY ENGAGED ON HAS BEEN ENGAGED BY CIA OR ITS ALLIES   ACTIVITIES IN SOME CAPACITY **YES** **NO** (If yes, describe and include salary)   Staff Agent, WH $10,535.007. SECURITY CLEARANCE (Type and date)   Top Secret, 1 April 19558. CONTRACT IS TO BE WRITTEN IN STERILE FORM I.E., “U.S. GOVERNMENT.”   **YES** **NO**9. INDIVIDUAL WILL WORK UNDER “CONTROLLED CONDITIONS” I.E., REGULAR OFFICE   HOLRS AWAY FROM SUBJECT’S HOME AND PERFORMED UNDER THE SUPERVISION OF   A STAFF EMPLOYEE OR STAFF AGENT **YES** **NO**10. PROPOSED CATEGORY (Contract agent, contract employee, etc.)    Staff AgentSECTION IIPERSONAL DATA11. CITIZENSHIP    U.S.A12. IF NOT U.S. CITIZEN INDIVIDUAL IS PERMANENT 13. AGE    RESIDENT ALIEN **YES** **NO** 3414. DATE OF BIRTH (Month, day, year)    31 Oct. 192215. LEGAL RESIDENCE (City and state or country)    4804 Washburn, Fort Worth, Texas16. CURRENT RESIDENCE (City and state or country)17. MARITAL STATUS (Check as appropriate)    SINGLE MARRIED ANNULLD SEPARATED DIVORCED18. NUMBER OF DEPENDENTS (Not including individual) RELATIONSHIP:    Five: Wife and four children19. INDIVIDUAL IS RELATED TO A STAFF EMPLOYEE, STAFF AGENT OR    AN INDIVIDUAL CURRENTLY WORKING FOR THE AGENCY IN SOME    CAPACITY    RELATIONSHIP: **YES** **NO**SECTION IIIU.S. MILITARY STATUS20. RESERVE    N.A.21. VETERAN    World War II22. IF RETIRED, INDICATE CATEGORY (Longevity, combat disability, service disability non-combat)    N.A.23. BRANCH OF SERVICE    N.A.24. RANK OR GRADE    N.A.25. DRAFT ELIGIBLE    **YES** **NO**26. DRAFT DEFERMENT OBTAINED BY CIA    **YES** **NO**SECTION IVCOMPENSATION27. BASIC SALARY    $10,320.0028. POST DIFFERENTIAL    $585.0029. COVER (Breakdown, if any)30. TAXES TO BE WITHHELD BY COVER    **YES** **NO**SECTION VALLOWANCES (NORMALLY GRANTED ONLY TO RESIDENTS OF THE UNITED STATES)31. QUARTERS    $3,000.0032. POST    $585.0033. OTHER34. COVER (Breakdown, if any)SECTION VITRAVEL35. TYPES    **PCS** DOMESTIC OPERATIONAL FOREIGN OPERATIONAL WITH DEPENDENTS37. HOUSEHOLD EFFECTS TO BE SHIPPED 38. PERSONAL VEHICLE TO BE SHIPPED 39. TRANSPORTED VEHICLE TO BE USED FOR OPERATIONAL TRAVEL    **YES** **NO** **YES** **NO** **YES** **NO**40. IF WITH DEPENDENTS STATE RELATIONSHIP, CITIZENSHIP, AGE AND DATE OF BIRTH    Wife: Helen H. Phillips, U.S., 38, 29 March 1919    Daughter: Maria Louise Phillips, U.S., 7, 9 Aug. 1949    Daughter: Atless Young Phillips, U.S., 4, 18 Feb. 1953    Son: David A. Phillips, Jr., U.S. 5, 14 Jan. 1952    Child approx. 5 mos., U.S.![signature]![signature]41. PAYMENT AND ACCOUNTABILITY WILL BE IN CONFORMANCE WITH Z-10 REGULATIONS    DIO REGULATIONSSECTION VIIOPERATIONAL EXPENSES42. PURCHASE OF INFORMATIONN.A.43. ENTERTAINMENTN.A.44. OTHERN.A.45. PAYMENT AND ACCOUNTABILITY WILL BE IN CONFORMANCE WITH
[104-10194-10026.pdf — page 247]
