Francesco/who-killed-jfk huggingface dataset:
[104-10224-10012.pdf — page 177]
CONFIDENTIALMEMORANDUM FOR: Lee H. WigrenSUBJECT : Acknowledgment of Evaluation Board Functional CategoryREFERENCE : Evaluation Board Precepts for Your Grade1. Based upon an examination of your past assignments and duties, and after considering likely future assignments, you have been placed (subject to your signature below) in the functional category DAA for Evaluation Board purposes. Precise definitions of this category are contained in the Evaluation Board precepts for your grade. This place- ment is made in order that your performance, growth potential, and career planning, may be judged against officers similarly placed pro- fessionally. YOU ARE URGED TO STUDY THE PRECEPTS AND CONSIDER YOUR OWN CASE CAREFULLY.2. In general, you should consider the following:a. Categories are sharply defined. Competition is within categories, not between them. Thus, a weak B/OG performance is not strengthened by reclassifying it as B/OS.b. A change in category after sustained performance in a different category may cause a temporary loss of momentum in your career advancement until you have demonstrated proficiency in your new assignment.c. A category change should not be initiated for the period of a temporary, training or rotational assignment unless a permanent change of career track will follow.3. If you believe that this is not the correct category for you because the substantive nature of your job more closely approxi- mates another category or because you have made a permanent change of career track, please take the matter up through your command channel to secure the concurrence of your component of assignment or of vour home base component, as appropriate, to a change of your category. Previously assigned and acknowledged categories will remain in effect until a fully executed acknowledgment of change is received by the Career Management Staff.4. Please sign and date this notification in the space provided and return it to your Personnel Evaluation and Management Officer or to your Personnel Officer.ACKNOWLEDGED:![Signature of Addressee]Signature of Addressee![Date]DateCONFIDENTIAL
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SECRET9 FEB.1973MEMORANDUM FOR: Lee H. WigrenFROM : Leonard McCoyChief, CI/R&ASUBJECT : Letter of Instructions1. The following letter of instructions is provided to outline your functions as Special Assistant to the Chief, CI Staff Research and Analysis Group.2. The objectives of CI/R&A are:a. To provide current and relevant counterintelligence support to operations being conducted by CI Staff and the operating divisions in the interests of furthering intelligence collection and preventing the frustration of our operations by adversary intelligence services.b. To conduct research and analyze information to facilitate the detection of the efforts of adversary intelligence services to penetrate the US and friendly foreign governments.3. Your functions as Special Assistant to Chief, CI Staff Research and Analysis Group are as follows:a. Select information and research and analysis products of CIA, other agencies, and liaison services for publication by the CI Staff as CI guidance and references.b. Initiate and supervise the conduct of CI research and analysis by assigned personnel for publication by the CI Staff.c. Establish and implement publication procedures, including editing, rewriting, organizing, sanitizing, classifying, setting up dissemination channels andE2 IMPDETCL BY 012208SECRET
