Francesco/who-killed-jfk huggingface dataset:
[104-10222-10002.pdf — page 142]
SECRETQUALIFICATIONS UPDATEAD INSTRUCTIONS CAREFULLY BEFORE COMPLETING, TYPE OR PRINT, AVOID USING LIGHT COLORED INKSow that your qualifications are a matter of computer record, they must be periodically updated. This is done auto-matically for much information; however, some must be obtained directly from you. This form is for that purpose.Section I must be completed in all cases. You need provide other information only if there have been changes sinceyou submitted your Form 444), "Qualifications Supplement to the Personal History Statement," or a previous update form.If you are in doubt whether information has been previously submitted, enter it in the appropriate section. The signedand dated form should be returned through administrative channels to the File Room, Office of Personnel, Person Room 5E-13Headquarters, whether information is added or not.*Additionally, a qualifications update may take place at any time there is information to be added or changed simplyby completing and returning an update form on your initiative.## SECTION I BIOGRAPHIC AND POSITION DATAEMP. SED. NO.NAME (Last-First-Middle) DATE OF BIRTH059090 Christ, David L. 01/20/18## SECTION II EDUCATIONHIGH SCHOOLLAST HIGH SCHOOL ATTENDED ADDRESS (City, State, Country) YEARS ATTENDED (From-To) GRADUATEYES NOCOLLEGE OR UNIVERSITY STUDYNAME AND LOCATION OF COLLEGE OR UNIVERSITY SUBJECT YEARS ATTENDED DEGREE YEAR NO. SEM/OTR.MAJOR AREA FROM TO.. RECEIVED RECEIVED HRS. (Specify)IF A GRADUATE DEGREE HAS BEEN NOTED ABOVE WHICH REQUIRED SUBMISSION OF A WRITTEN THESIS. INDICATE THE TITLE OF THETHESIS AND BRIEFLY DESCRIBE ITS CONTENT.TRADE, COMMERCIAL AND SPECIALIZED SCHOOLSNAME AND ADDRESS OF SCHOOL STUDY OF SPECIALIZATION FROM TO NO. OF MONTHSOTHER NON-AGENCY EDUCATION OR TRAINING NOT INDICATED ABOVENAME AND ADDRESS OF SCHOOL STUDY OF SPECIALIZATION FROM TO NO. OF MONTHS## SECTION III MARITAL STATUS1. PRESENT STATUS (Single Married, Widowed, Separated Divorced Annulled Remarried) SPECIFY:2. NAME OF SPOUSE (Last) (First) (Middle) (Maiden)3. DATE OF BIRTH 4. PLACE OF BIRTH (City, State Country)5. OCCUPATION 6. PRESENT EMPLOYER7. CITIZENSHIP 8. FORMER CITIZENSHIP(S) COUNTRIES) 9. DATE U.S. CITIZENSHIP ACQUIRED## SECTION IV DEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSE|     | NAME        | RELATIONSHIP | DATE AND PLACE OF BIRTH | CITIZENSHIP | PERMANENT ADDRESS || --- | ----------- | ------------ | ----------------------- | ----------- | ----------------- || 1.  | ADD  DELETE |              |                         |             |                   || 2.  | ADD DELETE  |              |                         |             |                   |FORM 444n2-68SECRET