CONFIDENTIAL1. NAME (Last) (First) (Middle) 2. THIS DATE3. THE FOLLOWING AGENCY SPONSORED INSURANCE PROGRAMS HAVE BEEN EXPLAINED TO ME*   GROUP HOSPITALIZATION INCORPORATED (GNT)*   INCOME REPLACEMENT* CASH PAYMENT OF PREMIUMS AT THE TIME EMPLOYEE APPLIES FOR INSURANCE MUST LOVED THE PERIOD 0. TIME NE OIL ABAT FROM HEADQUARTERS.4. ITINERARY (To be completed only for individuals making application for Air Trip Insurance)5. I AM !OW PARTICIPATING, OR WOULD LIKE TO PARTICIPATE IN THE INSURANCE PROGRAMS LISTED BELOW.SIGNATURE OF EMPLOYEE| TYPE OF POLICY      | DESIRED | NO HAVE | POLICY NUMBER | DEDUCTIONS AUTHORIZED EACH PAY PERIOD | CASH PAID || ------------------- | :-----: | :-----: | :-----------: | :-----------------------------------: | :-------: || Life                |         |    ✓    |               |                                       |           || Thrift & Investment |         |    ✓    |  ra Humpa56   |                                       |           |6. I DO NOT ELECT TO PARTICIPATE IN ANY OF THE STATED INSURANCE PROGRAMSSIGNATURE OF EMPLOYEE7. EMPLOYEE INTERVIEWED BY CPЬ (Signature) ICD (Signature)C-TCmiiman8. REMARKSWhen completed, the original of this form should be forwarded to TERB for incorporation on the employee's official personnel folder. The copy should be forwarded to CPB for retention in CPB files.INSURANCE QUESTIONNAIREFORM NO. 797 REPLACES FORM 37-190 CONFIDENTIAL
[104-10194-10026.pdf — page 248]
CONFIDENTIAL(when Filled In)# RESIDENCE AND DEPENDENCY REPORTINSTRUCTIONS: Submit in duplicate when ordered overseas or whenever designated place of residence, marital or dependency status change. This information is important in determining travel expenses allowable in connection with leave at Government expense, overseas duty, return to residence upon separation, and in determining transportation expense allowable in connection with shipment of remains of employee of member of family.1. NAME OF EMPLOYEEPhillips David Atlee2. RESIDENCE DATAPLACE OF RESIDENCE WHEN APPOINTED919 Rose Lane, Falls Church, Va.LAST PLACE OF RESIDENCE IN CONTINENTAL U.S. (if appointed abroad)PLACE IN CONTINENTAL U.S. DESIGNATED PERMANENT OR LEGAL RESIDENCE1804 Washburn, Fort Worth, Texas.3. MARITAL STATUSSINGLEMARRIEDPLACE OF MARRIAGEFort Worth, Texas.DATE OF MARRIAGE5 June 1948PLACE OF DIVORCE DECREEDATE OF DIVORCE DECREEDIVORCEDPLACE SPOUSE DIEDDATE SPOUSE DIEDWIDOWED4. MEMBERS OF FAMILYNAME OF SPOUSEHelen Haasch PhillipsADDRESS 919 Rose Lane, Falls Church Va. JL-3-9579NAMES OF CHILDRENADDRESS SEX AGEMaria Louise Phillips Female 6David Atlee Phillips, Jr. Male 3Atlee Young Phillips Female 2NAME OF FATHER (or male guardian)DeceasedNAME OF MOTHER (or female guardian)Deceased5. PERSON TO BE NOTIFIED IN CASE OF EMERGENCYNAMEEdwin T. Phillips, Jr.ADDRESS 1804 Washburn Fort Worth TexasRELATIONSHIPBrotherTHE PERSONS NAMED IN ITEM 4 ABOVE WILL ALSO BE NOTIFIED IN CASE OF EMERGENCY. IF SUCH NOTIFICATION IS NOT DESIRABLE, DUE TO HEALTH OR OTHER PERTINENT REASONS, PLEASE SO STATE UNDER "REMARKS."VOLUNTARY ENTRIESTHE FOLLOWING AGENCY ENDORSED LIFE AND HOSPITALIZATION INSURANCE POLICIES ARE IN FORCE IN MY NAME: THE "POLICY NO." SHOULD BE ENTERED