Francesco/who-killed-jfk huggingface dataset:
[104-10194-10012.pdf — page 292]
# SECRETMEDICAL ACTION REQUEST AND REPORTI REQUEST FOR PHYSICAL EXAMINATION BY1. NAME:MOORE,J. Vita3. TYPE OF POSITION:Intelligence Officer (Contact)5. TYPE OF POSITION:DepartmentalU.S. FieldOverseas7. EVALUATE FOR:ECSReturnee2. DATE:3 March 19594. GRADE:   G3-146. PURPOSE FOR:Pre-EmploymentAnnualSpecial (Specify)II REPORT OF MEDICAL EVALUATIONQualified for Full Duty GeneralQualified for Departmental Duty OnlyRemarks:QUALIFIED FOR CURRENT DUTIES.Qualified for Full Duty (Special)Disqualified10 APR 1959SECRETMartin J. ElpenSECRET(When Filled In)---MEDICAL ACTION REQUEST AND REPORTI REQUEST FOR PHYSICAL EXAMINATION BY1. NAME:(Last)MOORE,(First)James(Middle)W.2. DATE:11 Sept 1958-28 August 19583. TO POSITION:IO4. OFFICE, DIVISION, BRANCH:OO/Contact Division, Field5. GRADE:   GS-146. TYPE OF POSITION:DepartmentalU.S. FieldOverseas7. EVALUATE FOR:ECSOverseasReturnee8. PURPOSE FOR:Pre-EmploymentAnnualSpecial (Specify)II REPORT OF MEDICAL EVALUATIONQualified for Full Duty (General)Qualified for Departmental Duty OnlyQualified for Full Duty (Special)DisqualifiedRemarks:Subject is qualified for U. S. Field. (9/16/57)REPORT OF PHYSICAL QUALIFICATION:-NAME:Moore, James MiltonReturneeDATE:2/17/53FOR WAVERLY EMPLOYEE ONLY:SIGNATURE OF EMPLOYEE:TITLE OF POSITION:DATE:DEPT:FIELDFOR CONTRACTING EMPLOYEE ONLY:SIGNATURE OF CONTRACTING EMPLOYEE:DATE: UNIT OR DUTY IN THE ABOVE GRADE AND POSITION:
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# PHYSICAL QUALIFICATION RECORD| NAME                 | NATURE OF ACTION || -------------------- | ---------------- || LOCKE; James W.      | Transfer Funds   || TITLE OF POSITION    | GRADE            || Intelligence Officer | GS-12            || DEPARTMENT OR FIELD  |                  || Field                |                  |Subject was found physically ☐fit ☐unfit for duty with this organization in the above grade and position.RECOMMENDATIONS:28 January 31-02DATEPaul V. HoaglindeSIGNATURE OF PHYSICAL REQUIREMENTS OFFICERFORM NO. 36-37NOV 1968
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OSS Form 11800(Rev. 5/12/45)OFFICE OF STRATEGIC SERVICESWashington, D. C.Moore, James WaltonF02MAR 18 HCA22 January 1947examination on this date and found qualified for was given a physicalFull Duty OverseasLimited Duty OverseasDuty in USA OnlyProfile Serial (For Army SM only)Defects Noted:Repeat X-Ray in six months.![signature of John R. Tietjen]JOHN R. TIETJEN, 1st. Lt. MC(70991)
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# SECRET(When Filled In)## QUALIFICATIONS UPDATEREAD INSTRUCTIONS, CAREFULLY BEFORE COMPLETING, TYPE OR PRINT, AVOID USING LIGHT COLORED INKSNow that your qualifications are a matter of computer record, they must be periodically updated This is done auto-matically for much information; however, some must be obtained directly from you. This form is for that purpose.Section I must be completed in all cases. You need provide other information only if there have been changes sinceyou submitted your Form 444), "Qualifications Supplement to the Personal History Statement," or a previous update form..11 you are in doubt whether information has been previously submitted, enter it in the appropriate section. The signedand dated form should be returned through administrative