Francesco/who-killed-jfk huggingface dataset:
[104-10195-10003.pdf — page 93]
# APPOINTMENT AFFIDAVITSIMPORTANT.-Before swearing to these appointment affidavits, you should read and understand the attached information for appointeeCENTRAL INTELLIGENCE AGENCY WASHINGTON, D. C.I, JAMES BERNARD LICOTT, JR. do solemnly swear (or affirm) that-## A. OATH OF OFFICEI will support and defend the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely without any mental reservation or purpose of evasion; that I will well and faithfully discharge the duties of the office on which I am about to enter, SO HELP ME GOD.## B. AFFIDAVIT AS TO SUBVERSIVE ACTIVITY AND AFFILIATIONI am not a Communist or Fascist. I do not advocate nor am I knowingly a member of any organization that advocates the overthrow of the constitutional form of the Government of the United States, or which seeks by force or violence to deny other persons their rights under the Constitution of the United States. I do further swear (or affirm) that I will not so advocate, nor will I knowingly become a member of such organization during the period that I am an employee of the Federal Government or any agency thereof.## C. AFFIDAVIT AS TO STRIKING AGAINST THE FEDERAL GOVERNMENTI am not participating in any strike against the Government of the United States or any agency thereof, and I will not so participate while an employee of the Government of the United States or any agency thereof. I do not and will not assert the right to strike against the Government of the United States or any agency thereof while an employee of the Government of the United States or any agency thereof. I do further swear (or affirm) that I am not knowingly a member of an organization of Government employees that asserts the right to strike against the Government of the United States or any agency thereof and I will not, while an employee of the Government of the United States or any agency thereof, knowingly become a member of such an organization.## D. AFFIDAVIT AS TO PURCHASE AND SALE OF OFFICEI have not, nor has anyone acting in my behalf, given, transferred, promised or paid any consideration for or in expectation or hope of receiving assistance in securing such appointment.## E. AFFIDAVIT AS TO DECLARATION OF APPOINTEEThe answers given in the Declaration of Appointee on the reverse of this form are true and correct.March 1957James B. Willatt 2.Subscribed and sworn before me this 4th day of Y'arch A. D. 19..57,at Mashin-ton D. C.[SEAL]Appointment ClerkNOTE.-If the oath is taken before a Notary Public the date of expiration of his commission should be shown.
[104-10195-10003.pdf — page 95]
12 March 1959To: Personnel DivisionFrom: James B. Wilcott, Jr.Subject: Supplements to personnel recordsPlease add to my personnel records the attached information concerning my education and recently born child.When I submitted my Personnel History Statement with my application for employment I was still attending business school. Therefore, my final transcript and graduation certificate were not included.The attached auto-stat copies are attached as instructed by Personnel Division.Also attached is a copy of my grade report for the 1st and 2nd semesters at the U. S. Department of Agriculture Graduate school for Elementary Federal Government Accounting.![signature of James B Wilcott Jr]JAMES B WILCOTT JR
[104-10195-10003.pdf — page 96]
Syracuse New YorkBe it Known ChatJames B. Hilcutthas completed the curriculum prescribed by the Faculty and Board of Directors of this Institute and after examinations in all the required subjects is therefore adjudged worthy of Graduation from the Course ofExecutive Business Administration and Accountancyand is entitled to all the rights, privileges, and honors of the Institute, by which these presents are confirmedIn Testimony Whereof, witness the seal of the Institute and the signatures of its officers are affixed at Syracuse, New York.February 22, 1957![signature]
[104-10195-10003.pdf — page 97]
*Attitude toward Work*: Good*Attitude toward Others*: Good*Personal Appearance*: Good*Attendance*: Average, I.Q.| Subject                      | Grade | Sorsional Credit || ---------------------------- | ----- | ---------------- ||                              |       |                  || 4-H Organization             | D=    | 2½               || 4-H Recreation               | A-    | -                || Savings Time                 | A-    | -                || Room Finance I               | A-    | -                || Room Finance II              | A-    | -                || 4-H Skills & Collections I   | A     | -                || 4-H Skills & Collections II  | B     | -                || Engineering I                |       |                  || Engineering II               | A     | -                || Horticulture                 | A     | -                || Christian Science            | C+    | -                || Sports & Hobbies             | A-    | -                || Home Economics               | A=    | -                || Association                  |       |                  || PRACTICAL STUDIES:           |       |                  || Tailor                       | A     | -                ||                              | D     | -                || Supervised Memory            |       |                  || Agriculture I & Rural School | B     | 3                || By-line History              | B     | 3                || Textile Studies              | 12apm | -                || MEDICAL STUDIES:             |       |                  || Autopsy                      |       |                  || First Aid                    |       |                  || Clinical Experiences         |       |                  || Personality Involve.         |       |                  || Special                      |       |                  |
[104-10195-10003.pdf — page 98]
![a form with handwriting and text]![form instructions]![form details]![form details cont.]
