[104-10194-10026.pdf — page 270]
SECRETQUALIFICATIONS SYSTEM RECORD CHANGEAPPLICANT CODING DATA| 1. ID | 2. APPL. NO. |        3. NAME         || :---: | :----------: | :--------------------: ||       |   6-DIGITS   | MUST CONTAIN 20-DIGITS |<2| 4. DATE OF BIRTH | 5. DATE CODED |     |     |     |     || :--------------: | :-----------: | --- | --- | --- | --- ||     MO DA YR     |   MO DA YR    |     |     |     |     ||                  |               |     |     |     |     |THE 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 444C| 1. ID | 2. EMPLOYEE NO. |  3. NAME  | 4. LANGUAGE DATA CODE || :---: | :-------------: | :-------: | :-------------------: ||       |                 | 3-LETTERS |       BASE CODE       |<3| 5. DATE SUBMITTED | 6. DATE OF BIRTH |     |     |     |     || :---------------: | :--------------: | --- | --- | --- | --- ||     MO DA YR      |     MO DA YR     |     |     |     |     ||                   |                  |     |     |     |     |R W P S U T YRWHEN FORM 444C DENOTES NO LANGUAGECOMPETENCE, ENTER THE FOLLOWING INITEM 4: "NO++LANGUAGE" (12-DIGITS)LANGUAGE PROFICIENCY TEST DATA| 1. ID | 2. EMPLOYEE NO |  3. NAME  | 4. CODE | 5. LANGUAGE DATA BEFORE TEST || :---: | :------------: | :-------: | :-----: | :--------------------------: ||       |                | 3-LETTERS |  C-A-D  |          BASE CODE           |<5$24345 PHIA `BL 31R W P S U T YR++++69| 6. LANGUAGE DATA AFTER TEST | 7. DATE OF TEST |  DATA FOR ITEM 2 THRU 7 IS   || :-------------------------: | :-------------: | :--------------------------: ||          BASE CODE          |    MO DA YR     | EXTRACTED FROM FORM 1273 PLW |R W P S U T YR |  | LANGUAGE PROFICIENCY AND || + + + + + + + | 12/18/69 | AWARDS DATA. |QUALIFICATIONS RECORD CHANGE| 1. ID | 2. EMP/APPL NO. |  3. NAME  |  ENTER UNDER "TYPE"-   || :---: | :-------------: | :-------: | :--------------------: ||       |                 | 3-LETTERS | A - ADDITION TO RECORD |<4C - CHANGE TO EXISTING RECORDD - DELETION OF DATA FROM EXISTING RECORD| TYPE | CODE #1 |     |     |     | TYPE | CODE #2 |     |     |     |     || :--: | :-----: | :-: | :-: | :-: | :--: | :-----: | :-: | :-: | :-: | --- ||      |  BASE   |  1  |  2  |  3  |  YR  |  BASE   |  1  |  2  |  3  | YR  ||  •   |         |     |     |     |      |         |     |     |     |     ||  •   |         |     |     |     |      |         |     |     |     |     ||  •   |         |     |     |     |      |         |     |     |     |     ||  •   |         |     |     |     |      |         |     |     |     |     ||  •   |         |     |     |     |      |         |     |     |     |     ||  •   |         |     |     |     |      |         |     |     |     |     ||  •   |         |     |     |     |      |         |     |     |     |     ||  •   |         |     |     |     |      |         |     |     |     |     ||  •   |         |     |     |     |      |         |     |     |     |     ||  •   |         |     |     |     |      |         |     |     |     |     ||  •   |         |     |     |     |      |         |     |     |     |     ||  •   |         |     |     |     |      |         |     |     |     |     |FORM 1962a10-64SECRETGROUP 1EXCLUDED FROM AUTOMATIC DOWNGRADINGAND DECLASSIFICATION(4-51)