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SECRET(When Filled to)SECTION Y GEOGRAPHIC AREA KNOWLEDGE AND FOREIGOAINE OF PERSONNE| NAME OF REGION OR COUNTRY | FVFE OF SPECIALIZED KNOWLEDGE | MATES OF TRAVEL ON RESIDENCE | DATE & PLACE OF STUDY | ありりか RYCHECK (N) || ------------------------- | ----------------------------- | ---------------------------- | --------------------- | ---------------- ||                           |                               |                              | Apr-15-1:22 PH'68     |                  ||                           |                               |                              |                       |                  |MAIL ROOMSECTION VI TYPING AND STENOGRAPHIC SKILLS1. TYPING (WPM) 2.SHORTHAND(WPM) 3. INDICATE SHORTHAND SYSTEM USED- CHECK (X) APPROPRIATE ITEM   [] GREGG  [] SPEEDWRITING  [] STENOTYPE  [] OTHER SPECIFYSECTION VII SPECIAL QUALIFICATIONSPROVIDE INFORMATION ON HOBBIES. SPORTS. LICENSES. PUBLISHED MATERIALS UR DEVICES WHICH YOU MAY HAVE INVENTED.SECTION VIII MILITARY SERVICECURRENT DRAFT STATUS1. HAS YOUR SELECTIVE SERVICE CLASSIFICATION CHANGED? 2. NEW CLASSIFICATION[] YES  [] NO3. LOCAL SELECTIVE SERVICE BOARD NUMBER AND ADDRESS 4. IF DEFERRED, GIVE REASONMILITARY RESERVE, NATIONAL GUARD STATUSCHECK RESERVE OR GUARD ORGANIZATION TO WHICH YOU BELONG [] ARMY  [] MARINE CORPS [] COAST GUARD [] NATIONAL GUARD[] NAVY  [] AIR FORCE  [] AIR NATIONAL GUARD1. CURRENT RANK, GRADE OR RATE 2. DATE OF APPOINTMENT IN CURRENT RANK 3. EXPIRATION DATE OF CURRENT OBLIGATION4. CHECK CURRENT RESERVE CATEGORY [] READY RESERVE [] STANDBY(Active) [] STANDBY(Inactive) [] DISCHARGED5. MILITARY MOBILIZATION ASSIGNMENT 6. RESERVE UNIT TO WHICH ASSIGNED OR ATTACHEDMILITARY SCHOOLS COMPLETED (Extended Active, Reserve Duty, or as Civilian)| NAME AND ADDRESS OF SCHOOL | STUDY OR SPECIALIZATION | DATE COMPLETED |                    || -------------------------- | ----------------------- | -------------- | ------------------ ||                            |                         |                | REYUDENT           ||                            |                         |                | ALUMNI - SPONSORED |SECTION IX PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS| MANE AND CHAPTER | ADDRESS (Number, Street, City, State, Country) | DATE OF MEMBERSHIP || ---------------- | ---------------------------------------------- | ------------------ ||                  |                                                | FROM TO            ||                  |                                                |                    ||                  |                                                |                    |SECTION XREMARKSNo additions to forvious reportDATE SIGNATURE OF EMPLOYEE4/16/68 klande F. ChristSECRET