[104-10195-10003.pdf — page 99]
# SECTION IX1. CHECK ONE-   SINGLE MARRIED SEPARATED DIVORCED ANNULLED2. STATE DATE, PLACE AND REASON FOR ALL SEPARATIONS, DIVORCES OR ANNULMENTSWIFE OR IF YOU HAVE BEEN MARRIED MORE THAN ONCE, INCLUDING ANNULMENTS, USE SHEET FOR FORMER WIFE OR HUSBANDHUSBAND: GIVING DATA REQUIRED BELOW FOR ALL PREVIOUS MARRIAGES.3. NAME OF SPOUSE(First) (Middle) (Mrs.) (Last)4. DATE OF MARRIAGE5. PLACE OF MARRIAGE6. DATE OF BIRTH7. PLACE OF BIRTH8. NATIONALITY AT BIRTH9. SUBSEQUENT CITIZENSHIPS10. PRESENT RESIDENCE (Last residence, if deceased)# SECTION X CHILDREN| FULL NAME            | SEX | YEAR OF BIRTH | PLACE OF BIRTH    | NATIONALITY AT BIRTH || -------------------- | --- | ------------- | ----------------- | -------------------- || STEVEN JAMES WILCOTT | X   | 1959          | Washington, D. C. | U.S. citizen         ||                      |     |               |                   |                      ||                      |     |               |                   |                      ||                      |     |               |                   |                      |*SUBSEQUENT CITIZENSHIPS HELD BY ANY CHILD (Identify child and give his, or her, present address)# SECTION XI FATHER| 1. FULL NAME               | 2. YEAR OF BIRTH | 3. PLACE OF BIRTH    | 4. NATIONALITY AT BIRTH || -------------------------- | ---------------- | -------------------- | ----------------------- ||                            |                  |                      |                         || 5. SUBSEQUENT CITIZENSHIPS | 6. OCCUPATION    | 7. PRESENT RESIDENCE |                         |# SECTION XII MOTHER| 1. FULL NAME               | 2. YEAR OF BIRTH | 3. PLACE OF BIRTH    | 4. NATIONALITY AT BIRTH || -------------------------- | ---------------- | -------------------- | ----------------------- ||                            |                  |                      |                         || 5. SUBSEQUENT CITIZENSHIPS | 6. OCCUPATION    | 7. PRESENT RESIDENCE |                         |
[104-10195-10003.pdf — page 100]
SECTION FICITIZENSHIP1.  PRESENT CITIZENSHIP 2. NATIONALITY AT BIRTH AND ANY SUBSEQUENT CITIZENSHIPS (If different than Item 1.)2.  PRESENT RESIDENCE (Indicate as omer, tenant or sub-tenant)3.  PERMANENT ADDRESS (If different than Item 3.)4.  IF U.S. NATURALIZED CITIZEN, GIVE NAME, DATE, CITY AND NUMBER OF CERTIFICATE GRANTED5.  TRAVEL OUTSIDE COUNTRY OF PRESENT RESIDENCE (Countries, dates and purposes)SECTION IIIOCCUPATIONAL AND FINANCIAL DATA1. PRESENT OCCUPATION 2. TITLE 3. SALARY (Per annum)2. FINANCIAL STATUS (Barnings, bank deposits, securities and property)SECTION IVORGANIZATIONAL AFFILIATIONS1. MEMBERSHIP IN RELIGIOUS ORGANIZATIONS2. PRESENT AND PAST MEMBERSHIP IN PROFESSIONAL AND SOCIAL ORGANIZATIONS, POLITICAL AFFILIATIONSSECTION VEDUCATIONAL DATA1. SCHOOLS| NAME AND LOCATION OF SCHOOL | NAME OF COURSE          | DATES ATTENDED | DEGREE RECEIVED |           || --------------------------- | ----------------------- | -------------- | --------------- | --------- ||                             |                         | *From*         |                 |           || US Dept. of Agriculture     | Elementary Federal Gov. | Sept 1957      | Feb 1958        | Grade - B || Graduate School Wash D. C.  | Accounting ist semester |                |                 |           || US Dept. of Agriculture     | Elementary Federal Gov. | Fab 1958       | May 1958        | Grade - A || Graduate School Wash D. C.  | Accounting 2nd semester |                |                 |           ||                             |                         |                |                 |           |2. LANGUAGES AND DIALECTS| LANGUAGE                                                                  | COMPETENCE     || ------------------------------------------------------------------------- | -------------- || (List below each language in which you possess any degree of competence.) |                ||                                                                           | **READ**       ||                                                                           | YES     NO     ||                                                                           | **WRITE**      ||                                                                           | YES     NO     ||                                                                           | **SPEAK**      ||                                                                           | YES     NO     ||                                                                           | **UNDERSTAND** ||                                                                           | YES     NO     |2
[104-10195-10003.pdf — page 101]
SECRETPERIODIC SUPPLEMENTPERSONAL HISTORY STATEMENTINSTRUCTIONSThis fore provides the means whereby your official personnel recorde will be kept current. Even though it duplicatesinformation you have furnished previously, it will be necessary for toute couplete Sectione I through it in thessenterety. You need complete Sections VII through it only if there has been a change since you entered on duty withthe organisation or if you believe the stem requires mare complete coverage then you have previously reported.SECTION I GENERAL1. FULL NAME (Lost-First-Middl)   Wilcott, James Bernard Jr.2. CURRENT ADDRESS (NO.. Street, City, Zone, State)   Governor Shephard Apts Apt 103   2121 Virginia Ave NW Washington, 7 D.C.4. NOME TELEPHONE NUMBER   NA-8-3771 Ex 1033. PERMANENT ADDRESS. (No.. Street, City. Zone, State)   same5. STATE, TERRITORY, POSSESSION OR COUNTRY IN WHICH YOU NOW CLAIM RESIDENCE   Washington, D.C.SECTION 11 PERSON TO BE NOTIFIED IN CASE OF EMERGENCY1. NAME (Last-First-Viddle) REFERABLY RESIDING IN 'U.S.   Mrs, Elsie L. Wilcott3. HOME ADDRESS (NO.. Street, City, Zone, State, Country).   2121 Virginia Ave NW Washington 7, D.C.2. RELATIONSHIP   Wife4. BUSINESS ADDRESS (Vo., Street. City, Lone, State. Country). INDICATE NAME OF FIRM OR EMPLOYER, IF APPLICABLE   2430 E St. Washington, D.C.5. HOME TELEPHONE NUMBER   HA 8-3771 FX 1036. AUSINESS TELEPHONE NUMBER   EX 3-61157. DUSINESS TELEPHONE EXTENSION   Ex 32298. IN CASE OF EMERGENCY, OTHER CLOSE RELATIVES (Spouse, Mother, Father) MAY ALSO BE NOTIFIED. IF SUCH NOTIFICATION   IS NOT DESIRABLE DECAUSE OF HEALTH OR OTHER REASONS, PLEASE SO STATE.SECTION 1111. CHECK EX) ONE: X MARRIEDMARITAL STATUSSINGLE#ICOWED SEPARATED DIVORCED ANNULLED2. FURNISH DATE, PLACE AND REASON FOR ALL SEPARATIONS, DIVORCES OS ANNULMENTS   NASPOUSE If you have been waited more than once, including anciens use a separate sheet for former wie ohusband giving data below for all previous marriages. 