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# STANDARD FORM 144JANUARY 1952U. S. CIVIL SERVICE COMMISSIONFPM CHAPTERS 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 credits for reduction in force. The employee should complete Part I and the Personnel Office should complete Parts II through IV.PART I.--EMPLOYEE'S STATEMENT1. NAME (Last, first, middle initial)O'CONNELL, JAMES P. JR.2. DATE OF BIRTH19 FEB 19173. LIST THE FOLLOWING INFORMATION CONCERNING ALL FEDERAL AND DISTRICT OF COLUMBIA SERVICE YOU HAVE HAD PRIOR TO YOUR PRESENT APPOINTMENTS (Do not include military service.)| NAME AND LOCATION OF AGENCY | FROM |       |     | TO   |       |     | TYPE OF APPOINTMENT IF FWS/AN | 11. SERVICE |       |     || --------------------------- | ---- | ----- | --- | ---- | ----- | --- | ----------------------------- | ----------- | ----- | --- ||                             | YEAR | MONTH | DAY | YEAR | MONTH | DAY |                               | YEAR        | MONTH | DAY || FEDERAL BUREAU OF           | 47   | 3     | 3   | 51   | 11    | 30  | SPECIAL AGENT                 | 4           | 8     | 28  || INVESTIGATION               |      |       |     |      |       |     |                               |             |       |     || WASHINGTON, D.C.            |      |       |     |      |       |     |                               |             |       |     || CIA                         | US1  | 12    | 17  | 52   | 12    | 21  | 1/7/45                        | 1           | -     | 5   ||                             |      |       |     |      |       |     | 12/9/59                       |             |       |     |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   |       |     | DISCHARGE (Hon. or dishon. P) |     |     |     || --------- | ---- | ----- | --- | ---- | ----- | --- | ----------------------------- | --- | --- | --- ||           | YEAR | MONTH | DAY | YEAR | MONTH | DAY |                               |     |     |     || U.S. NAVY | 44   | 10    | 4   | 46   | 2     | 15  | HON.                          | 1   | 4   | 12  |5. DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM 3, DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSENCE WITHOUT PAY, INCLUDING PERIODS OF MERCHANT MARINE SERVICE, DURING ANY ONE CALENDAR YEAR?  YES  NO   IF ANSWER IS "YES," LIST FOLLOWING INFORMATION.| TYPE IF KNOWN (LWOP, Furl, Susp, AWOL, Mor Mar) | FROM |       |     | TO   |       |     | TOTAL |        |      || ----------------------------------------------- | ---- | ----- | --- | ---- | ----- | --- | ----- | ------ | ---- ||                                                 | YEAR | MONTH | DAY | YEAR | MONTH | DAY | YEARS | MONTHS | DAYS ||                                                 |      |       |     |      |       |     |       |        |      |6. DURING THE FEDERAL SERVICE LISTED IN ITEM 3, DID YOU ACQUIRE A PERMANENT COMPETITIVE CIVIL SERVICE STATUS?   YES  NO   (If answer is "Yes," in what agency were you employed at the time status was acquired?)7. ARE YOU:   A. THE WIFE OF A DISABLED VETERAN? YES  NO   B. THE MOTHER OF A DECEASED OR DISABLED VETERAN? YES  NO   C. THE UNREMARRIED WIDOW OF A VETERAN? YES  NO8. 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.![signature] James P. O'Connell(DATE)Subscribed and sworn to before me on this _______ day of ________, 1952 at __________ (CITY) __________ (STATE)SEALNOTE: If oath is taken before a Notary Public, the date of expiration of his Commission should be shown.(OVER)