IF POSSIBLE, SINCE THIS INFORMATION WILL ASSIST IN EXPEDITING ACTION BY THE INSURANCE COMPANY SHOULD A CLAIM BECOME PAYABLE.FULL NAME OF COMPANYU.S. Government Employee Mutual of Omaha HospitalizationADDRESS OF HOME OFFICEWashington, D.C.Omaha, Neb.POLICY NO.GIF 1514I HAVE COMPLETED THE FOLLOWING:Power of attorney to:Edwin T. Phillips, Jr1804 Washburn, Fort Worth, Texas.Edmond K. FannonCasilla 1250, Santiago, ChileSIGNED ATWashington, D.C.DATE27 December 1955CONFIDENTIAL
[104-10194-10026.pdf — page 249]
CERTIFICATE OF ATTENDANCEI certify that on MAY 1: 1955 I have attended the Induction Course specified by Regulation 25-110.DAVID A. PHILLIPSCLERICAL STENOSНАРНІС OTHEROFFICE 30/PP/130GS- 14
[104-10194-10026.pdf — page 250]
# APPOINTMENT AFFIDAVITSIMPORTANT. Before swearing to these appointment affidavits, you should read and understand the attached information for appointeeCENTRAL INTELLIGENCE AGENCY(Department or agency)(Bureau or division)WASHINGTON, D. C.(Place of employment)I, DAVID A. PHILLIPS do solemnly swear (or affirm) that—**A. OATH OF OFFICE**I will support and defend the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely without any mental reservation or purpose of evasion; that I will well and faithfully discharge the duties of the office on which I am about to enter, SO HELP ME GOD.**B. AFFIDAVIT AS TO SUBVERSIVE ACTIVITY AND AFFILIATION**I am not a Communist or Fascist. I do not advocate nor am I a member of any organization that advocates the overthrow of the Government of the United States by force or violence or other unconstitutional means or seeking by force or violence to deny other persons their rights under the Constitution of the United States. I do further swear (or affirm) I will not so advocate, nor will I become a member of such organization during the period that I am an employee of the Federal Government.**C. AFFIDAVIT AS TO STRIKING AGAINST THE FEDERAL GOVERNMENT**I am not engaged in any strike against the Government of the United States and that I will not so engage while an employee of the Government of the United States; that I am not a member of an organization of Government employees that asserts the right to strike against the Government of the United States, and that I will not, while a Government employee, become a member of such an organization.**D. AFFIDAVIT AS TO PURCHASE AND SALE OF OFFICE**I have not paid, or offered or promised to pay, any money or other thing of value to any person, firm or corporation for the use of influence to procure my appointment.**E. AFFIDAVIT AS TO DECLARATION OF APPOINTEE**The answers given in the Declaration of Appointee on the reverse of this form are true and correct.1 April 1955(Date of entrance on duty)(Signature of appointee)Subscribed and sworn before me this 23 day of April , A. D. 19..55,at Washington, D. C(City) (State)[SEAL]Signature of officer(Title)NOTE. If the oath is taken before a Notary Public the date of expiration of his commission should be shown.
