[104-10195-10003.pdf — page 91]
# SECRETCONTRACT INFORMATION AND CHECK LIST (CONTINUED)NOTE: SEE INSTRUCTIONS ON FIRST SHEET.## SECTION VIIIOTHER BENEFITS48. BENEFITS (See HR 20-44. HR 20-41, HR 20-7, HR 20-33, and HB 20-620-1, HS 20-1000-1. and/or successor regulations for benefits applicable to various categories of contract personnel.)Entitled to all benefits of a Staff Employee## SECTION IX|                                                                                     |              |                  |       || ----------------------------------------------------------------------------------- | ------------ | ---------------- | ----- || 47. STATUS                                                                          | PROPOSED     | COVER ACTIVITY   |       || (Check) X ESTABLISHED                                                               |              | 48. TYPE (Check) |       ||                                                                                     |              | PROPRIETARY      |       ||                                                                                     |              | SUBSIDIZED       |       ||                                                                                     |              | CULTURAL         |       ||                                                                                     |              | EDUCATIONAL      |       || 49. IF COVER PAYMENTS ARE CONTEMPLATED. THEY WILL BE EFFECTED ON REIMBURSABLE BASIS | X COMMERCIAL | TOURIST          |       || YES                                                                                 |              | MILITARY         | OTHER ||                                                                                     | COMPLETE     | PARTIAL          |       |## SECTION X50. OFFSET OF INCOME AND OTHER EMOLUMENTS DERIVED FROM COVER ACTIVITIES (If less than total, justify in separate memo attached hereto.)    X TOTAL    PARTIAL NONE## SECTION XI|                                         |       |                                                                               |               || --------------------------------------- | ----- | ----------------------------------------------------------------------------- | ------------- || 51. DURATION                            | DAYS  | 52. EFFECTIVE DATE                                                            | 53. RENEWABLE || MONTHS                                  | YEARS |                                                                               | YES NO        || 54. TERMINATION NOTICE (Number of days) |       | 55. FORFEITURE OF RETURN TRAVEL FOR RESIGNATION PRIOR TO CONTRACT TERMINATION |               ||                                         |       |                                                                               | YES NO        |## SECTION XII56. PRIMARY FUNCTION (CI, FI, PP, other) FUNCTIONSupport - Finance## SECTION XIII57. GENERAL DESCRIPTION OF DUTIES TO BE PERFORMEDFiscal Accounting Assistant## SECTION XIV58. EXPERIENCE QUALIFICATIONSECC CIA as Staff Employee 4 March 1957|                                       |                          |                            |                       || ------------------------------------- | ------------------------ | -------------------------- | --------------------- || 59. EDUCATION                         | GRADE SCHOOL             | HIGH SCHOOL GRADUATE       | TRADE SCHOOL GRADUATE || (Check Highest Level Attained)        | BUSINESS SCHOOL GRADUATE | COMMERCIAL SCHOOL GRADUATE | COLLEGE DEGREE        ||                                       | X COLLEGE (No degree)    | COLLEGE DEGREE             | POST GRADUATE         ||                                       |                          |                            |                       || 60. LANGUAGE COMPETENCY               | LANGUAGE                 | SPEAK                      | WRITE                 || (Check Appropriate Degree Competency) | German                   | FLUENT AVERAGE POOR        | FLUENT AVERAGE POOR   ||                                       |                          | X                          | X                     ||                                       | Japanese                 | X                          | X                     || 61. INDIVIDUAL'S COUNTRY OF ORIGIN    |                          | READ                       |                       ||                                       |                          | FLUENT AVERAGE POOR        | U.S.A.                || 62. AREA KNOWLEDGE                    |                          | X                          | X                     |Okinawa, Japan## SECTION XVEMPLOYMENT PRIOR TO CIA63. GIVE INCLUSIVE DATES, POSITION TITLE OR TYPE WORK, SALARY AND REASON FOR LEAVINGDec. 1948 - March 1957 - U. S. Army## SECTION XVIADDITIONAL INFORMATION64. ADDITIONAL OR UNUSUAL REQUIREMENTS, JUSTIFICATIONS OR EXPLANATIONS (the other side if necessary)Social Security No. 103-21-6095![signature of the requesting officer] APPROVALDATE // TYPED NAME & SIGNATURE OF REQUESTING OFFICER DATE // TYPED NAME & Signature of contract approving officer