channels to the File Room, Office of Personnel, Room 58-13Headquarters, whether information is added or not..Additionally, a quatifications update may take place at any time there is information to be added or changed simplyby completing and returning an update form on your initiative.SECTION 1BIOGRAPHIC AND POSITION DATAEMP. SER. NO. JAME, (Lont-Pirat-Middle) DATE OF BIRTH SO GRADE003820 MOORE, J. Walton 10-05-19 IT GS-14SECTION 11EDUCATIONLAST HIGH SCHOOL ATTENDED HIGH SCHOOL YEARS ATTENDED (From To) GRADUATEADDRESS (City, State Country)COLLEGE OR UNIVERSITY STUDYNAME AND LOCATION OF COLLEGE OR UNIVERSITY SUBJECT YEARS ATTENDED DEGREE YEAR NO. SEM/OTR.MAJOR MINOR FROM T٥٠٠ RECEIVED RECEIVED HRS. (Specify)IF A GRADUATE DEGREE HAS BEEN NOTED ABOVE WHICH REQUIRED SUBMISSION OF A WRITTEN THESIS, INDICATE THE TITLE OF THETHESIS AND BRIEFLY DESCRIBE ITS CONTENT.TRADE, COMMERCIAL AND SPECIALIZED SCHOOLS.NAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHSOTHER HON-AGENCY EDUCATION OR TRAINING NOT INDICATED ABOVENAME AND ADDRESS OF SCHGOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHSSECTION 1MARITAL STATUS1. PRESENT STATUS (Single Varried, "jdoord, Separated, Divorced. Annulled Remarrse!) SPECIFY-2. NAME OF SPOUSE (Lost) (First) (Maddle) (Hasden)3 DATE OF DIRTH 4 PLACE OF BIRTH (City State,Country)5. OCCUPATION 6. PRESENT EMPLOYER7. CITIZENSHIP 8. FORMER CITIZENSHIP(S) COUNTRY(IES) 9 DATE U.S. CITIZENSHIP ACQUIREDSECTION I۷DEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSENAME RELATIONSHIP DATE AND PLACE OF BIRTH CITIZENSHIP PERMANENT ADDRESSADD١. DELETEADD2. DELETEFORM 444n us. ACTIOUS7-69 EDITIO01SECRET
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# SECRET(WOH FILLED IN)Moore, I Wan## QUALIFICATIONS SYSTEM RECORD CHANGEAPPLICANT CODING DATA1. ID 2. APPL. NO. 3. NAME   MUST CONTAIN 20-DIGITS.<24. DATE OF BIRTH 5. DATE CODED   MO DA YR MO DA YRTHE DATA ABOVE (ITEMS 2 THRU 5) WILL BE FILLED INWHEN CODING AN APPLICANT FOR THE FIRST TIME. THISFORM IS THEN ATTACHED TO FORM 1962, MASTER QUALIFICA-TIONS CODING RECORD.LANGUAGE CODING DATA - FORM 444c1. ID 2. EMPLOYEE NO. 3. NAME   LANGUAGE DATA CODE   3-LETTERS BASE CODE R W P S U T YR5. DATE SUBMITTED 6. DATE OF BIRTH   MO DA YR MO DA YRWHEN FORM 444C DENOTES NO LANGUAGECOMPETENCE, ENTER THE FOLLOWING INITEM 4: "NO++LANGUAGE" (12-DIGITS)LANGUAGE PROFICIENCY TEST DATA1. ID 2. EMPLOYEE NO 3. NAME 4. CODE 5. LANGUAGE DATA BEFORE TEST   3-LETTERS C-A-D BASE CODE R W P S U T YR   <5 $$382M00 CBD93 D8A04696. LANGUAGE DATA AFTER TEST 7. DATE OF TEST DATA FOR ITEM 2 THRU 7 IS   MO DA YR EXTRACTED FROM FORM 1273   BASE CODE R W P S U T YR LANGUAGE PROFICIENCY AND   AWARDS DATA.Nott LANGUAGE GE091969QUALIFICATIONS RECORD CHANGE1. ID 2. EMP/APPL NO. 3. NAME ENTER UNDER "TYPE"   3-LETTERS A = ADDITION TO RECORD   C = CHANGE TO EXISTING RECORD   D = DELETION OF DATA FROM ELISTING RECORD<4TYPE BASE CODE # 1 2 3 YR BASE CODE # 2 1 2 3 YRFORM 1962a10-64SECRETGROUP 1(4-51)
