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# SECRETSECTION IVGEOGRAPHIC 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 RESIDENCE | KNOWLEDGE ACQUIRED BY TRAVEL | KNOWLEDGE ACQUIRED BY STUDY | CHECK (X) WORK ASSIGNMENT || ------------------------- | ----------------------------- | ---------------------------- | --------------------- | ------------------------------- | ---------------------------- | --------------------------- | ------------------------- ||                           |                               |                              |                       |                                 |                              |                             |                           ||                           |                               |                              |                       |                                 |                              |                             |                           ||                           |                               |                              |                       |                                 |                              |                             |                           ||                           |                               |                              |                       |                                 |                              |                             |                           ||                           |                               |                              |                       |                                 |                              |                             |                           |SECTION VTYPING AND STENOGRAPHIC SKILLS1. TYPING (WPM):*NONE*2. SHORTHAND (WPM): 3. INDICATE SHORTHAND SYSTEM - 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.```> [Figure: A list of hobbies and sports with their proficiency levels. The hobbies are basketball, piano-organ, and carpentry. Their respective proficiency levels are good, above average, and good.]```BASKETBALL - GOODPIANO-ORGAN - ABOVE AVERAGECARPENTRY - 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: (adore (CW sending & receiving) OFFSET PRESS, TURRET LATHE, EDP, AND OTHER SCIENTIFIC & PROFESSIONAL DEVICES.*NONE*3. 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.?YESNO4. IF YOU HAVE ANSWERED "YES" TO ITEM 3 ABOVE, INDICATE KIND OF LICENSE OR CERTIFICATION AND THE ISSUING STATE5. FIRST LICENSE/CERTIFICATE, year of issue:MUNICIPALITY, ETC. Include license registry number if known:6. 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 (non-fiction or scientific articles, general interest subjects, novels, short stories, etc.)*NONE*8. INDICATE ANY DEVICES WHICH YOU HAVE INVENTED AND STATE WHETHER OR NOT THEY ARE PATENTED*NONE*9. PUBLIC SPEAKING AND PUBLIC RELATIONS EXPERIENCE*NONE*SECRET- 3 -