[104-10194-10026.pdf — page 252]
# REQUEST FOR MEDICAL EVALUATIONSECRET1 DATE OF REQUEST29 Jan 752 NAME (Last, First, Middle)3. POSITION TITLE4 GRADEPhillips, David A.C/LADGS-185 OFFICE. DIVISION BRANCH6 EMPLOYEE'S EXT.DDO/LA51037. PURPOSE OF EVALUATION.HDQS/TDYPRE-EMPLOYMENTOVERSEAS ASSIGNMENTENTRANCE ON DUTYETDTDY STANDBYSTATIONTDY OR PCSSPECIAL TRAININGTYPE OF COVERNO. OF DEPENDENTS TO ACCOMPANYANNUALNO OF DEPENDENTS' REPORTS OF MEDICALHISTORY ATTACHEDRETURN TO DUTYRETURN FROM OVERSEASETAFITNESS FOR DUTYSTATIONMEDICAL RETIREMENTNO. OF DEP.'S8 OVERSEAS PLANNING EVALUATION (One block must be checked)9. REQUESTING OFFICERSIGNATUREYES![signature]Kathy Hill, LA/TrasgNOROOM NO. & BUILDINGEXT305317 Hqs743110 COMMENTSSubject has completed his Executive Annual.11. REPORT OF EVALUATIONQualified for IYBXXTBYX TDY Standby until 1 October 1975.DATESIGNATURE FOR CHIEF OF MEDICAL STAFF4 February 1975William T. Golder, OMS/RegistrarSECRET
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# REQUEST FOR MEDICAL EVALUATIONSECRET(When Filled In)2 NAME (Last, First, Middle)Phillips, David A. (Dependents of)5 OFFICE DIVISION, BRANCHBrasilia, Brazil1 DATE OF REQUEST10 May 19723 POSITION TITLECOS4 GRADEGS-176 EMPLOYEE & EXT.74317. PURPOSE OF EVALUATIONHDQS/TDY*   PRE-EMPLOYMENT*   ENTRANCE ON DUTY*   TDY STANDBY*   SPECIAL TRAINING*   ANNUAL*   RETURN TO DUTY*   FITNESS FOR DUTYXX OVERSEAS ASSIGNMENTETOAugust 1972STATIONCaracas, VenezuelaTDY OR PCSPCSTYPE OF COVERState (Integrated)NO OF DEPENDENTS TO ACCOMPANYFiveNO OF DEPENDENTS REPORTS OF MEDICALHISTORY ATTACHED*   RETURN FROM OVERSEASSTA*   MEDICAL RETIREMENTSTATIONNO OF DEP S8 OVERSEAS PLANNING EVALUATION (One black must be checked)*   YESXX*   NODEPENDENTMAY11 19729 REQUESTING OFFICERSIGNATUREJoan FergusonROOM NO. & BUILDING3D 5309 HqsEXT.743110 COMMENTSPlease schedule appointments for the week of 10 July.Virginia S. wife 26 Feb 43Deborah Anneidau 25 Dec 59Bryan Mosset son 31 Dec 60Wynne Atherton son 12 Sep 64Todd son 3 Aug 7011 REPORT OF EVALUATIONQUALIFIED FOR PCSDATESPERRY PRESTONSIGNATURE FOR CHIEF OF MEDICAL STAFFFORM2.69259USE PREVIOUSEDITIONSSECRET
[104-10194-10026.pdf — page 254]
# SECRETREQUEST FOR MEDICAL EVALUATION2. NAME (Last, First, Middle):   Phillips, David A. (dependents)3. OFFICE, DIVISION, BRANCH:   DUP/H/COG1.  DATE OF REQUEST:    17 October 19694.  GRADE:    GS-165.  EMPLOYEE'S EAT:    74517. PURPOSE OF EVALUATIONPRE-EMPLOYMENTENTRANCE ON DUTYTOY STANDBYSPECIAL TRAININGANNUALRETURN TO OUTYFITNESS FOR DUTYMEDICAL RETIREMENTHOOS/TOYOVERSEAS ASSIGNMENTFTU o/a 28 December 1969STATION Rio de JaneiroTOY OR PCS PCSTYPE OF COVER StateNO. OF DEPENDENTS TO ACCOMPANY 7NO. OF DEPENDENTS' REPORTS OF MEDICAL HISTORY To be forwardedRETURN FROM OVERSEASFTASTATIONNO. OF DEP.'S8. OVERSEAS PLANNING EVALUATION (One block must be checked)YESNO9. REQUESTING OFFICERSIGNATURE:Ruth A. SanfordWil PersonnelROOM NO. & BUILDING:305309 110EXT.681510. COMMENTS    Virginia S. - wife - 26 Feb 43Christopher Clark - son - 28 Dec 56Bryan Yoss - son - 31 Dec 60Lynn Aupherton - son - 12 Setp 64.11. REPORT OF EVALUATION    QUALIFIED OS PCSSPERRY PRESTONDATESIGNATURE FOR CHIEF OF MEDICAL STAFFFORM 259. USE PREVIOUS EDITION.