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SECRET(When Filled in)# SECTION V GEOGRAPHIC AREA KROM-EDGE ARO FOREIGN TRAVEL| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED RNCULEOGE | DATES OF TRAVEL OR RESICENCE | DATE A PLACE OF STLUSY | ANOWLEDGE ACSLI٥٧٠ ٦٤٥CHECK (২) || ------------------------- | ----------------------------- | ---------------------------- | ---------------------- | ------------------------------- ||                           |                               | May 10                       | 35 FM 71               | STUDY DENCE                     || 1.                        |                               |                              |                        |                                 || 2.                        |                               |                              |                        |                                 |# SECTION VI TYPING AND STENOGRAPHIC SKILLS1. TYPING (PV) 2.SHORTHAND (BPY) 3. INDICATE- SHORTHAND SYSTEM USED CHECK (R) APPROPRIATE ITEM[] GREGG [] SPEEDURITING [] STENOTYPE [] OTHER SPECIFY:# SECTION VII SPECIAL QUALIFICATIONSPROVIDE INFORMATION ON NOBBIES, SPORTS. LICENSES. PUBLISHED MATERIALS OR DEVICES WHICH YOU MAY HAVE INVENTED.# SECTION VIII MILITARY SERVICECURRENT ORAFT STATUS1. HAS YOUR SELECTIVE SERVICE CLASSIFICATION CHANGED[] YES [] NO 2. NEW CLASSIFICATION3. LOCAL SELECTIVE SERVICE BOARD LIMBER AND ADDRESS 4. IF DEFERRED, GIVE REASONMILITARY RESERVE, NATIONAL GUARD STATUSCHECK RESERVE OR GUARD ORGANI- ARMY MARINE CORPS [] COAST GUARD NATIONAL GUARDZATION TO WHICH YOU BELONG [] NAVY [] AIR FORCE [] AIR NATIONAL GUARD1. CURRENT RANK. GRADE OR RATE 2. DATE OF APPOINTMENT IN CURRENT RANK 3. EXPIRATION DATE OF CURRENT OSLIGATION4. CHECK CURRENT RESERVE CATEGORY [] READY RESERVE [] STANDBY (mactive) [] STANDBY (active) [] RETIRED [] DISCHARGED5. MILITARY MOBILIZATION ASSIGNMENT 6. RESERVE UNIT TO WHICH ASSIGNED OR ATTACHEDMILITARY SCHOOLS COMPLETED (Extended Active. Reserve Duty: or on Civilian)| NAME AND ADDRESS OF SCHOOL | STUDY OR SPECIALIZATION | DATE COMPLETED  || -------------------------- | ----------------------- | --------------- ||                            |                         | RESIDENT        ||                            |                         | GENCY-SPONSORED |# SECTION IX PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS| NAME AND CHAPTER | ADDRESS (Number.Street.City.State.Country) | DATE OF MEMBERSHIP || ---------------- | ------------------------------------------ | ------------------ || 1.               |                                            | FROM TO            || 2                |                                            |                    || 3.               |                                            |                    |# SECTION X REMARKSDATE SIGNATURE OF EMPLOYEE30 April 1971 S. Walton MooreSECRET
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SECRET(When Filled in)SECTION V: GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE | DATES OF TRAVEL OR RESIDENCE | DATE & PLACE OF STUDY | KNOWLEDGE ACQUIRED BY: CHECK (X)  || ------------------------- | ----------------------------- | ---------------------------- | --------------------- | --------------------------------- ||                           | Jun 30                        | 25 Jun 46                    |                       | RESIDENCE TRAVEL STUDY ASSIGNMENT ||                           |                               |                              |                       |                                   |SECTION VI: TYPING AND STENOGRAPHIC SKILLS1. TYPING (WPM) 2. SHORTHAND (WPM) 3. INDICATE SHORTHAND SYSTEM USE - CHECK (X) APPROPRIATE ITEM*   GREGG*   SPEEDWRITING*   STENOTYPE*   OTHER (Specify):SECTION VII SPECIAL QUALIFICATIONSPROVIDE INFORMATION ON HOBBIES, SPORTS, LICENSES, PUBLISHED MATERIALS OR DEVICES WHICH YOU MAY HAVE INVENTEDSECTION VIII MILITARY SERVICE CURRENT DRAFT STATUS1. HAS YOUR SELECTIVE SERVICE CLASSIFICATION CHANGED? 