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SECRETQUALIFICATIONS SUPPLEMENT TO PERSONAL HISTORY STATEMENTREAD INSTRUCTIONS CAREFULLY BEFORE COMPLETING TYPE OR PRINT. AVOID USING LIGHT COLORED INKSSECTION I BIOGRAPHIC AND POSITION DATA| 1 EMP SER NO | 2 NAME            | 3 SER                  | 4 DATE OF BIRTH | 5 GRADE/STEP || ------------ | ----------------- | ---------------------- | --------------- | ------------ || 039090       | CHRIST DAVID.L    |                        | 01/20/18        | GS-16-05     || 6 SO         | 7 POSITION TITLE  | 8 OFFICE OF ASSIGNMENT | 9 LOCATION      |              || R            | PHYS SCIEN RES CH | ORD                    | WASH., D. C.    |              |SECTION II AGENCY OVERSEAS SERVICE| AREA               | TYPE TOUR | FROM     | TO       || ------------------ | --------- | -------- | -------- || PHILIPPINE ISLANDS | TDY 46    | 56/04/01 | 56/05/01 || BUROPEAN AREA      | TDY 46    | 57/06/01 | 57/07/01 || SOUTH AMERICA      | TDY 46    | 57/09/01 | 57/10/01 || AROUND THE WORLD   | TDY 46    | 58/03/01 | 58/04/01 || BUROPEAN AREA      | TDY 46    | 59/01/25 | 59/02/15 || MEXICO             | TDY-44    | 60/01/21 | 60/02/27 || ASIA AREA          | TDY-44    | 60/03/13 | 60/04/23 || EUROPEAN AREA      | TDY-44    | 60/04/23 | 60/04/30 || WH Area            | TDY       | 60/8/13  | 60/8/30  || "                  | PAS       | 60/9/08  | 63/4/21  |OVERSEAS DATACOLEDDATE:1 JUN 67SECTION III EDUCATION| DEGREE | MAJOR FIELD                     | COLLEGE    | YEAR || ------ | ------------------------------- | ---------- | ---- || BACH   | ELECTRICAL ENGINEERING, GENERAL | PA ST UNIV | 58   |
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# SECRETWhen filled inMILITARY SERVICECURRENT DRAFT STATUSSECTION VII1. ARE YOU REGISTERED FOR THE DRAFTYESNO2. SELECTIVE SERVICE CLASSIFICATIONA3. LOCAL SELECTIVE SERVICE BOARD NUMBER AND ADDRESS4. OFFERED GIVE REASONMILITARY SERVICE RECORD (Active Duty Only)1. MILITARY ORGANIZATION (Army, Navy, etc. - specify)2. BRANCH OR CORPS3. DATES OF SERVICE (Extended active duty,FROM:TO:4. STATUS (Regular, Reserve, etc. - specify)5. DATE, GRADE OR RATE of separation if past service6. SERIAL, SERVICE OR FILE NUMBER7. CHECK TYPE OFSEPARATIONHONORABLE DISCHARGERELEASE TO INACTIVE DUTYRETIREMENT FOR AGERETIREMENT FOR SERVICERETIREMENT FOR COMBAT DISABILITYRETIREMENT FOR PHYSICAL DISABILITYUNDUE HARDSHIPSOTHER (Specify)8. BRIEF DESCRIPTION OF MILITARY DUTIES (record the duties and skills which best describe your work or function in the military service)MILITARY RESERVE, NATIONAL GUARD STATUSCHECK RESERVE OR GUARD ORGANIZATION TO WHICH YOU BELONGARMYNAVYMARINE CORPSAIR FORCECOAST GUARDNATIONAL GUARDAIR NATIONAL GUARD1. CURRENT RANK, GRADE OR RATE2. DATE OF APPOINTMENT IN CURRENT RANK3. EXPIRATION DATE OF CURRENT RESERVE OBLIGATION4. CHECK CURRENT RESERVE CATEGORYREADY RESERVESTANDBY (active)STANDBY (inactive)RETIREDDISCHARGED5. BRIEF DESCRIPTION OF MILITARY RESERVE DUTIES (record the duties and skills which at best describe your work or function in the military service)6. IF YOU ARE CURRENTLY ASSIGNED TO A RESERVE OR NATIONAL GUARD TRAINING UNIT, IDENTIFY THE UNIT AND IT'S ADDRESSMILITARY SCHOOLS COMPLETED (Active Duty, Reserve Status or as Civilian)NAME AND ADDRESS OF SCHOOLNATURE OF SPECIALIZATIONDATE COMPLETED1. 2. 3. 4. 5. SECRET- 4-[Figure: A table with the header 'Nature of Specialization', containing multiple rows of the form 'FIELD OF [XXX]']> FIELD OF FIRE> > CORRESPONDENCE> > AGENCY SPONSORED> > FIELD OF FIRE> > CORRESPONDENCE> > AGENCY SPONSORED> > FIELD OF FIRE> > CORRESPONDENCE> > AGENCY SPONSORED