[104-10194-10026.pdf — page 255]
SECRET1. NAME (Last, First, Middle)Phillips, David A.4. OFFICE, DIVISION, BRANCH (of overseas station and existing cover of lateral assignment)DDP/VR/COG7. PROPOSED STATIONRio de Janeiro9. TYPE OF COVER AT NEW STATIONState12. COMMENTSVice Robert D. GahaganState IntegreeForm D3-1688 to be forwarded2. DATE OF BIRTH10/31/225. PRESENT POSITIONBranch Chief8. PROPOSED POSITION (Title, Number, Grade)COS, # 0186, GS-0010. ESTIMATED DATE OF DEPARTUREo/a 28 Dec. '6913. DATE OF REQUEST14. SIGNATURE OF REQUESTING OFFICIALRuth A. Sanford17. OFFICE OF MEDICAL SERVICES DISPOSITIONMEDICALLY QUALIFIED FORPROPOSED OS PCS.DONALD FARLEY18. OFFICE OF SECURITY DISPOSITION12 24 6919. OVERSEAS CANDIDATE REVIEW PANEL DISPOSITION3. GRADEGS-166. EMPLOYEE EXTENSION745111. NO. OF DEPENDENTS TO ACCOMPANY715. ROOM NUMBER AND BUILDING 16. EXTENSION5D 33096813REQUEST FOR PCS OVERSEAS EVALUATION
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# SECRETREQUEST FOR MEDICAL EVALUATION1. DATE OF RIQUEST2. NAME (Last, First, Middle)PHILLIPS, David A.3. POSITION TITLEOps Officer4. GRADEOS-155. OFFICE, DIVISION, BRANCHDDP/MH/COG6. EMPLOYEE'S EXT.7. PURPOSE OF EVALUATIONMOOS/TOYPRE-EMPLOYMENTOVERSEAS ASSIGNMENTFTOENTRANCE ON DUTY22 May - 5 June 1968STATIONMexico CityTOY STANDBYTOY OR PCSTDYSPECIAL TRAININGTYPE OF COVERTouristANNUALNO. OF DEPENDENTS TO ACCOMPANYNO. OF DEPENDENTS' REPORTS OF MEDICALHISTORY (IF SO) ATTACHEDRETURN TO DUTYRETURN FROM OVERSEASFITNESS FOR DUTYETASTATIONMEDICAL RETIREMENTNO. OF DEP'S8. OVERSEAS PLANNING EVALUATION (One block must be checked)YES9. REOLESTING OFFICERSIGNATUREMary C. WernigNOROOM NO. & BUILDING305309EXT.151610. COMMENTS11. REPORT OF EVALUATIONQUALIFIED FOR PROPOSEDTDYREX HARTDATESIGNATURE FOR CHIEF OF MEDICAL STAFFSECRET
[104-10194-10026.pdf — page 257]
SECRET(When Filled In)# REQUEST FOR MEDICAL EVALUATION2. NAME (Lost, Firel, Middle)Phillips, David5. OFFICE, DIVISION, BRANCHWH3. POSITION TITLE7. PURPOSE OF EVALUATION1.  DATE OF REQUEST6 September 19674. GRADEGS-156. EMPLOYEE'S EXT.PRE-EMPLOYMENTHDQS/ΤΟΥENTRANCE ON DUTYOVERSEAS ASSIGNMENTTOY STANDDYSTDSPECIAL TRAININGSTATIONANNUAL - *Executive*TOY OR PCSRETURN TO DUTYTYPE OF COVERFITNESS FOR DUTYNO. OF DEPENDENTS TO ACCOMPANYMEDICAL RETIREMENTNO. OF DEPENDENTS' REPORTS OF MEDICALHISTORY (SF 89) ATTACHED8. OVERSEAS PLANNING EVALUATION (One block must be chichew)   RETURN FROM OVERSEASYESETANOSTATION9. REQUESTING OFFICER   NO. OF DEP.'SSIGNATUREROOM NO. & BUILDINGEXT.10. COMMENTS11. REPORT OF EVALUATIONDATEPEX HARTSIGNATURE FOR CHIEF OF MEDICAL STAFFFORM 259 USE PREVIOUS C10-58 EDITIONSSECRET(26)