2. NEW CLASSIFICATION*   YES*   NO3. LOCAL SELECTIVE SERVICE BOARD NUMBER AND ADDRESS 4. IF DEFERRED, GIVE REASONMILITARY RESERVE, NATIONAL GUARD STATUSCHECK RESERVE OR GUARD ORGANIZATION TO WHICH YOU BELONG*   ARMY*   MARINE CORPS*   COAST GUARD*   NATIONAL GUARD*   NAVY*   AIR FORCE*   AIR NATIONAL GUARD1.  CURRENT RANK, GRADE OR RATE 2. DATE OF APPOINTMENT IN CURRENT RANK 3. EXPIRATION DATE OF CURRENT OBLIGATION2.  CHECK CURRENT RESERVE CATEGORY*   READY RESERVE*   STANDBY (Active)*   STANDBY (Inactive)*   RETIRED*   DISCHARGED3.  MILITARY MOBILIZATION ASSIGNMENT 6. RESERVE UNIT TO WHICH ASSIGNED OR ATTACHEDMILITARY SCHOOLS COMPLETED (Extended Active, Reserve Duty, or as Civilian)| NAME AND ADDRESS OF SCHOOL | STUDY OR SPECIALIZATION | DATE COMPLETED | RESULTS || -------------------------- | ----------------------- | -------------- | ------- ||                            |                         |                | RESIDES |SECTION IX PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS| NAME AND CHAPTER | ADDRESS (Number, Street, City, State, Country) | DATE OF MEMBERSHIP || ---------------- | ---------------------------------------------- | ------------------ ||                  |                                                | FROM TO            ||                  |                                                |                    |SECTION X REMARKSDATE SIGNATURE OF EMPLOYEE5 June 1970 J. Walton MooreSECRET
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# SECRETSECTION V| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE | DATES OF TRAVEL OR RESIDENCE | DATE & PLACE OF STUDY | KNOWLEDGE ACQUIRED BY--CHECK (X)  || ------------------------- | ----------------------------- | ---------------------------- | --------------------- | --------------------------------- ||                           |                               | JAN 27                       | 3 22 PM 70            | RESIDENCE TRAVEL STUDY ASSIGNMENT ||                           |                               |                              |                       |                                   |SECTION VITYPING AND STENOGRAPHIC SKILLS1. TYPING (WPM) 2. SHORTHAND (WPM) 3. INDICATE SHORTHAND SYSTEM USED--CHECK (X) APPROPRIATE ITEMSPEEDWRITINGSTENOTYPEOTHER SPECIFY:SECTION VIISPECIAL QUALIFICATIONSPROVIDE INFORMATION ON HOBBIES, SPORTS, LICENSES PUBLISHED MATERIALS OR DEVICES WHICH YOU MAY HAVE INVENTEDSECTION VIIIMILITARY SERVICECURRENT DRAFT STATUS1. HAS YOUR SELECTIVE SERVICE CLASSIFICATION CHANGED?YES2. NEW CLASSIFICATION3. LOCAL SELECTIVE SERVICE BOARD NUMBER AND ADDRESS4. IF DEFERRED, GIVE REASONMILITARY RESERVE, NATIONAL GUARD STATUSCHECK RESERVE OR GUARD ORGANIZATION TO WHICH YOU BELONGMARINE CORPSCOAST GUARDNATIONAL GUARDAIR FORCEAIR NATIONAL GUARD1. CURRENT RANK, GRADE OR RATE 2. DATE OF APPOINTMENT IN CURRENT RANK3. EXPIRATION DATE OF CURRENT OBLIGATION4. CHECK CURRENT RESERVE CATEGORYREAD RESERVESTANDBY (active)STANDBY (inactive)RETIREDDISCHARGED5. MILITARY MOBILIZATION ASSIGNMENT6. RESERVE UNIT TO WHICH ASSIGNED