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SECTION VIII# SECRET(When Filled In)## AGENCY EMPLOYMENT HISTORY1. INCLUSIVE DATES (From - To, by month & year)   Sept '60-2. AGENCY (Country, City)   TOY/WH3. DIRECTORATE OFFICE OR DIVISION, BRANCH   DP/P/TSD/AOB4. TITLE OF JOB   Chief Radio Ops Branch5. GRADES HELD IN JOB   GS-166. DESCRIPTION OF DUTIES   Same as below1. INCLUSIVE DATES (From - To, by month & year)   Jan '57 - Sept 60   2 LOCATION (Country, City)   USA, Wash D.C.3. DIRECTORATE OFFICE OR DIVISION, BRANCH   DP/P/TSD/AOB4. TITLE OF JOB   Chief, Audio Operations Branch   5 GRADES HELD IN JOB   GS-156. DESCRIPTION OF DUTIES   Developing and managing domestic and overseas organization, equipment, logistics, etc. for worldwide audio intelligence collection operations.1. INCLUSIVE DATES (From - To, by month & year)   Feb Oct '56-Jan '57   2 LOCATION (Country, City)   USA, Wash D.C.3. DIRECTORATE OFFICE OR DIVISION, BRANCH   DD/P/TSD/APB4. TITLE OF JOB   Deputy Chief, Applied Physics Branch   5 GRADES HELD IN JOB   GS 11-126. DESCRIPTION OF DUTIES   Technical administrator, supervisor of physicists, electronics engineers in R&D of intelligence collection devices and systemsSECRET-5-
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SECRETSECTION AMARITAL STATUSNo ChangeSECTION ADEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSE| NAME              | RELATIONSHIP | DATE AND PLACE OF BIRTH | CITIZENSHIP | PERMANENT ADDRESS             || ----------------- | ------------ | ----------------------- | ----------- | ----------------------------- || Elaine M. Christ  | Dgtr.        | 2/47  Tourneque, Va     | Yes         | 6212 Maiden Lane Bethesda, md || Linda L. Christ   | "            | 9/50 Piermont, NY       | "           | Same as above                 || Susan M. Christ   | "            | 10/52 Hyattsville, md   | "           | "                             || Stewart H. Christ | Son          | 12/56 Bethesda, md      | "           | "                             || Roger L. Christ   | Son          | 9/60 Bethesda, md       | "           | "                             |SECTION BPROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS![name and chapter field](photo description)DATE: 3/21/67SIGNATURE OF EMPLOYEE: David F Christ