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SECRET# REQUEST FOR MEDICAL EVALUATION2. NAME (Leal, First, Middle)   PHILLIPS, David A. (Deps of)3. POSITION TITLE   Ops Off4. GRADE   GS-155. OFFICE, DIVISION, BRANCH   DDP/WH/362 EMPLOYEE'S EXT.59097. PURPOSE OF EVALUATIONOVERSEAS ASSIGNMENTTATIONΤΟΥ OR PCSTYPE OF COVERNO. OF DEPENDENTS TO ACCOMPANYNO. OF OF PENDINTS REPORTS OF MEDICALHISTORY (SF 83) ATTACHEDRETURN FROM OVERSEASETASTATIONY CUALIFIC Santo DomingoNO. OF DI. P.'SFive8. OVERSEAS PLAVIING EVALUATION (One block must be checked)   425979. REQUESTING OFFICER10. COMMENTS    Wife: Helen F.    Dau: Maria L. DOB Aug 49    Son: David A DOB 14 Jan 52    Son: Atlee I DOB 18 Feb 53    Son Christopher DOB-28 Dec 5611. REPORT OF EVALUATIONDATESIGNATURE FOR CHIEF OF MEDICAL STAPESECRET
[104-10194-10026.pdf — page 259]
SECRET(When Filled In)# REQUEST FOR MEDICAL EVALUATION2. NAME (Last, First, Middle)   Phillips, David A.5. OFFICE, DIVISION, BRANCH   COB (WI)7. PURPOSE OF EVALUATION1.  DATE OF REQUEST    31 October 19663. POSITION TITLE4. GRADE   055. EMPLOYEE'S EXT.   5903*   PRE-EMPLOYMENT*   ENTRANCE ON DUTY*   TDY STANDBY*   SPECIAL TRAINING*   ANNUAL - Executive*   RETURN TO DUTY*   FITNESS FOR DUTY*   MEDICAL RETIREMENT*   MDQS/TDY*   OVERSEAS ASSIGNMENT*   RTU*   STATION*   TDY OR PCS*   TYPE OF COVER*   NO. OF DEPENDENTS TO ACCOMPANY*   NO. OF DEPENDENTS' REPORTS OF MEDICAL HISTORY (SF 89) ATTACHED*   RETURN FROM OVERSEAS*   ETA*   STATION*   NO. OF DEP.'S8. OVERSEAS PLANNING EVALUATION (One block must be checked)*   YES*   NO9. REQUESTING OFFICER   SIGNATURE   ROOM NO. & BUILDING   EXT.10. COMMENTSQUALIS: FOR CURRENT DUTIES11. REPORT OF EVALUATION    REX HARTDATE12 10SIGNATURE FOR CHIEF OF MEDICAL STAFFSECRETFORM10-59 259 USE PREVIOUS EDITIONS(26)
[104-10194-10026.pdf — page 260]
SECRET(When Filled In)# REQUEST FOR MEDICAL EVALUATION2. NAME (Last, First, Middle):   PHILLIPS, David A.3. POSITION TITLE   Ops Ofer4. GRADE   155. OFFICE, DIVISION, BRANCH   DDP/WH/36. EMPLOYEE'S EXT.   x59097. PURPOSE OF EVALUATION[x] HOQS/TOY[] OVERSEAS ASSIGNMENT[] PRE-EMPLOYMENT[] ENTRANCE ON DUTY[] TOY STANDBY[] SPECIAL TRAINING[] ANNUAL[] RETURN.TO DUTY[] FITNESS FOR DUTY[] MEDICAL RETIREMENTETO3 July 64STATIONReturn to Mexico CityΤΟΥ OR PCS.PCSTYPE OF COVER.State IntegreeNO. OF DEPENDENTS TO ACCOMPANY5NO. OF DEPENDENTS' REPORTS OF MEDICALHISTORY (SF 69) ATTACHED-0[x] RETURN FROM OVERSEASETA30 June 64STATIONMexico City, MexicoNO. OF DEP.'S58. OVERSEAS PLANNING EVALUATION (One block must be checked)[x] YES[] NO9. REQUESTING OFFICERSIGNATUREMunay BerthallMurray Renthall WH/Pers OferROOM NO. & BUILDINGGH 4407 HosEXT.x590910. COMMENTS    Will be in Hqs beginning 30 June until 3 July for TDY.11. REPORT OF EVALUATION    QUALIFIED FOR PROPOSED O'S    PCSJOE W. CLINEDATE1-2 JulySIGNATURE FOR CHIEF OF MEDICAL STAFFFORM10-59 259USE PREVIOUS EDITIONS.SECRET(20)