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SECRET-2-controls, and monitoring printing processes for CI Staff publications.d. Initiate and coordinate the distribution of CI Staff publications as appropriate within the Agency, to other US government agencies, and to liaison services.e. Maintain a record of CI Staff publications, including recipients, dates of distribution, responses and comments, related correspondence, and other pertinent information.f. Conduct liaison with other government agencies and foreign intelligence services to promote the collection and dissemination of CI information.g. Collect and maintain a library of past and present classified CI publications available from all sources for ready reference and consultation.![signature of Leonard McCoy]Leonard McCoyI have read and understand this letter of instruccions.![signature of Lee H. Wigren]Lee H. Wigren![signature]Date 9 February 1977Distribution:Orig - Addressee2 - CI/Personnel1 - C/CI/R&ASECRET
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# NAVAL INVESTIGATIVE SERVICEHOFFMAN BUILDING7461 EISENHOWER AVENUEALEXANDRIA, VIRGINIA 22331## SECRETNIS-228/skc3870Ser S-346019 November 1975SECRETFrom: Director, Naval Investigative ServiceTo: Director of Central IntelligenceSubj: Counterintelligence/Counterespionage Training (U)1. (S) During the period 20 October through 28 October 1975, twenty-seven Special Agents of this Service attended an intensive, comprehensive course of instruction regarding counterintelligence techniques as applied overseas, the instructors and facilities for which were graciously provided by your Agency. As in past matters of this nature, Mr. William M. Decker, Mr. Nazeeb Trabulsi, and the other dedicated members of your staff provided support and coordination truly unsurpassed in excellence. Both Mr. Decker and Mr. Trabulsi consistently devoted time and effort far beyond that which could normally be expected in order to ensure the highest quality of instruction and assistance.2. (S) In addition to excellent administrative support, the caliber of instructors and content of the material discussed combined to make every presentation a significant and meaningful experience for the students concerned. Although it was evident that all instructors were highly motivated and fully conversant regarding their respective subjects, I wish to particularly cite those individuals who contributed generous amounts of their valuable time and extensive knowledge toward the improvement of the Naval Investigative Service counterintelligence posture overseas. Those gentlemen are:Mr. Lee WizrenMr. Joseph FlahertyMr. John LogartMr. Peter ErnestMr. Charles BelingMr. Edward Andrews3. (U) I again wish to extend my most sincere appreciation for a job well done.Copy to:Chief, CI Staff![stamp secret]
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# SECRETNAVAL INVESTIGATIVE SERVICEHOFFMAN BUILDING2461 EISENHOWER AVENUEALEXANDRIA, VIRGINIA 22331From: Director, Naval Investigative ServiceTo: Director of Central IntelligenceSubj: Counterintelligence/Counteres pionage Training (U)SECRENIS-22B/skc3870Ser S-346019 November 1975175-17466/175-65241. (S) During the period 20 October through 28 October 1975, twenty-seven Special Agents of this Service attended an intensive, comprehensive course of instruction regarding countesintelligence techniques as applied overseas, the instructors and facilities for which were graciously provided by your Agency. As in past matters of this nature, Mr. William M. Decker, Mr. Nageeb Trabulsi, and the other dedicated members of your staff, provided support and coordination truly unsurpassed in excellence. Both Mr. Decker and Mr. Trabulhi consistently devoted time and effort far beyond that which could normally be expected in order to ensure the highest quality of Instruction and assistance.2. (S) In addition to excellent administrative support, the caliber of Instructors and content of the material discussed combined to make every presentation a significant and meaningful experience for the students concerned. Although it was evident that all Instructors were highly motivated and fully conversant regarding their respective subjects, I wish to particularly cite those individuals who contributed generous amounts of their valuable time and extensive knowledge toward the Improvement of the Naval Investigative Service counterIntelligence posture overseas. Those gentlemen are:Mr. Lee WigrenMr. Joseph FlahertyMr. John BogartMr. Peter ErnestMr. Charles BelingMr. Edward Andrews3. (U) I again wish to extend my most sincere appreciation for a job well done.Copy to:Chief, CI StaffBARIN MARTINSECRET