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# PERIODIC SUPPLEMENT## PERSONAL HISTORY STATEMENT**INSTRUCTIONS**This form provides the means whereby your official personnel records will be kept current. Even though it duplicates information you have furnished previously, it will be necessary for you to complete **Sections I** through **VI** in their entirety. You need complete **Sections VII** through **XIII** only if there has been a change since you entered on duty with the organization or if you believe the item requires more complete coverage than you have previously reported.## SECTION 11.  FULL NAME (Last-First-Middle)Christ, David Lamar2.  CURRENT ADDRESS (No., Street, City, Zone, State)6212 Maiden LaneBethesda 14, Maryland3.  PERMANENT ADDRESS (No., Street, City, Zone, State)6212 Maiden LaneBethesda 14, Maryland4.  HOME TELEPHONE NUMBEROliver 6-21275. STATE, TERRITORY, POSSESSION OR COUNTRY IN WHICH YOU NOW CLAIM RESIDENCEMaryland, U.S.A.## SECTION 11PERSON TO BE NOTIFIED IN CASE OF EMERGENCY1.  NAME (Last-First-Middle) PREFERABLY RESIDING IN U.S.Mrs. Christ, Wilma Margaret2.  RELATIONSHIPwife3.  HOME ADDRESS (No., Street, City, Zone, State, Country).6212 Maiden Lane, Bethesda 14, Maryland, U.S.A.4.  BUSINESS ADDRESS (No., Street. City, Zone, State, Country, INDICATE NAME OF FIRM OR EMPLOYER, IF APPLICABLESame as above5.  HOME TELEPHONE NUMBEROliver 6-21276.  BUSINESS TELEPHONE NUMBERNA7.  BUSINESS TELEPHONE EXTENSIONNA8.  IN CASE OF EMERGENCY, OTHER CLOSE RELATIVES (Spouse, Mother, Father) MAY ALSO BE NOTIFIED. IF SUCH NOTIFICATION IS NOT DESIRABLE BECAUSE OF HEALTH OR OTHER REASONS. PLEASE SO STATE.Mother - Mrs. David A. Christ, 8 Greenwood St., Tamaqua, Pa.## SECTION 1111. CHECK (X) ONE:SINGLE X MARRIED WIDOWED SEPARATED DIVORCED ANNULLED2. FURNISH DATE, PLACE AND REASON FOR ALL SEPARATIONS, DIVORCES OR ANNULMENTSNAWIFE OR HUSBAND: If you have been married more than once, including annulments, use a separate sheet for former wife or husband giving data below for all previous marriages. If remarriage is contemplated, provide same data for fiance.3. NAME(First) (Middle) (Maiden) (Last)Wilma Margaret Zimmermann Christ4. DATE OF MARRIAGEAug. 17, 19445. PLACE OF MARRIAGE (City, State, Country)New Haven, Conn., U.S.A.6. HIS (or her) ADDRESS BEFORE MARRIAGE (No., Street, City, State, Country)Route #5, Wausau, Wisconsin, U.S.A.7. LIVING[X] YES NO8. DATE OF DEATHNA9. CAUSE OF DEATHNA10. CURRENT ADDRESS (Give last address, if deceased)6212 Maiden Lane, Bethesda 14, Maryland11. DATE OF BIRTHAug. 1, 192112. PLACE OF BIRTH (City, State, Country)Wausau, Wisconsin, U.S.A.13. IF BORN OUTSIDE U.S. DATE OF ENTRYNA14. PLACE OF ENTRYNA15. CITIZENSHIP (Country)U.S.A.16. DATE ACQUIREDNA17. WHERE ACQUIRED (City, State, Country)NA18. OCCUPATIONHousewife19. PRESENT EMPLOYER (Also give former employer, if wife is deceased or unemployed, last two employers)NA20. EMPLOYER'S OR BUSINESS ADDRESS (No., Street, City, State, Country)NAFORM NO. 444b REPLACES FORM 2781 SEP 56 WHICH IS OBSOLETESECTION 111 CONTINUED TO PAGE 2