11 marτερge is contemplated, provade same date for france.3. NAME (First) (Middle) (Masden) (Last)   Elsie Louise Paul Wilcott4. DATE OF RIAGE 5. PLACE OF MARRIAGE (Caty. State. Country)   9/9/55 Eagle Bay, New York USA6. ADDRESS OF SPOUSE BEFORE MARRIAGE (No.. Street. City, State, Country) CODED   Cold Brook, New York USA FOR7. LIVING 8. DATE OF DEATH 9. CAUSE OF DEATH   YES X NO   NA10. CURRENT ADDRESS (GIve last address, il deceased)    2121 Virginia Ave NW, Washington 7, D.C.11. DATE OF BIRTH 12. PLACE OF BIRTH (City, State, Country) DATE 15 AUG 1958    9/9/34 Cold Brook, New York13. IF BORN OUTSIDE U.S. DATE OF ENTRY 14. PLACE OF ENTRY    NA15. CITIZENSHIP (Country) 16. DATE ACQUIRED 17. WHERE ACQUIRED (Coty, State, Country)    USA18. OCCUPATION    Govern. clerk steno19. PRESENT EMPLOYER (Also give former employer, or if spouse is deceased of    unemployed, last two reployers)20. EMPLOYER'S OR BUSINESS ADDRESS (No.. Street. City, State, Country)    2430 E St. Washington, D.C.FORM 4445 SE PREVIOUS Editions.10-37SECTION 11 CONTINUED TO PAGE 2SECRET1(4)
[104-10195-10003.pdf — page 102]
SECRET(When Filled In)SECTION III CONTINUED FROM PAGE 121. DATES-OF MILITARY SERVICE OF SPOUSE (From and To) : BY MONTH AND YEARNone22. BRANCH OF SERVICENA23. COUNTRY WITH WHICH MILITARY SERVICE AFFILIATED24 DETAILS OF OTHER GOVERNMENT SERVICE, U.S. OR FOREIGNNoneSECTION IV RELATIVES BY BLOOD, MARRIAGE OR ADOPTION LIVING ABROAD OR WHO ARE NOT U.S. CITIZENS1. FULL NAME (Last-First-Middle)2. RELATIONSHIP3. AGE   None4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES5. CITIZENSHIP (Country)6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT1. FULL NAME (Last-First-Middle)2. RELATIONSHIP3. AGE4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES5. CITIZENSHIP (Country)6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT1. FULL NAME (Last-First-Middle)2. RELATIONSHIP3. AGE4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES5. CITIZENSHIP (Country)6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT1. FULL NAME (Last-First-Middle)2. RELATIONSHIP3. AGE4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES   8 CITIZENSHIP (Country)6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT5. SPECIAL REMARKS. IF ANY LONCERNING THESE RELATIVESSECTION V FINANCIAL STATUS1. ARE YOU ENTIRELY DEPENDENT ON YOUR SALARY?   YES   NO2. DO YOU HAVE ANY FINANCIAL INTEREST IN, OR OFFICIAL CONNECTION WITH, NON U.S. CORPORATIONS OR BUSINESSES OR IN OR   WITH U.S. CORPORATIONS OR BUSINESSES HAVING SUBSTANTIAL FOREIGN INTERESTSI YES NO IF YOU HAVE   ANSWERED "YES." GIVE COMPLETE DETAILS ON A SEPARATE SHEET AND ATTACH IN A SEALED ENVELOPE.3. DO YOU RECEIVE AN ANNUITY FROM THE UNITED STATES OR DISTRICT OF COLUMB A GOVERNMENT UNDER ANY RETIREMENT ACT.   PENSION. OR COMPENSATION FOR MILITARY OR NAVAL SERVICE? YES NO4. IF YOU HAVE ANSWERED "YES" TO QUESTION 3 ABOVE, GIVE COMPLETE DETAILS.   My wife also receives a salary.5. WITHOUT REFERENCE TO YOUR SALARY. STATE OTHER SOURCES OF RECURRENT INCOME NOT INDICATED BY PRECEDING ITEMS.   None   SECTION V CONTINUED TO PAGE 3   SECRET   2
[104-10195-10003.pdf — page 103]
SECRETSECTION V CONTINUED FROM PAGE 2NAME OF INSTITUTIONThe National Bank of WashingtonADDRESS (City, State, Country)Washington, D. C.7. HAVE YOU EVER BEEN IN, OR PETITIONED FOR, BANKRUPTCY?   YES X NO8. IF YOU HAVE ANSWERED "YES" TO QUESTION 7 ABOVE. GIVE PARTICULARS, INCLUDING COURT AND DATE(S)SECTION VICITIZENSHIP1. COUNTRY OF CURRENT CITIZENSHIP   USA2. CITIZENSHIP ACQUIRED BY - CHECK (X) ONE   Birth   Marriage   Other (Specify)3. HAVE YOU TAKEN STEPS TO CHANGE YOUR PRESENT CITIZENSHIP?   YES NO4. GIVE PARTICULARS5. IF YOU HAVE APPLIED FOR U.S. CITIZENSHIP, INDICATE PRESENT STATUS OF YOUR APPLICATION (First papers, etc.)   