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# SECRET(when filled in)# SECTION V GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVELNAME OF REGIONOR COUNTRYTYPE OF SPECIALIZEDKNOWLEDGEOct 15DATES OF TRAVELOR RESIDENCE03-05-70DATE & PLACEOF STUDYKNOWLEDGE ACQUIRED BY CHECK (X)PRESSTRAVELSTUDYGOVERNMENT# SECTION VI TYPING AND STENOGRAPHIC SKILLS1. TYPING. (WPM) 2. SHORTHAND (WPM) 3. INDICATE SHORTHAND SYSTEM USED: CHECK (X) APPROPRIATE ITEM   TYPING   SPEEDRITING   STENOTYPE   OTHER   SPECIFY# SECTION VII SPECIAL QUALIFICATIONSPROVIDE INFORMATION ON HOBBIES, SPORTS, LICENSES, PUBLISHED MATERIALS OR DEVICES WHICH YOU MAY HAVE INVENTED.# SECTION VIII MILITARY SERVICECURRENT DRAFT STATUS1. HAS YOUR SELECTIVE SERVICE CLASSIFICATION CHANGED?   YES2. NEW CLASSIFICATION   NO3. LOCAL SELECTIVE SERVICE BOARD NUMBER AND ADDRESS4. IF DEFERRED, GIVE REASON   MILITARY RESERVE, NATIONAL GUARD STATUS   CHECK RESERVE OR GUARD ORGANI-   ZATION 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)   (TIME)   DISCHARGED5. MILITARY MOBILIZATION ASSIGNMENT   RESERVE UNIT TO WHICH ASSIGNED OR ATTACHED   MILITARY SCHOOLS COMPLETED (Extended Active. Reserve Duty, or as Civilian)   NAME AND ADDRESS OF SCHOOL   STUDY OR SPECIALIZATION   DATE COMPLETED   RESIDENT   AGENCY-SPONSORED# SECTION IX PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONSNAME AND CHAPTERADDRESS (Number, Street, City, State, Country)DATE OF MEMBERSHIPFROMTO# SECTION XREMARKSDATE15 October 70SIGNATURE OF EMPLOYEESECRET
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# CONFIDENTIAL SECRET(When Filled In)REPORT OF SERVICE ABROADTO: Office of Personnel, Control Division, Statistical Reporting BranchSERIAL NO.LASTNAMEFIRSTMIDDLE006198WIGRENLEEH.INSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TDY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMNTO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA, CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USING THE NUMBER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OFI NO. 58. REVISED.PCS DATES OF SERVICE|       | ARRIVAL O/S |       |     | DEPARTURE O/S |       |       |                 |       |         |       || ----- | :---------: | :---: | :-: | :-----------: | :---: | ----- | --------------- | :---: | ------- | ----- || MONTH |     DAY     | YEAR  |     |     MONTH     |  DAY  | YEAR  | TYPE OF DATA    |  O/P  | COUNTRY | CODE  || 25-26 |    27-28    | 29-30 |     |     31-32     | 33-34 | 35-36 | 1. PCS (Basic)  |  USE  |         | 40-42 ||       |             |       |     |               |       |       | 3. CORRECTION   |  37   |         |       ||       |             |       |     |               |       |       | 5. CANCELLATION | 38 39 |         |       |TDY DATES OF SERVICE|       | ARRIVAL O/S |       |     | DEPARTURE O/S |       |       |                 |       |         |       || ----- | :---------: | :---: | :-: | :-----------: | :---: | ----- | --------------- | ----- | ------- | ----- || MONTH |     DAY     | YEAR  |     |     MONTH     |  DAY  | YEAR  | TYPE OF DATA.   | O/P   | AREA(S) | CODE  || 25-26 |    27-28    | 29-30 |     |     31-32     | 33-34 | 35-36 | 2. TDY (Basic)  | USE   |         | 40-42 ||       |             |       |     |               |       |       | 4. CORRECTION   | ONLY  |         |       ||       |             |       |     |               |       |       | 6. CANCELLATION | 37 38 |         |       || 11    |     07      |  72   |     |      11       |  12   | 73    |                 | 2     | WH      | 8/1   |SUBJECT TO GENERAL OFFICE OF PERSONNEL USE ONLY - PUNCH AREAOF E.O. 11652,31 DEC 72(Insert data or event)CLASSIFIED BY 19557SOURCE DOCUMENT AND CERTIFICATIONTRAVEL VOUCHERCABLEDISPATCHOTHER (Specify)DUTY STATUS OR TIME AND ATTENDANCE REPORTDOCUMENT IDENTIFICATION NO.CI 54-73DOCUMENT DATE/PERIODREMARKSPREPARED BYREPORT ANNOTATED ONCONTROL DOCUMENTX C & L DIVISION, CTOR.C & T DIVISIONDATE30 JAN 73ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCEDOCUMENT CITEDSIGNATURELinda PollanTHIS-INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERFORM4-711451aOBSOLETE PREVIOUSEDITIONSCONFIDENTIAL SECRET(4.1)
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MEMORANDUM FOR: Official Personnel FileSUBJECT: Wigren, Lee H.1. Studies in Intelligence is the Agency's quarterly professional journal. It publishes a wide variety of unique material--historical, analytical, technical, etc. -on all aspects of intelligence both as a profession and as a function of national security and foreign policy. Employees whose writings are accepted for publication make a valuable contribution to the Agency's work which ought to be reflected in their official files.2. Accordingly, the Board of Editors wishes to record the fact that Studies in Intelligence has published the following material submitted by Mr. Wigren:Book Reviews: "Spy Ring" Vol. V, No. 4 (Fall 1901)"Soviet Spy Ring" - Vol. VI, No. 2 (Spring 1962)Distribution:1 - Subject's Official File1- CI/PersHUGI T. CUNNINGHAM /Chainaman, Board of Editor'sStudies in Intelligence
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SECRET(When Filled in)# REPORT OF SERVICE ABROADTO: Office of Personnel, Control Division, Statistical Reporting BranchSERIAL NO. LAST NAME006198 Wigren Lee E.INSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TDY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA, CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USING FIRST THREE LETTER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OFI NO. 56. REVISED.PCS DATES OF SERVICE| ARRIVAL O/S       | DEPARTURE O/S     | TYPE OF DATA    | O/P USE ONLY | COUNTRY | CODE  || ----------------- | ----------------- | --------------- | ------------ | ------- | ----- || MONTH DAY YEAR    | MONTH DAY YEAR    | 1. PCS (Basic)  | CODE 37      |         | 40-42 || 25-26 27-28 29-30 | 31-32 33-34 35-36 | 3. CORRECTION   | 38/39        |         |       ||                   |                   | 5. CANCELLATION |              |         |       |TDY DATES OF SERVICE| ARRIVAL O/S       | DEPARTURE O/S     | TYPE OF DATA    | O/P USE ONLY | AREA(S)            | CODE  || ----------------- | ----------------- | --------------- | ------------ | ------------------ | ----- || MONTH DAY YEAR    | MONTH DAY YEAR    | 2. TDY (Basic)  | CODE 37      |                    | 40-42 || 05 30 72          | 06 05 72          | 4. CORRECTION   | 38/39        | Ottawa<br>Winnipeg | 120   || 25-26 27-28 29-30 | 31-32 33-34 35-36 | 6. CANCELLATION |              |                    |       |OFFICE OF PERSONNEL USE ONLY - PUNCH AREASOURCE DOCUMENT AND CERTIFICATION[X] TRAVEL VOUCHER DISPATCHCABLE DUTY STATUS OR TIME AND ATTENDANCE REPORTOTHER (Specify)DOCUMENT IDENTIFICATION NO. DOCUMENT DATE/PERIODCI 121-72 30 May - 5 June 1972REMARKSPREPARED BY REPORT ANNOTATED ON ABOVE DATA CERTIFIED CORRECT BASED UPON SOURCEX CONTROL DOCUMENT DOCUMENT CITED[X] 22 August 1972THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERSECRET
