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# SECRETREQUEST FOR APPROVAL OR INVESTIGATIVE ACTION(Alwave Pandcarry I copy of this form)PLEASE COUPI.FTE EACH SECTION AND APPROPRIATE BLANKDATE 22 December 1971TO: X CI/OPIPATIONAL APPROVAL AND SUPPORT DIVISION FROM: 7/3/VCHIEF, INVESTIGATION AND SUPPORT DIVISION, OFFICE OF SECURITYCHIEF, PERSONNEL SECURITY DIVISION, OFFICE OF SECURITY۷SUBJECT: Luis Clemente FOGADA Carriles(true name)PROJECTCRYPTONYM, PSEUDONYM, AKA, OR ALIASES CI/OA FILE NO.CIFENCE A 201305 SO FILE NO.1. TYPE ACTION REQUESTEDX PROVISIONAL OPERATIONAL APPROVAL PROVISIONAL PROPRIETARY APPROVALGEPATIONAL APPROVAL PROPRIETARY APPROVALPROVISIONAL COVERT SECURITY APPROVAL COVERT HASE CHECKCOVERT SECURITY APPROVAL SPECIAL INQUIRY (SPECIFY)CONTRACT TYPE A CONTRACT TYPE SSECURITY AND RELIABILITY DETERMINATI0年2. SPECIFIC AREA OF USE   Venezuela3. FULL DETAILS OF USE penetration DisIP, a Venezuelan Security Service. Will also report on Venezuelan political meters.4. INVESTIGATION AND COVER|                                                                                       | YES   | NO  || ------------------------------------------------------------------------------------- | ----- | --- || A. U.S. GOVERNMENT INTEREST MAY BE SHOWN DURING INVESTIGATION?                        |       | X   || D. CIA INTEREST WAY DE SHOWN DURING INVESTIGATION?                                    |       | X   || C. IS SUBJECT AWARE OF U.S. GOVERNMENT INTEREST IN HIMI                               | X     |     || D. 15 50BJECT AWARE OF CIA INTEREST IN HIM?                                           | X     |     || E. INDICATE ANY LIMITATIONS ON COVERAGE IN THE INVESTIGATION OF SUBJECT,              |       |     || 1. SUGGEST COVER PRETEXT" TO BE USED IN CONDUCTING PERSONAL INVESTIGATION OF SUBJECT. |       |     || G. DO YOU PLAN TO MAKE SUBJECT WITTING OF AGENCY ON GOVERNMENT INTERESTI              | X YES | NO  || IF NO JAVESTIGATION OUTSIDE OF CIA. EXPLAIN FULLY                                     |       |     |5. PRO STATUSX APRO I OR BIO DATA IN (2) COPIES ATTACHED2001 OR EQUIVALENT WILL DE FORWARDED PRIOR TO EXPIRATION OF POA. I COPY6. H.I. TRACES INCLUDING COMINT 3se attached,|           |              |                |                                || --------- | ------------ | -------------- | ------------------------------ || NO NECORD | WILL FORWARD | NON DEPOGATORY | SEPOGATORY/SIGNIFICANT ٢٢٨CHED |7. DIVISION TRACES INCLUDING COMINT|           |              |                  |                                 || --------- | ------------ | ---------------- | ------------------------------- || NG RECORD | WILL FORWARD | X NON-DEROGATORY | SEPOCATORY/SIGNIFICANT ATTACHED |*8. FIELD TRACES ..|           |              |                |                                 || --------- | ------------ | -------------- | ------------------------------- || NO RECORD | WILL FORWARD | NON DEROGATORY | DEROCATORY/SIGNIFICANT ATTACHED |9. CRS/ISG..|           |              |                  |                                 || --------- | ------------ | ---------------- | ------------------------------- || No AFFOND | WILL FORBARD | Y NON-DEROGATORY | DEFOGATORY/SIGNIFICANT ATTACHED |10. FI/D...|                           |              |                |                                 || ------------------------- | ------------ | -------------- | ------------------------------- || SPECIAL CHECK NSA INDICES | WILL FORWARD | NON DEROGATORY | CS REFS 10 FI/D (BR. FILES)     || NO RECORD                 | WILL FORWARD |                | CIROGATORY/SIGNIFICANT ATTACHED || 1117 AREAS CHECKED | IF NOT CHECKED - | NOT APPLICADLE | OTHER (EXPLAIN) || ------------------ | ---------------- | -------------- | --------------- |SIGNATURE OF LESL serstead EXTENSION SIGNATURE OF RANCH CHIEF Chlordly7271FORM 772SECRET(9)