OR ATTACHEDMILITARY SCHOOLS COMPLETED (Extended Active, Reserve Duty, or as Civilian)| NAME AND ADDRESS OF SCHOOL | STUDY OR SPECIALIZATION | DATE COMPLETED   || -------------------------- | ----------------------- | ---------------- ||                            |                         | RESIDENT         ||                            |                         | AGENCY SPONSORED |SECTION IXPROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS| NAME AND CHAPTER | ADDRESS (Number, Street, City, State, Country) | DATE OF MEMBERSHIP || ---------------- | ---------------------------------------------- | ------------------ ||                  |                                                | FROM TO            || 1.               |                                                |                    || 2.               |                                                |                    || 3.               |                                                |                    |SECTION XREMARKSDATESIGNATURE OF EMPLOYEE12 January 1970James Walton MooreSECRET
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SECRETQUALIFICATIONS UPDATEREAD INSTRUCTIONS CAREFULLY BEFORE COMPLETING, TYPE OR PRINT, AVOID ESING LIGHT COLORED INKSNow that your qualifications are a matter of computer record, they must be periodically updated. This is done auto-matically for much information; however, some riust be obtained directly from you. This form is for that purpose.Section I must be completed in all caves. You need provale other information only if there have been changes sinceyou submitted your Form 444). "Qualifications Supplement to the Personal History Statement." or a previous update form.If you are in doubt whether information has been previously submitted, enter it in the appropriate section. The signedand dated form should be returned lurned through administrative channels to the File Room, Office of Personnel, Room 5E-13Headquarters, whether information is added or notAdditionally, a qualifications update may take place at any time there is information to be added or changed simplyby completing and returning an update form on your initiative.SECTION I BIOGRAPHIC AND POSITION DATALMP. SED. 40.003820 NAME (Last-Firat-Middle) DATE OF DIRTHMOOPE, James Waiton 10/05/19SECTION 11 EDUCATIONLAST HIGH SCHOOL ATTENDED HIGH SCHOOL YEARS ATTENDED (From To) CRAQUATEADDRESS (City State. Country) YES NOCOLLEGE OR UNIVERSITY STUDYNAUS AND LOCATION OF COLLEGE OR UNIVERSITY SUBJECT YEARS AFTENOFO DEGNER YEAR NO. SIM/OTR.MAJOR MINOR FROM - TO. RECEIVED RECEIVED HRS.(Specify)IF A GRADUATE DECREE HAS HIN NOTED ABOVE WHICH REQUIRED SUBMISSION OF A WRITTEN THESIS. INDICATE THE TITLE OF THETHESIS AND ARIEFLY DESCRIBE ITS CONTENT.TRADE, COMMERCIAL AND SPECIALIZED SCHOOLSNAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO но. Ог MONTHSOTHER NON-AGENCY EDUCATION OR TRAINING NOT INDICATED ABOVEDAMI AND ADOPESS OF SCHOOL STUDY ON SPECIALIZATION FPOM TO NO OF MONTHSSECTION 111 MARITAL STATUS1 PRESENT STATUS (Single Married, sowed Separated Divorced. Annulled Remarried) SPECIF.2 NAME OF SPOUSE (C) (Γιτ:) ("iddle) (Parden)3. DATE OF BIRTH 4 PLACE OF BIRTH (Caty State. Country)5. OCCUPATIO 6 PRESENT INFLOYED7 CITIZENSHIP 8. FORMER CITIZENSHIPIS) COUNTRY(IES) 9 CATE U.S. CITIZENSHIP ACQUIREDSECTION IV DEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSE|     | NAME     | RELATIONSHIP | CATE AR: PLACE OF BIRTH | CITIZENSHIP | PERMANENT ADDRESS       || --- | -------- | ------------ | ----------------------- | ----------- | ----------------------- || 1.  | Daughter | 12 Sep 44    | San Francisco, Calif US | US          | 5145 Rexton Ln., Dallas || 2.  |          |              |                         |             |                         |FORM 4440SECRET