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SECRET(When Filled In)SECTION III CONTINUED FROM PAGE 121. DATES OF MILITARY SERVICE (From- and To.) BY MONTH AND YEAROct. 1942 - May 194622. BRANCH OF SERVICEUSAF23. COUNTRY WITH WHICH MILITARY SERAPE FILIATEDU.S.A.APR 8 '42 PM '5724. DETAILS OF OTHER GOVERNMENT SERVICE, U.S. OR FOREIGNCIA - Nov. 1950 to presentMAIL ROOMSECTION IV RELATIVES BY BLOOD, MARRIAGE OR ADOPTION LIVING ABROAD OR WHO ARE NOT U.S. CITIZENS None1. FULL NAME (Last-First-Middle)   NA2. 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 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 CONTACT5. SPECIAL REMARKS, IF ANY, CONCERNING THESE RELATIVES   NASECTION V FINANCIAL STATUS1. ARE YOU PARTIALLY DEPENDENT ON YOUR SALARY?   [X] YES NO2. IF YOUR ANSWER IS "NO" TO THE ABOVE, STATE SOURCES OF OTHER INCOME   NA3. BANKING INSTITUTIONS WITH WHICH YOU HAVE ACCOUNTS| NAME OF INSTITUTION                 | ADDRESS (City, State, Country) || ----------------------------------- | ------------------------------ || Suburban Trust Co., Bethesda Branch | Bethesda, Md., U.S.A.          |SECTION V CONTINUED TO PAGE 3SECRET2
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SECTION XוווSECRET(When Filled in)CHILDREN AND OTHER DEPENDENTS1. NUMBER OF CHILDREN (Including stopchildren and adopted children) WHO ARE UNMARRIED, UNDER 21 YEARS OF AGE, AND ARE NOT SELF-SUPPORTING.5OFFICE OF PERSONNT2. NUMBER OF OTHER DEPENDENT (Including spouse, paints, stepparente, sister, etc.) WHO DEPEND ON YOU FOR AT LEAST OF THEIR SUPPORT, OR, CHILDREN OF ALL THO ARE NOI BELT SUPPORTING.3. PROVIDE THE FOLLOWING INFORMATION FOR ALL CHILDREN AND DEPENDENTS| NAME              | RELATIONSHIP | YEAR OF BIRTH | SEX | CITIZENSHIP | ADDRESS                        || ----------------- | ------------ | ------------- | --- | ----------- | ------------------------------ || Thomas W. Christ  | Son          | 1944          | X   | U.S.A.      | 6212 Maiden Lane Bethesda, Md. || Elaine M. Christ  | Daughter     | 1947          | X   | "           | "                              || Linda L. Christ   | "            | 1950          | X   | "           | "                              || Susan M. Christ   | "            | 1953          | X   | "           | "                              || Stewart H. Christ | Son          | 1957          | X   | "           | "                              || Wilma M. Christ   | Wife         | 1921          | X   | "           | "                              |ADDITIONAL. COMMENT AND/OR CONTINUATION OF PRECEDING ITEMSDATE GOUPLETEDMar 26 1957SIGNATURE OF EMPLOYEESECRET
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# PERSONAL HISTORY STATEMENTInstructions:1.  Answer all questions completely. If question does not apply write "not applicable." Write "unknown" only if you do not know the answer and cannot obtain the answer trom personai records. Use the blank pages at the end of this form for extra details on any question or questions for which you do not have sufficient room.2.  Type, print or write carefully; lilegible or incomplete forms will not receive consideration.HAVE YOU READ AND DO YOU UNDERSTAND THE INSTRUCTIONS? YesSEC. 