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# STANDARD FORM 144REVISED SEPTEMBER 1914US CIVIL SEPOCH COMMISSIONFPM CHAPTERS LI, HL AND SI## STATEMENT OF PRIOR FEDERAL CIVILIAN AND MILITARY SERVICEAND DETERMINATION OF COMPETITIVE STATUSIMPORTANT: The information on this form will be used (1) in determining creditatile arevice for leave purposes and retention credite for reduction in force, and (2) in recording agency determination of competitive status. The employee should complete Part I and the Personnel Office should complete Parts Il through V.PART 1-EMPLOYEE'S STATEMENT1. NAME (Last, first, middle initial)FLORES, DANIEL2 DATE OF BIRTHAugust 4, 1935PART 11, THIS COLUMN IS FOR PERSONNEL OFFICE USE9 RETENTION GROUP10. A C C STATUS YES NO    0 TYPE OF PRESENT APPOINTMENT3 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-  |       |     |     | TYPE OF APPOINTMENT IF KNOWN |             |     || --------------------------- | ----- | ----- | --- | --- | ---- | ----- | --- | --- | ---------------------------- | ----------- | --- ||                             | YEAR  | MONTH | DAY |     | YEAR | MONTH | DAY |     |                              | 11. SERVICE |     |4. LIST PERIODS OF ACTIVE SERVICE IN ANY BRANCH OF THE ARMED FORCES OF THE UNITED STATES IF YOU HAD NO ACTIVE MILITARY SERVICE, WRITE NONE| BRANCH                      | FROM- |      |     | TO-  |      |     | DISCHARGE (Hon or dishon?) |     || --------------------------- | ----- | ---- | --- | ---- | ---- | --- | -------------------------- | --- || UNITED STATES AIRLINE CRPS. | 957   | JULY | 25  | 1761 | JULY | 25  | HONORABLE                  | 4   |5. DURING PERIODS OF EMPLOYMENT SHGAN IN ITEM 3. DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS AB SENCE WITHOUT PAY, INCLUDING PERIODS OF MERCHANT MARINE SERVICE, DURING ANY ONE CALENDAR YEAR! YES NO   IF ANSWER IS YES." LIST FOLLOWING INFORMATION,| TYPE IF KNOWN (LWOP, Furi, Susp, AWOL, Mos Mar) | FROM- |       |     |     | TO-  |       |     | TOTAL  |      || ----------------------------------------------- | ----- | ----- | --- | --- | ---- | ----- | --- | ------ | ---- ||                                                 | YEAR  | MONTH | DAY |     | YEAR | MONTH | Car | MONTHS | DAYS |12. TOTAL SERVICE13. HONCREDITABLE SERVICE (Leave purposes only):14. CREDITABLE SA RVICE (KIP purposes only).6. DURING THE FEDERAL SERVICE LISTED IN ITEM 3. DID YOU ACQUIRE A PERMANENT COMPETITIVE CIVIL SERVICE STATUS?   YES NO   (If answer a "You" in what agency were you emphayed at the time stafun was acquired")7 ARE YOUA THE DIVE OF A DRADLED VETTAD? YES NOB The laofMER OF & DECEASED OR DISABLED VETERAN! YES NOC A VETERAN! YES NO1S HEEMPLOYMENT RIGHTSYES NO15 RETENTION HIGHTSYES NO17 PIATION DATE OF ALTIN IKON RIGHTSTO BE EXECUTED BEFORE A NOTARY PUBLIK OM OTHEH PR HUNS AUTHORIZED TO ADMINISTER GATITSI seror (or affirm) that the above statements are true to the best of my knowledge and belief.12 March 1762Subscribed and sworn to before the on the 12 day of Mar 1962 at Washington in Co.[Seal] FinallyNOTE If moth is labra botues Notary Putblic, the date of seuration of his should be shenENSIBLATIONS Ide taulaa on the peces radiately bature or after the permanent side of the employee's(UVER)