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# SECRET(When Filled In)REQUEST FOR MEDICAL EVALUATION2. NAME (Last, First, Middle)   PHILLIPS, DAVID A.3. POSITION TITLE   COS4. CATE OF REQUEST   27 JULY 19655. GRADE   156. EMPLOYEE'S EXT.   65765. OFFICE, DIVISION, BRANCH   DDP/WH/BRANCH 27. PURPOSE OF EVALUATIONMDQS/TOYOVERSEAS ASSIGNMENTPRE-EMPLOYMENTETOLATERAL TRANSFERSTATIONSANTO DOMINGO, D.R.TOY OR PCSPCSTYPE OF COVERDEPARTMENT OF STATRNO. OF DE PENDENTS TO ACCOMPANY5ENTRANCE ON DUTYINO. OF DEPENDENTS' REPORTS OF MEDICALHISTORY (SF 89) ATTACHED0TOY STANDBYRETURN FROM OVERSEASSPECIAL TRAININGETALATERAL TRANSFERSTATIONMEXICO CITY, MEXICONO. OF DEP.'S5ANNUALRETURN TO OUTYFITNESS FOR DUTYMEDICAL RETIREMENT8. OVERSEAS PLANNING EVALUATION (One block must be checked)YES9.-REQUESTING OFFICERSIGNSTUREFRANK LANEWH/PERSONNELROOM & BUILDINGCO 56NOEXT.657610. COMMENTS    MR. PHILLIPS IS A DIRECT DRANSFER.QUALIFIED FOR PROFUSEDPCS11. REPORT OF EVALUATIONDATE17 30 65SIGNATURE FOR CHIEF OF MEDICAL STAFFFORM 259 USE PREVIOUS10-59 EDITIONS.SECRET(26)
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SECRET(When Filled In)REQUEST FOR MEDICAL EVALUATION2. NAME (Last, Firet, Middle)   PHILIPS, David A.3. POSITION TITLE   Ops Officer8. OFFICE, DIVISION, BRANCH   DDP/WHD1. DATE OF REQUEST   22 June 19614. GRADE   GS-14& EMPLOYEE'S EXT.821.27. PURPOSE OF EVALUATIONPRE-EMPLOYMENTNCCS/ICTOVERSEAS ASSIGNMENTENTRANCE ON DUTYTOY STANDBYSPECIAL TRAININGANNUALETO16 August 1961STATIONMaxico CityΤΟΥ CR PCSPCSTYPE OF COVERDept of StateNO. OF DEPENDENTS TO ACCOMPANYfiveNO. OF DEPENDENTS' REPORTS OF MEDICALHISTORY (SF 89) ATTACHEDRETURN TO DUTYFORM 89 aRETILEN FROM OVERSEASFITNESS FOR DUTYMEDICAL RETIREMENT8. OVERSEAS PLANNING EVALUATION (One block must be checked)YESNOSSATIONκα OF DEP'SSubject's last physical exam yas more thana year ago.9. REQUESTING OFFICER10. REPORT OF EVALUATION    COS11. REPORT OF EVALUATIONDATE10 AUG 1961SIGNATUREHenry Costhook, Jr.ROOM NO. & BUILDING11:04 Barton HallEXT.821.2SIGNATURE FOR CHIEF OF MEDICAL STAFFFORM10-58 259USE PREVIOUSEDITIONS.SECRET(26)
