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# STANDARD FORM 144REVISED SEPTEMBER PRUS CIVIL SERVICE COMMISSIONTPM CHAPTERS LE, RE, AND S2STATEMENT OF PRIOR FEDERAL CIN AND MILITARY SERVICEAND DETERMINATION OF CUMPETITIVE STATUSIMPORTANT: The information on this form will be used (1) in determining creditable service for leave purposes and retentioncredits for reduction in force, and (2) in recording agency determination of competitive status. The employeeshould complete Part I and the Personnel Office should complete Parts 11 through V.PART L-EMPLOYEE'S STATEMENT.1. NAME (Last, Arst, middle initial)2. DATE OF BIRTHWILCOTT, JAMES BERNARD, JR.27 Sept. 1931PART II.THIS COLUMN ISFOR PERSONNEL OFFICE USE9. RETENTION GROUP13. A. CSC STATUS ☐ YES ☒ NO    B TYPE OF PRESENT    ΑΡΡΟΙΝΤΜENT3. LIST THE FOLLOWING INFORMATION CONCERNING ALL FEDERAL AND DISTRICT OF COLUMBIA SERVICE YOU HAVE HAD   PRIOR TO YOUR PRESENT APPOINTMENT (Do not include military service.)| NAME AND LOCATION OF AGENCY | FROM-          | TO--           || --------------------------- | -------------- | -------------- ||                             | YEAR MONTH DAY | YEAR MONTH DAY || *None*                      |                |                |11. SERVICE| YEAR | MONTH | DAY || ---- | ----- | --- |4 LIST PERIODS OF ACTIVE SERVICE IN ANY BRANCH OF THE ARMED FORCES OF THE UNITED STATES IF YOU MAD NO ACTIVEMILITARY SERVICE, WRITE "NONE"| BRANCH     | FROM-          | TO--           | DISCHARGE        || ---------- | -------------- | -------------- | ---------------- ||            | YEAR MONTH DAY | YEAR MONTH DAY | (Hon or dishon.) || U. S. Army | 1948 Dec 13    | 1752 AVY. 20   | HON.             |5. DURING PERIOUS OF EMPLOYMENT SHOWN IN ITEM 3. DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSENCE   WITHOUT PAY, INCLUDING PERIODS OF MERCHANT MARINE SERVICE, DURING ANY ONE CALENDAR YEAR? ☐ YES ☐ NO   IF ANSWER IS "YES." LIST FOLLOWING INFORMATION.03 08 0803-08-08| TYPE IF KNOWN                     | FROM-         | TO--           | TOTAL             || --------------------------------- | ------------- | -------------- | ----------------- || (LWOP, Purt, Susp, AWOL, Mos Mar) | YEAR MONT DAY | YEAR MONTH DAY | YEARS MONTHS KRYS ||                                   |               |                |                   |12. TOTAL SERVICE13. NONCREDITABLE SERVICE    (Leave purposes only):14EDITABLE SERVICE(RIF purposes only).5. DURING THE FEDERAL SERVICE LISTED IN ITEM 3, DID YOU ACQUIRE A FERMANENT COMPETITIVE CIVIL SERVICE STATUיפ   ☐ YES ☐ NO   (If answer is "You," in what agency were you employed at the time status was acquired?)15. REEMPLOYMENT RIGHTS    ☐ YES ☐ NO7. ARE YOU:   A. THE WIFE OF A DISABLED VETERAN? ☐ YES ☒ NO   B. THE MOTHER OF A DECEASED OR DISABLED VETERAN ☐ YES ☒ NO   C. THE UNREMARRIED WIDOW OF A VETERANT ☐ YES ☒ NO16. RETENTION RIGHTS    ☐ YES ☐ NO17. EXPIRATION DATE OF RETENTION RIGHTS8. TO BE EXECUTED BEFORE A NOTARY PUBLIC OR OTHER PERSONS AUTHORIZED TO ADMINISTER OATHS.   I swear (or affirm) that the above statements are true to the best of iny knowledge and belief.4 March 1957(DATE)*James E. Wilcott*(SIGNATURE)Subscribed and sworn to before me on this 4th day of Marche 1957st Washington, D. C.(MONTH)(CITY)(STATE)*Ceana L. Phillips*SEALAppointment ClerkNOTE: If oath is taken before a Notary Public, the date of expiration of his Commission should be shown.INSTRUCTIONS: File this form on the permanent side of the employee's official personnel folder immediately before or after the personnelaction Involved(OVER)