NASECTION VIIEDUCATION1. CHECK (X) HIGHEST LEVEL OF EDUCATION ATTAINED   Less than High School Graduate   Four or more years of college - no degree   High School Graduate   Bachelor's degree   Trade, Business, or Commercial School Graduate   Graduate study leading to higher degree   X Two Years College or Less   Doctor's Degree2. COLLEGE OR UNIVERSITY STUDYNAME AND LOCATION OF COLLEGE OR UNIVERSITYSUBJECTMAJORMINORDATES ATTENDEDFROMTODEGREEREC'DDATEREC'DSEM/QTR. HRS.COMPLETED(Specify)Utica College of Syracuse Univ., Utica, NYMathPhysicsFeb. 53June 55None3. TRADE, COMMERCIAL AND SPECIALIZED SCHOOLSNAME OF SCHOOLSTUDY OR SPECIALIZATIONDATES ATTENDEDFROMTOTOTALHOURSCentral City Business InstituteAccounting (2 years)Feb. 1955Feb. 19574. MILITARY TRAINING (Full time duty in specialized schools such as Ordnance, Intelligence, Communications, etc.)NAME OF SCHOOLSTUDY OR SPECIALIZATIONDATES ATTENDEDFROMTOTOTALWEEKSFt. Belvoir Engineer SchoolelectricianApril 1949June 194985. OTHER EDUCATIONAL TRAINING NOT INDICATED ABOVE: At present taking a course at US Dept of Agr. Title - Elementary Federal Government AccountingSECRET3
[104-10195-10003.pdf — page 106]
# SECRET(When Filled In,## CHILDREN AND OTHER DEPENDENTS*   SECTION XII1.  NUMBER OF CHILDREN (Including stepchildren and adopted children) WHO ARE UNMARRIED, UNDER 21 YEARS OF AGE, AND ARE NOT SELF-SUPPORTING.2.  NUMBER OF OTHER DEPENDENTS (Including spouse, parents, stepparents, sister, etc ) WHO DEPEND ON YOU FOR AT LEAST 50% OF THEIR SUPPORT, OR CHILDREN OVER 21 YEARS OF AGE, WHO ARE NOT SELF-SUPPORTING.3.  PROVIDE THE FOLLOWING INFORMATION FOR ALL CHILDREN AND DEPENDENTS| NAME | RELATIONSHIP | YEAR OF BIRTH | CITIZENSHIP | ADDRESS || ---- | ------------ | ------------- | ----------- | ------- || None |              |               |             |         ||      |              |               |             |         ||      |              |               |             |         ||      |              |               |             |         |ADDITIONAL COMMENT AND/OR CONTINUATION OF PRECEDING ITEMSI feel that my instruction at the Dept. of Agr. Graduate School is giving me a good foundation in governmental accounting and I sincerely hope it will be considered in future assignments.DATE COMPLETED 4/12/55SIGNATURE OF EMPLOYEESECRET
[104-10195-10003.pdf — page 107]
CONFIDENTIAL(When Filled In)Complete in duplicate. The data recorded on this form is essential in determining travel expenses allowable in connection with leave at government expense, overseas duty, return to residence upon separation, and for providing current residence and dependency information required in the event of an employee emergency. The original of this form will be filed in the employee's official personnel folder.NAME OF EMPLOYEE (Lost) (First) (Middle) SOCIAL SECURITY NUMBERWILLCOLLE James BERANED JE 103-24-60951. RESIDENCE DATAPLACE OF RESIDENCE WHEN INITIALLY APPOINTED LAST PLACE OF RESIDENCE IN CONTINENTAL U.S. (If appointed abroad)Syracuse, N.Y.PLACE IN CONTINENTAL U.S. DESIGNATED AS PERMANENT RESI- HOME LEAVE RESIDENCEDENCE COLD BROOK N.Y.2. MARITAL STATUS (Check one)   SINGLE MARRIED SEPARATED DIVORCED WIDOWED ANNULLEDIF MARRIED, PLACE OF MARRIAGE DATE OF MARRIAGEEAGLE BAY NY. 9/9/54IF DIVORCED, PLACE OF DIVORCE DECREE DATE OF DECREEIF WIDOWED, PLACE SPOUSE DIED DATE SPOUSE DIEDIF PREVIOUSLY MARRIED, INDICATE NAME(S) OF SPOUSE, REASON(S) FOR TERMINATION, AND DATE(S)3. MEMBERS OF FAMILYNAME OF SPOUSE ADDRESS (No., Street, City, Zone, State) TELEPHONE NO.ELSIE Louise Cold Brook, N.Y.NAMES OF CHILDREN ADDRESS SEX DATE OF BIRTHSteven James Cold Erick. N.Y. M 2/16/59NAME