[104-10194-10001.pdf — page 112]
SECRET# CONTRACT INFORMATION AND CHECK LIST (CONTINUED)*WITE SRB INSTRUCTIONS ON FIRST SHEET.*## SECTION.V۱۱۱40. BENEFITS (300 B 20-615.8 20-020. 8 20-670. 8-20-1000, and 18 20 820-1.89 20-1000-1 and/or cessor regulations for bonatite applicable to variove categories of contract personel.)All benefits applicable to Staff AgentNon-offie lai cover prentun 17.## SECTION IX| STATUS (Check)                                                                  |     | COVER ACTIVITY |     |         || ------------------------------------------------------------------------------- | --- | -------------- | --- | ------- || Established                                                                     | X   | Tourist        | X   | Tourist || If COVER PAYMENTS ARE CONTEMPLATED, THEY WILL BE EFFECTED ON REIMBURSABLE BASIS |     |                |     |         |## SECTION XOFFSET OF INCOME50. OFFSET OF INCOME AND OTHER EMOLUMENTS DERIVED FROM COVER ACTIVITIES (81 less than total, justily in separate .... attached hosete.)## SECTION XI|                                         | TOTAL      | PARTIAL                                                                      | NONE        || --------------------------------------- | ---------- | ---------------------------------------------------------------------------- | ----------- || 51. DURATION                            | Indefinite | EFFECTIVE DATE                                                               | 31 May 1963 || 54. TERMINATION NOTICE (Number of deva) |            | 53. RENEWABLE                                                                |             ||                                         |            | 55. FORFEITURE OF RETURN TRAVEL FOR RESIGNATION PRIOR TO CONTRACT TERMINATIO |             ||                                         |            | Per Agency regulation...                                                     |             |## SECTION XII56. PRIMARY FUNCTION (CI. P1, PP. other) FI## SECTION Xill57. GENERAL DESCRIPTION OF DUTIES TO BE PERFORMEDTranslator - Russlam Spanish## SECTION XIV58. EXPERIENCE20 Feb 56 - Sep 1962 - FDD/USSR Branch/ liquScp 62 - Present. - Full time Spanish Language ting59. EDUCATION|                                | GRADE SCHOOL          | HIGH SCHOOL GRADUATE | TRADE SCHOOL GRADUATE      || ------------------------------ | --------------------- | -------------------- | -------------------------- || (Check Bighoot Level Attained) | X COLLEGE (No degree) | COLLEGE DEGREE       | COMMERCIAL SCHOOL GRADUATE |60. LANGUAGE COMPETENCY|                                       | LANGUAGE                                 | SPEAK | WRITE | READ | 61. INDIVIDUAL'S COUNTRY OF ORIGIN || ------------------------------------- | ---------------------------------------- | ----- | ----- | ---- | ---------------------------------- || (Check Appropriate Degree Competency) | Kuastan                                  | X     | X     | X    | Russia                             ||                                       | Spaytub                                  |       |       |      |                                    ||                                       | ABI SVAC Tanguluges fotermellatIHATW Gra |       |       |      |                                    |62. ΑΡΕΑ ΚΗOWLEDGEUSSR, Turkey, All Western Zurppe in wat, 4 neds. Heatco## SECTION XV63. GIVE INCLUSIVE DATES. POSITION TITLE OR TYPE WORK, SALARY AND REASON FOR LEAVINGSee staff employee offietal file## SECTION XVI64. ADDITIONAL OR URUSUAL DEQUIREMENTS, JUSTIFICATIONS OR EXPLANATIONS (Use other side if necessary)