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# SECRET(when Filled in)SECTION V GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE | DATES OF TRAVEL OR RESIDENCE | DATE & PLACE OF STUDY | KNOWLEDGE ACQUIRED BY CHECKING || ------------------------- | ----------------------------- | ---------------------------- | --------------------- | ------------------------------ ||                           |                               | Nov 12 1 37 PM '68           |                       |                                ||                           |                               |                              |                       |                                |SECTION VI TYPING AND STENOGRAPHIC SKILLS1. TYPING (WPM) 2. SHORTHAND(WPM) INDICATE SHORTHAND SYSTEM USED--CHECK (X) APPROPRIATE ITEMGregg Speedwriting Stenotype Other SpecifySECTION VII SPECIAL QUALIFICATIONSPROVIDE INFORMATION ON HOBBIES. SPORTS. LICENSES. PUBLISHED MATERIALS OR DEVICES WHICH YOU MAY HAVE INVENTED.SECTION VIII MILITARY SERVICECURRENT DRAFT STATUS1. HAS YOUR SELECTIVE SERVICE CLASSIFICATION CHANGED?Yes No2. NEW CLASSIFICATION3. LOCAL SELECTIVE SERVICE BOARD NUMBER AND ADDRESS4. IF DEFERRED, GIVE REASONMILITARY RESERVE, NATIONAL GUARD STATUSCHECK RESERVE OR GUARD ORGANIZATION TO WHICH YOU BELONGArmy Marine Corps Coast Guard National GuardNavy Air Force Air National Guard1. CURRENT RANK, GRADE OR RATE 2. DATE OF APPOINTMENT IN CURRENT RANK 3. EXPIRATION DATE OF CURRENT OBLIGATION4. CHECK CURRENT RESERVE CATEGORY Ready Reserve Standby(active) Standby(inactive) Altirid Discharged5. MILITARY MOBILIZATION ASSIGNMENT 6. RESERVE UNIT TO WHICH ASSIGNED OR ATTACHEDMILITARY SCHOOLS COMPLETED (Extended Active, Reserve Duty, or as Civilian)| NAME AND ADDRESS OF SCHOOL | STUDY OR SPECIALIZATION | DATE COMPLETED | RESIDENT | AGENCY SPONSORED || -------------------------- | ----------------------- | -------------- | -------- | ---------------- ||                            |                         |                |          |                  ||                            |                         |                |          |                  |SECTION IX PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS| NAME AND CHAPTER | ADDRESS (Number, Street, City, State, Country) | DATE OF MEMBERSHIP || ---------------- | ---------------------------------------------- | ------------------ ||                  |                                                | FROM TO            ||                  |                                                |                    ||                  |                                                |                    |SECTION X REMARKSDATE SIGNATURE OF EMPLOYEE4 November 1968![signature of employee](null)SECRET