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# SECRET(When Filled In)# REPORT OF SERVICE ABROADFILETO: Office of Personnel, Transactions and Records Branch, Status SectionSERIAL NO.1-6LAST(Print)NAMEFIRSTMIDDLE006198Wirren7-24LeeH.INSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN REPORT DATES BY USING TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA, CORRECTION, OR CANCELLATION (One only). THE NUMBER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OFI NO. 50. REVISED.PCS DATES OF SERVICE| ARRIVAL O/S | DEPARTURE O/S | TYPE OF DATA | CODE        | O/P USE ONLY | COUNTRY    | CODE                                         |     |       |     |       || ----------- | ------------- | ------------ | ----------- | ------------ | ---------- | -------------------------------------------- | --- | ----- | --- | ----- || MONTH 25-26 | DAY 27-28     | YEAR 29-30   | MONTH 31-32 | DAY 33-34    | YEAR 35-36 | 1. PCS (Basic) 3. CORRECTION 5. CANCELLATION | 37  | 38 39 |     | 40-42 |TDY DATES OF SERVICE| ARRIVAL O/S | DEPARTURE O/S | TYPE OF DATA | CODE        | O/P USE ONLY | AREA(S)    | CODE                                         |     |       |     |       || ----------- | ------------- | ------------ | ----------- | ------------ | ---------- | -------------------------------------------- | --- | ----- | --- | ----- || MONTH 25-26 | DAY 27-28     | YEAR 29-30   | MONTH 31-32 | DAY 33-34    | YEAR 35-36 | 2. TOY (Basic) 4. CORRECTION 6. CANCELLATION | 37  | 38 39 |     | 40-42 || 06          | 23            | 71           | 06          | 27           | 71         | 2                                            |     |       | MI  | 811   |OFFICE OF PERSONNEL USE ONLY - PUNCH AREASOURCE DOCUMENT AND CERTIFICATION*   TRAVEL VOUCHER*   CABLE*   OTHER (Specify)DISPATCHDUTY STATUS OR TIME AND ATTENDANCE REPORTDOCUMENT IDENTIFICATION NO.DOCUMENT DATE/PERIODREMARKS| PREPARED BY                               | REPORT ANNOTATED ON CONTROL DOCUMENT | ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCE DOCUMENT CITED || ----------------------------------------- | ------------------------------------ | -------------------------------------------------------------- || DCO X C & L DIVISION CTOR. C & F DIVISION | DATE 26 July 71                      | SIGNATURE                                                      |THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERSECRETFORM 1451a OBSOLETE PREVIOUS(4-10)
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# SECRET(Bhen Filled In)# REPORT OF SERVICE ABROAD![file punched]FILEPUNCHED**TO:** Office of Personnel, Transactions and Records Branch, Status Sec BY**SERIAL NO.** 1.6**NAME****LAST** (Print) 7-24**FIRST****MIDDLE**006198 Wigren, Lee H.**INSTRUCTIONS**USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR FITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA, CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USING THE NUMBER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OFI NO. 58. REVISED.## PCS DATES OF SERVICE| ARRIVAL O/S | DEPARTURE O/S | TYPE OF DATA | O/P USE ONLY | COUNTRY | CODE  |                                              |     |       |       |     |     || ----------- | ------------- | ------------ | ------------ | ------- | ----- | -------------------------------------------- | --- | ----- | ----- | --- | --- || MONTH       | DAY           | YEAR         | MONTH        | DAY     | YEAR  |                                              |     |       |       |     |     || 25-26       | 27-28         | 29-20        | 31-32        | 33-34   | 35-36 | 1. PC3 (Basic) 5. CORRECTION 3. CANCELLATION | 37  | 38 39 | 40-42 |     |     |## TOY DATES OF SERVICE| ARRIVAL O/S | DEPARTURE O/S | TYPE OF DATA | CODE  | O/P USE ONLY | AREA(S) | CODE                                         |     |       |                    |     |     |     || ----------- | ------------- | ------------ | ----- | ------------ | ------- | -------------------------------------------- | --- | ----- | ------------------ | --- | --- | --- || MON?14      | DAY           | YEAR         | MONTH | DAY          | YEAR    |                                              |     |       |                    |     |     |     || 25-26       | 27-26         | 20-30        | 31-32 | 33-34        | 33-36   | 2. TDY (Basic) 4. CORRECTION 6. CANCELLATION | 37  | 38 39 | Ottawa Montreal WH | 811 |     |     || 07          | 08            | 70           | 07    | 13           | 70      | 2                                            |     |       |                    |     |     |     |OFFICE OF PERSONNEL USE ONLY - PUNCH AREASOURCE DOCUMENT AND CERTIFICATION*   TRAVEL YOUCHER*   DISPATCH*   CABLE*   DUTY STATUS OR TIME AND ATTENDANCE REPORT*   OTHER (Specify)**DOCUMENT IDENTIFICATION MU.****DOCUMENT DATE/PERIOD**7/8/70 to 7/15/70**REMARKS**| PREPARED BY                          | REPORT ANNOTATED ON CONTROL DOCUMENT | ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCE DOCUMENT CITED || ------------------------------------ | ------------------------------------ | -------------------------------------------------------------- || DCO                                  | DATE                                 | SIGNATURE                                                      || C & L DIVISION, CTSS. C & T Dlvision | 9/9/70                               | ![signature]                                                   |THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNELIN THE INDIVIDUAL'S OFFICIAL (PERSONNEL FOLDERFORM 1451a OBSOLETE PREVIOUS3-67 EDITIONSSECRET(4-10)
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# SECRETQUALIFICATIONS UPDATEREAD INSTRUCTIONS CAREFULLY BEFORE COMPLETING, TYPE OR PRINT, AVOID USING LIGHT COLORED INKSNow that your qualifications are a matter of computer record, they must be periodically updated. This is done automatically for much information; however, some must be obtained directly from you. This form is for that purpose. Section I must be completed in all cuses. You need provide other information only if there have been changes since you submitted your Form 444j, "Qaalifications Supplement to the Persunal 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 signed and dated form should be returned through administrathe channels to the File Room, Office of Personnel, Room SE-13 Readquarters, whether taformation is added or not. Additionally, a qualifications update may take place at any time there is information to be added or changed simply by completing and returning an update form on your initiatine.SECTION IBIOGRAPHIC AND POSITION DATAEMP. SIN NO.NAME (Lost-Firat Middle)DATE OF BIRTH096198WIGRE, Lee II.12/01/23"ECTION 11FIUCATIONHIGH SCHOOLLAST HIGH SCHOOL ATTENDEDADDRESS (Clytae. Country)COLLEGE OF UNIVERSITY STUDYMAME AND LOCATION OF COLLEGE OF UNIVERSITYYEARS ATTENDEDTEAN GRADUATEIF A GRADUATE DEGREE HAS BEEN NORED ABOVE WHICH PEQUIRED SUBMISSION OF A WHITTEN THESES, FASECATE THE TITLE OF THE ANRIFFLY DESCRIDE 116 CONTENT.NAME AND ADDRESS OF SCHOOLTRADE, COMMERCIAL ARD SPECIALIZED SCHOOLSりかくO SPECIALIZATIO100. OF MONTHSOTHER NON-AGENCY EDUCATION CE TRAINING NOT INDICATED ABOVENAME AND ADDRESS OF CHOり!。2009 SPECIALIZATIONTO NO. OF MONTHSSECTION 111MARITAL STATUS1 PULSINT STATUS (Single Married Widowed. Separated. D, (Firap Annulled pomarried) SPECIE (Middle) (Vaiden)2 NAME OF SPOUSE (LAT)3. DATE OF BIRTH4. PLACE OF BIRTH (City,Stat Country)5. OCCUPATION6. PRESENT FMPLOYER7. CITIZENSHIP8. FORMER CITIZENSHI(2) COUNTRYLIES)9. E.১. CITIZENSHIP ACQUIREDSECTION IVDEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSENAMEPILATIONSHI GATE APLG FLAGE BIRTH CITIZEN SP PERNANENT ADDRESSA00١. DELETE2. ADDDELETEFORM 4440SECRET