OF FATHER (Or male guardian) ADDRESS TELEPHONE NO.James Bernard Wilcott UNKNOWNNAME OF MOTHER (Or female guardian) ADDRESS TELEPHONE NO.Esther Maud Wilcott 1510 Brinkerhoff Ave Utica N.Y.WHAT MEMBER(S) OF YOUR FAMILY IF ANY, HAS BEEN TOLD OF YOUR AFFILIATION WITH THE ORGANIZATION IF CONTACT IS REQUIRED IN AN EMERGENCY.4. PERSON TO BE NOTIFIED IN CASE OF EMERGENCYNAME (Mr., Mrs., Miss) (Last-First-Middle) RELATIONSHIP HOME TELEPHONE NUMBERGeraldine Francis Hosmer SISTERHOME ADDRESS (No., Street, City, Zone, State)1510 Brinkerhoff Ave Utica N.Y.BUSINESS ADDRESS (No., Street, City, Zone, State) AND NAME OF EMPLOYER, IF APPLICABLE BUSINESS TELEPHONE & EXTENSIONIS THE INDIVIDUAL NAMED ABOVE WITTING OF YOUR AGENCY AFFILIATION? (If "No" give name and address of organizationthan he believes you work for.)US ARMYIS THIS INDIVIDUAL AUTHORIZED TO MAKE DECISIONS ON YOUR BEHALF? (If "No" give name and address of person, ifany, who can make such decisions in case of emergency.)DOES THIS INDIVIDUAL KNOW THAT HE HAS BEEN DESIGNATED AS YOUR EMERGENCY ADDRESSEE? (If answer is "No"explain why in item 6.)The persons named in item 3 above may also be notified in case of emergency. If such notification is not desirable because ofhealth or other reasons, please so state in item 6 on the reverse side of this form.CONTINUED ON REVERSE SIDECURRENT RESIDENCE AND DEPENDENCY REPORTCONFIDENTIAL
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# CONFIDENTIAL(When Filled in)VOLUNTARY ENTRIESExperience in the handling of employee emergencies has shown that the absence of certain personal data often delays and compli-cates the settlement of estate and financial matters. The information requested in this section may prove very useful to your familyor attorney in the event of your disability or death and will be disclosed only when curcumstances warrant.INDICATE NAME AND ADDRESS OF BANKING INSTITUTIONS WITH WHICH YOU HAVE ACCOUNTS AND THE NAMES IN WHICH THE AC-COUNTS ARE CARRIED.CITIZEN'S BANK OF MARYLANDRiverdale, MS # 460-1-596HAVE YOU COMPLETED A LAST WILL AND TESTAMENT? YES NO. (Il "Yes" where is document located?)HAVE YOU PREPLANNED AN ARRANGED GUARDIANSHIF OF YOUR CHILDREN IN CASE OF COMMON DISASTER TO BOTH PARENTS?YES NO. (It "Yes" give name(a) and address)HAVE YOU EXECUTED A POWER OF ATTORNEY? YES NO. (il "Yes", who possess the power of attomer?)5. ADDITIONAL DATA AND/OR CONTINUATION OF PRECEDING ITEMSSIGNED AT DATE SIGNATUREWashington D.C. 15 April 1765 Damer Wilcott Jr.CONFIDENTIAL
[104-10195-10003.pdf — page 111]
CONFIDENTIAL(When Filled In)SECURITY APPROVALDATE : 20 November 1965YOURREFERENCE: Memorandum dated 18 November 1965CASE NO.: 109301TO : Director of PersonnelATTN :SUBJECT : WILCOTT, James B., Jr.1. This is to inform you that Subject has been approved for the appointment specified in your request under the provisions of Headquarters Regulations 10-3 and 20-5 including access to classified information through TOP SECRET as required in the performance of duties.2. Unless arrangements are made within 60 days for entrance on duty within 120 days, this approval becomes invalid.3. As part of the entrance on duty processing:A personal interview in the Office of Security must be arranged.A personal interview is not necessary.Please advise Chief, Clearance Branch, extension 5620 when Subject enters on duty.4. This is a conversion case.FOR THE DIRECTOR OF SECURITY:![Signature of Steven L. Kuhn]Steven L. KuhnChief, Personnel Security DivisionFORM 1173 OBSOLETE PREVIOUS10-63 EDITIONSCONFIDENTIAL