1. PERSONAL BACKGROUNDA. FULL NAME Mr. David Lamar ChristPRESENT ADDRESS RD #2, Mountain Top, Pa, U.S.A.PERMANENT ADDRESS Same as aboveB. NICKNAME None WHAT OTHER NAMES HAVE YOU USED? NoneUNDER WHAT CIRCUMSTANCES HAVE YOU EVER USED THESE NAMES? Not ApplicableHOW LONG? IF A LEGAL CHANGE, GIVE PARTICULARS Not ApplicableC. DATE OF BIRTH 1/20/19 PLACE OF BIRTH Tamaqua, Pa, U.S.A.D. PRESENT CITIZENSHIP U.S.A. BY BIRTH? yes BY MARRIAGE?BY NATURALIZATION CERTIFICATE: Not ApplicableHAVE YOU HAD A PREVIOUS NATIONALITY?HELD BETWEEN WHAT DATES? TO ANY OTHER NATIONALITY?HAVE YOU TAKEN STEPS TO CHANGE PRESENT CITIZENSHIP? GIVE PARTICULARS:FORM NO.SEP 1948 38.1
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E. IF BORN OUTSIDE. U.S. WHEN DID YOU FIRST ARRIVE IN THIS COUNTRY?PORT OF ENTRY? ON PASSPORT OF WHAT COUNTRY?LAST US. VISANumber Type Place of Issue Date of IssueSEC. 2. PHYSICAL DESCRIPTIONAGE 32 SEX Male HEIGHT 6'0" WEIGHT 185EYES Gray HAIR Brown COMPLEXION Fair SCARS Above left eye. On Right forearm. On left foot & ankle.BUILD Medium OTHER DISTINGUISHING FEATURESSEC. 3. MARITAL STATUSA. SINGLE MARRIED DIVORCED WIDOWEDSTATE. DATE, PLACE, AND REASON FOR ALL SEPARATIONS, DIVORCES OR ANNUTAGENTSB. WIFE OR HUSBAND (IF YOU HAVE BEEN MARRIED MORE THAN ONCE - INCLUDE ANNULMENTS - USE A SEPARATE SHEET FOR FORMER WIFE OR HUSBAND GIVING DATA REQUIRED BELOW FOR ALL PREVIOUS MARRIAGES.)NAME OF SPOUSE Wilma Margaret Zimmerman ChristFirst Maiden LastPLACE AND DATE OF MARRIAGE Aug. 12, 1944, New Haven, Conn.HIS-(OR HER) ADDRESS BEFORE MARRIAGE Route #2, Wausau, Wis., U.S.A.St & No. City State CountryLIVING OR DECEASED Living DATE OF DECEASE CAUSEPRESENT, OR LAST, ADDRESS R.D. #2, Mountain Top, Pa, U.S.A.St & No. City State CountryDATE OF BIRTH 7/1/21 PLACE OF BIRTH Wausau, Wis., U.S.A.City State CountryIF BORN OUTSIDE U.S. INDICATE DATE AND PLACE OF ENTRY Not ApplicableCITIZENSHIP WHEN ACQUIRED? WHERE?City State CountryOCCUPATION Housewife LAST EMPLOYER Cook's RestaurantEMPLOYER'S ON BUSINESS ADDRESS College Ave State College, Pa, U.S.A.St & No. City State CountryMILITARY SERVICE FROM Not Applicable BRANCH OF SERVICEDate CountryDETAILS OF OTHER GOV'T. SERVICE, U.S. OR FOREIGN
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SEC. 4. CHILDREN OR DEPENDENTS (Include partial dependents)1. NAME Thomas Warren Christ RELATIONSHIP Son AGE 5   CITIZENSHIP U.S.A. ADDRESS R.D. #2 Mountain Top, Pa, U.S.A.2. NAME Elaine Margaret Christ RELATIONSHIP Daughter AGE 3   CITIZENSHIP U.S.A. ADDRESS R.D. #2 Mountain Top, Pa., U.S.A.3. NAME RELATIONSHIP AGE   CITIZENSHIP ADDRESSSEC. 5. FATHER (Give the same information for stepfather and/or guardian on a separate sheet)FULL NAME David Albert ChristLIVING OR DECEASED Deceased DATE OF DECEASE 3/15/50 CAUSE Kidney failurePRESENT, OR, LAST, ADDRESS 620 Arlington st., Tamaqua, Pa, U.S.A.DATE OF BIRTH 2/19/99 PLACE OF BIRTH Ashland, Pa, U.S.A.IF BORN OUTSIDE U.S. INDICATE DATE AND PLACE OF ENTRY Not ApplicableCITIZENSHIP WHEN ACQUIRED? WHERE?OCCUPATION Breaker Emply LAST EMPLOYER Lehigh Coal & Navigation