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SECRET# REQUEST FOR PERSONNEL ACTIONDATE PREPARED9 November 19651 SERIAL NUMBER2 NAME (Last-First-Middle)025793WILCOTT, James B., Jr.3 NATURE OF PERSONNEL ACTION4 EFFECTIVE DATE REQUESTED5 CATEGORY OF EMPLOYMENTEXCEPTED APPOINTMENT *MONTHDAYYEARREGULAR11/21/656 FUNDSν το Vν το α7 COST CENTER NO CHARGE-ABLE8 LEGAL AUTHORITY (Completed by Office of Personnel)Ο το VXΟ το α6135-11649 ORGANIZATIONAL DESIGNATIONS10. LOCATION OF OFFICIAL STATIONΠΥΡ/ΜΗU.S.FieldWH/CJMWAVETeputy Chief of Station for Operational SupportFinance Branch11 POSITION TITLEJNWAVE12 POSITION NUMBER13 CAREER SERVICE DESIGNATIONFISCAL ACCT. ASST.(SF)1369SF14 CLASSIFICATION SCHEDULE (6.5. 1.8. 4.)15. OCCUPATIONAL SERIES16 GRADE AND STEP17. SALARY OR RATEGS(07)0501.0307 (4)6890$18 REMARKSStaff Employee Special.-0-03-60-#10930118A SIGNATURE OF REQUESTING OFFICIALDATE SIGNED188 SIGNATURE OF CAREER SERVICE APPROVING OFFICERDATE SIGNEDROBERT D. CASHMAN, C/WH/Pers.SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL| 19. ACTION CODE               |                   |             |              |       || ----------------------------- | ----------------- | ----------- | ------------ | ----- || 20. EMPLOYEE                  | 21. OFFICE CODING | 22. STATION | 23. INTEGREE |       || 13                            | 10                | 5/550       | wk           | 99909 || ---                           | ---               | ---         | ---          | ---   || 28. LIFE EXPIRES              |                   |             |              |       || NO.   MO.   YR.               |                   |             |              |       || ---                           | ---               | ---         |              |       || 29 SPECIAL  REFERENCE         |                   |             |              |       || 1-CX 3-FICA  5-8053           |                   |             |              |       || 35. VET. PREFERENCE           |                   |             |              |       || CODE   PT.                    |                   |             |              |       || ---                           | ---               |             |              |       || 1-5   0-NONE  1-5 PT  2-10 PT |                   |             |              |       || 41                            |                   |             |              |       ||24. MODULES|| CODE                                                 |     |     |     |     |     |     |     |     || ---------------------------------------------------- | --- | --- | --- | --- | --- | --- | --- | --- || 25. DATE OF BIRTH  26 DATE OF GRADE  27. DATE OF LEI |     |     |     |     |     |     |     |     || MO.  DA.  YR.  MO.  DA.  YR.  MO  DA.  YR.           |     |     |     |     |     |     |     |     || 09                                                   | 17  | 65  | 09  | 15  | 63  | 09  | 13  | 64  ||30. RETIREMENT DATA|| CODE                                   |     || -------------------------------------- | --- || 31 SEPARATION DATA CODE                |     || 32. CORRECTION, CANCELLATION DATA TYPE |     |EOD DATA|36 SERV COMP. DATE||MO.  DA.  YR.||06|26|53||37 LONG COMP DATE||MO.  DA.  YR.||03|04|57||38 CAREER CATEGORY|| LAB. RESY.  PROV TEMP       |     |     || --------------------------- | --- | --- || 39 FEGLI / HEALTH INSURANCE |     |     || CODE   HEALTH INS. CODE     |     |     || O-WAIVER  1-YES             |     |     || 40 SOCIAL SECURITY NO.      |     |     |PREVIOUS GOVERNMENT SERVICE DATA| CODE                                                                                                 | REMARKS || ---------------------------------------------------------------------------------------------------- | ------- || 0-NO PREVIOUS SERVICE 1-BREAK IN SERVICE  (LESS THAN 3 YEARS)  3-RELS IN SERVICE (MORE THAN 3 YEARS) |         || 42 LEAVE CAT.  CODE                             |     |     || ----------------------------------------------- | --- | --- || 43 FEDERAL TAX DATA                             |     |     || FORM EXECUTED   CODE                            |     |     || ---                                             | --- |     || 44 STATE TAX DATA                               |     |     || FORM EXECUTED   CODE   NO TAR STATE COOL  EREMP |     |     |45 POSITION CONTROL CERTIFICATION46 OP APPROVALDATE APPROVED4/17/65FORM 1152 USE PREVIOUS EDITIONSECRETGROUP(EXCLUDED FROM AUTOMATIC DOWNGRADING AND DECLASSIFICATION)(4.