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# SECRETWhen Filied inQUALIFICATIONS SUPPLEMENT TO PERSONAL HISTORY STATEMENTOFFICIAL LUS ONLY will filled in!READ INSTRUCTIONS CAREFULLY BEFORE-COMPLETING TYPE OR PRINT AVOID USING LIGHT COLORED INKSSECTION I BIOGRAPHIC AND POSITION DATA1. EMP SER NO 2. NAME Last, First, Middle 3. SEX 4. CATE OF BIRTH 5. SCHEDULE GRADE STEP003820 MOORE J. WALTON 10/05/19 GS-14-066 SO 7. POSITION TITLE 8. OFFICE OF ASSIGNMENT 9 LOCATION (Province, CitylIT 10-CONTACT DCS TEXAS, USASECTION II AGENCY OVERSEAS SERVICEAREA TYPE TOUR FROM TOCHINA PCS 82 47/09/78 48/04/71INDIA PCS 82 48/04/71 49/08/81OVERSEAS DATACODED INITIALS:DATE: *N/S*25 MAY 67SECTION III EDUCATIONDEGREE MAJOR FIELD COLLEGE YEARBACH POLITICAL SCIENCE (GOVERNMENT), GENERAL HARDIN-SIMMONS UNIV TEX 40SECRET6 7 OCT ENTO
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## SECTION IVSECRET*(When Filled In)*GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE | DATES OF TRAVEL OR RESIDENCE | DATE & PLACE OF STUDY | KNOWLEDGE ACQUIRED BY | CHECK (X) || ------------------------- | ----------------------------- | ---------------------------- | --------------------- | --------------------- | --------- ||                           |                               |                              |                       | RESIDENCE             |           ||                           |                               |                              |                       | TRAVEL                |           ||                           |                               |                              |                       | STUDY                 |           ||                           |                               |                              |                       | WORK ASSIGNMENT       |           |## SECTION V1. TYPING (WPM):None2. SHORTHAND (WPM):None3. INDICATE SHORTHAND SYSTEM USED: CHECK (X) APPROPRIATE ITEM☐ GREGG☐ SPEEDWRITING☐ STENOTYPE☐ OTHER, SPECIFY4. INDICATE OTHER BUSINESS MACHINES WITH WHICH YOU HAVE HAD OPERATING EXPERIENCE OR TRAINING (comptometer, mimeograph, card punch, etc.)## SECTION VISPECIAL QUALIFICATIONS1. LIST ALL HOBBIES AND SPORTS IN WHICH YOU ARE ACTIVE OR HAVE ACTIVELY PARTICIPATED. INDICATE YOUR PROFICIENCY IN EACH.Handball - Good2. EXCLUDING BUSINESS EQUIPMENT OR MACHINES WHICH YOU MAY HAVE LISTED IN ITEM 4, SECTION V, LIST ANY SPECIAL SKILLS YOU POSSESS RELATING TO OTHER EQUIPMENT AND MACHINES SUCH AS OPERATION OF RADIO TRANSMITTERS. *Indicate CW speed sending & receiving, OFFSET PRESS, TURRET LATHE, EDP AND OTHER SCIENTIFIC & PROFESSIONAL DEVICES.*None3. ARE YOU NOW, OR HAVE YOU EVER BEEN, A LICENSED OR CERTIFIED MEMBER OF ANY TRADE OR PROFESSION SUCH AS PILOT, ELECTRICIAN, RADIO OPERATOR, TEACHER, LAWYER, CPA, MEDICAL TECHNICIAN, PSYCHOLOGIST, PHYSICIAN, ETC.?☐ YES☒ NO4. IF YOU HAVE ANSWERED "YES" TO ITEM 3 ABOVE, INDICATE KIND OF LICENSE OR CERTIFICATION AND THE ISSUING STATE.*E.G., Pilot, Dr. license registry number if known.*5. FIRST LICENSE CERTIFICATE *year of issue*:None6. LATEST LICENSE CERTIFICATE *year of issue*:7. LIST ANY SIGNIFICANT PUBLISHED MATERIALS OF WHICH YOU ARE THE AUTHOR. *Do NOT submit copies unless requested. Indicate the title, publication date, and type of writing (e.g., book, article, general interest column, novels, short stories, etc.)*None8. INDICATE ANY DEVICES WHICH YOU HAVE INVENTED AND STATE WHETHER OR NOT THEY ARE PATENTED.None9. TEACHING AND PUBLIC RELATIONS EXPERIENCENone