Co.EMPLOYER'S OR OWN BUSINESS ADDRESS No 14 Colliery, Tamaqua, Pa, U.S.A.MILITARY SERVICE FROM Not Applicable BRANCH OF SERVICECOUNTRY DETAILS OF OTHER GOV'T SERVICE, U.S. OR FOREIGN.SEC. 6. MOTHER (Give the same information for stepmother on a separate sheet)FULL NAME Mildred Lenore Nashl ChristLIVING OR DECEASED Living DATE OF DECEASE CAUSEPRESENT, OR LAST, ADDRESS 620 Arlington St, Tamaqua, Pa, U.S.A.DATE OF BIRTH 2/17/28 PLACE OF BIRTH Tamaqua, Pa, U.S.A.CITIZENSHIP WHEN ACQUIRED? WHERE?IF BORN OUTSIDE U.S. INDICATE DATE AND PLACE OF ENTRY Not Applicable
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# 14-00000OCCUPATION Housewife LAST EMPLOYER NoneEMPLOYER'S OR OWN BUSINESS ADDRESS Not ApplicableMILITARY SERVICE FROM Not Applicable BRANCH OF SERVICECOUNTRY DETAILS OF OTHER GOVT SERVICE, US. OR FORZION.SEC. 7. BROTHERS AND SISTERS (Including half-, step-, and adopted brothers and sisters)1. FULL NAME Lawrence Henry Christ AGE 31PRESENT ADDRESS 1902 S. Quebec St., Arlington, Va., U.S.A, U.S.A.2. FULL NAME Warren Albert Christ AGE 22PRESENT ADDRESS 620 Arlington St., Tamaqua, Pa., U.S.A, U.S.A.3. FULL NAME Robert Kerene Christ AGE 28PRESENT ADDRESS 17210 Pallon Drive, Phila, Pa., U.S.A, U.S.A.4. FULL NAME Elizabeth Irene Christ AGE 23PRESENT ADDRESS Nurses Home, Presbyterian Hosp., Phila, Pa., U.S.A, U.S.A.5. FULL NAME Charles Emanuel Christ AGE 20PRESENT ADDRESS 9901 Markel St, Phila, Pa., U.S.A, U.S.A.SEC. 8. FATHER-IN-LAWFULL NAME Herbert Robert ZimmermanLIVING OR DECEASED Living DATE OF DECEASE CAUSEPRESENT, OR LAST, ADDRESS Route #2, Wausau, Wis., U.S.A.DATE OF BIRTH 4/11/90 PLACE OF BIRTH Tawn of Easton, WisIF BORN OUTSIDE US. INDICATE DATE AND PLACE OF ENTRY Not Applicable.CITIZENSHIP WHEN ACQUIRED? WHERE?OCCUPATION Farmer LAST EMPLOYER Self
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# SEC. 9. MOTHER-IN-LAWFULL NAME Esther Berlina Boettcher ZimmermanLIVING OR DECEASED Living DATE OF DECEASE CAUSEPRESENT, OR LAST, ADDRESS Route #2, Wausau, Wis., U.S.A.DATE OF BIRTH 11/12/98 PLACE OF BIRTH Town of Hewitt, Wis.IF BORN OUTSIDE U.S. INDICATE DATE AND PLACE OF ENTRY Not ApplicableCITIZENSHIP WHEN ACQUIRED? WHERE?OCCUPATION Housewife LAST EMPLOYER None# SEC. 10. RELATIVES BY BLOOD, MARRIAGE OR ADOPTION, WHO EITHER LIVE ABROAD OR WHO ARE NOT CITIZENS OF THE UNITED STATES: None1. NAME RELATIONSHIP AGECITIZENSHIP ADDRESS St. & No. City State Country2. NAME RELATIONSHIP AGECITIZENSHIP ADDRESS St. & No. City State Country3. NAME RELATIONSHIP AGECITIZENSHIP ADDRESS St. & No. City State Country# SEC. 11. RELATIVES BY BLOOD OR MARRIAGE IN THE MILITARY OR CIVIL SERVICE OF THE U.S. OR OF A FOREIGN GOVERNMENT. None1. NAME RELATIONSHIP AGECITIZENSHIP ADDRESS St. & No. City StateTYPE AND LOCATION OF SERVICE (IF KNOWN)2. NAME RELATIONSHIP AGECITIZENSHIP ADDRESS St. & No. City StateTYPE AND LOCATION OF SERVICE (IF KNOWN)3. NAME RELATIONSHIP AGECITIZENSHIP ADDRESS St. & No. City StateTYPE AND LOCATION OF SERVICE (IF KNOWN)