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# REQUEST FOR MEDICAL EVALUATION2. NAME (Last, First, Middle)   PHILLIPS, David Atlee3. POSITION TITLE5. OFFICE, DIVISION, BRANCH   Washington, D. C.1.  DATE OF REQUEST    12 April 19604. GRADE   GS-146. EMPLOYEE'S EXT.   29607. PURPOSE OF EVALUATION*   PRE-EMPLOYMENT*   ENTRANCE ON DUTY*   OVERSEAS RETURN*   TOY STANDBY*   SPECIAL TRAINING*   ANNUAL*   RETURN TO DUTY*   FITNESS FOR DUTY*   MEDICAL RETIREMENT*   OVERSEAS ASSIGNMENTETD 15 April 1960STATION WH AreaTOY OR PCSTDYTYPE OF COVERNO. OF DEPENDENTS TO ACCOMPANYNoneNO. OF DEPENDENTS' REPORTS OF MEDICAL HISTORY (SF 83) ATTACHED8. OVERSEAS PLANNING EVALUATION (One block must be checked)*   YES*   NO9. REQUESTING OFFICERSIGNATURES. I. CHELLINOROOM NO. & BUILDING1014 BartonEXT.87710. REPORT OF EVALUATIONDATE 21 APR 1960SIGNATURE FOR CHIEF OF MEDICAL STAFFFORM 259 USE PREVIOUS EDITIONS.
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# REQUEST FOR MEDICAL EVALUATION.SECRET(When Filled in)1. DATE OF REQUEST2. NAME (Last, First, Middle)PUTNAM, DAVID A.3. POSITION TITLEOFFICE4. GRADEGS-145. OFFICE, DIVISION, BRANCHDIR/OR CS/GS Development Cos Element6. EMPLOYEE'S EXT.7. PURPOSE OF EVALUATIONPRE-EMPLOYMENTOVERSEAS ASSIGNMENTENTRANCE ON DUTYETOOVERSEAS RETURNSTATIONTOY STANDBYTOY OR PCSSPECIAL TRAININGTYPE OF COVERANNUALNO. OF DEPENDENTS TO ACCOMPANYRETURN TO DUTYNO. OF DEPENDENTS' REPORTS OF MEDICALHISTORY (SF 89) ATTACHEDFITNESS FOR DUTYMEDICAL RETIREMENT8. OVERSEAS PLANNING EVALUATION (One block must be checked)YES9. REQUESTING OFFICERmy cam. fromOmmy ~ECDJ.J. MasingerNOSIGNATUREROOM NO. & BUILDING1701 CurieEXT.837110. REPORT OF EVALUATIONPLEASE ACT UPONQualified Concur from S.A.T.S.EDATESIGNATURE FOR CHIEF OF MEDICAL STAFFFORM 259 USE PREVIOUS10-59 EDITIONs
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# SECRET(When Filled in)REQUEST FOR MEDICAL EVALUATION1. DATE OF REQUEST2. NAME (Lost, Firel, Middle)`PUILLIEN FAVID A..`3. POSITION TITLE`OPS OVI`4. GRADE5. OFFICE, DIVISION, BRANCHDEPAR C5/C: Development Com lement6. EMPLOYEE'S EXT.7. PURPOSE OF EVALUATIONPRE-EMPLOYMENTOVERSEAS ASSIGNMENTENTRANCE ON DUTYETOOVERSEAS RETURNSTATIONTOY ΣΤΑNDBYTOY OR PCSSPECIAL TRAININGTYPE OF COVERANNUALNO. OF DEPENDENTS TO ACCOMPANYRETURN TO OUTYNO. OF DEPENDENTS' REPORTS OF MEDICALHISTORY (SP 82) ATTACHEDFITNESS FOR DUTYMEDICAL RETIREMENT8. OVERSEAS PLANNING EVALUATION (One black must be checkedYESNO9. REQUESTING OFFICERSIGNATUREROOM NO. & BUILDING EXT.`414. Carl` 037210. REPORT OF EVALUATIONPLFASE PANKITEDEPARTMENTAL DUTIESDATE24 R 1960SIGNATURE FOR CHIEF OF MEDICAL STAPPS.FORM10-59 259USE PREVIOUSEDITIONS.SECRET(26)