Francesco/who-killed-jfk huggingface dataset:
[104-10225-10006.pdf — page 206]
ADMINISTRATIVEInternal Use Only# REPORT OF SERVICE ABROADTO: Office of Personnel, Control Division, Statistical Reporting BranchSERIAL NO.LASTFIRSTMIDDLE1-67-24026130 FLORES DANIELINSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMNTO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA, CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USINGTHE NUMBER FOR THE MONTH. AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OFI NO. 58. REVISED.PCS CATES OF SERVICE| ARRIVAL O/S | DEPARTURE O/S | TYPE OF DATA     | O/P USE ONLY | COUNTRY | CODE  || ----------- | ------------- | ---------------- | ------------ | ------- | ----- || MONTH       | MONTH         |                  | CODE         |         |       || DAY         | DAY           | 1 - PCS (Basic)  | 37           |         | 40-42 || YEAR        | YEAR          | 3 - CORRECTION   | 38 39        |         |       || 25-26       | 31-32         | 5 - CANCELLATION |              |         |       || 27-28       | 33-34         |                  |              |         |       || 29-30       | 35-36         |                  |              |         |       |TOY CATES OF SERVICE| ARRIVAL O/S | DEPARTURE O/S | TYPE OF CATA     | O/P USE ONLY | AREA(S)    | CODE  || ----------- | ------------- | ---------------- | ------------ | ---------- | ----- || MONTH       | MONTH         |                  | CODE         |            |       || DAY         | DAY           | 2 - TOY (Basic)  | 37           |            | 40-42 || YEAR        | YEAR          | 4 - CORRECTION   | 38 39        |            |       || 25-26       | 31-32         | 6 - CANCELLATION |              | WESTERN    |       || 27-28       | 33-34         |                  |              | HEMISPHERE | 81    || 29-30       | 35-36         |                  |              |            |       |102877110377OFFICE 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/PERIODREMARKS| PREPARED BY        |              | REPORT ANNOTATED IN CONTROL DOCUMENT | ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCE DOCUMENT CITED || ------------------ | ------------ | ------------------------------------ | -------------------------------------------------------------- || DCO                | DATE 1/23/78 | SIGNATURE: *Daniel G. Fan*           |                                                                || [X] C & L DIVISION |              |                                      |                                                                || C & T DIVISION     |              |                                      |                                                                |THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNELIN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERADMINISTRATIVE-Internal Use Only
[104-10225-10006.pdf — page 207]
# ADMINISTRATIVEInternal Use Only# REPORT OF SERVICE ABROADTO: Office of Personnel, Control Division, Statistical Reporting Branch| SERIAL NO. | LAST    | NAME   | MIDDLE || ---------- | ------- | ------ | ------ || 1-6        | (Print) | FIRST  |        || 026130     | Flores  | Daniel |        |INSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR FITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMNTO DESIGNATE WHETHER SUBMISSION IS OF RASIC DATA, CORPECTION, OP CANCELLATION (One only). REPORT DATES DY USINGTHE 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 |     || ----- | ----------- | ----- | ----- | ------------- | ----- | --- | --- | --------------- | ---- | ------------ | ----- | ------- | --- || MONTH | DAY         | VEAD  | MONTH | Dav           | YEAR  |     |     | 1. PCS (Basic)  | CODE |              | 38 39 | CODE    |     || 25-26 | 27-26       | 29-30 | 31-32 | 33-34         | 35-34 |     |     | 3. CORRECTION   | 37   |              |       | 40-42   |     ||       |             |       |       |               |       |     |     | 5. CANCELLATION |      |              |       |         |     |TOY DATES OF SERVICE|       | ARRIVAL O/S |       |       | DEPARTURE O/S |       |     |     | TYPE OF DATA    |      | O/P USE ONLY |     | AREA(S)    |     || ----- | ----------- | ----- | ----- | ------------- | ----- | --- | --- | --------------- | ---- | ------------ | --- | ---------- | --- || MONTH | DAY         | VEAD  | MONTH | DAV           | YEAR  |     |     | 2. TOY (Basic)  | CODE |              |     | CODE       |     || 25-26 | 27-26       | 29-30 | 31-32 | 33-34         | 35-34 |     |     | 4. CORRECTION   | 37   | 38 39        |     | 40-42      |     || 10    | 17          | 77    | 02    | 07            | 77    |     |     | 6. CANCELLATION | 2    |              |     | вакила 120 |     |OFFICE OF PERSONNEL USE ONLY - PUNCH AREASOURCE DOCUMENT AND CERTIFICATION[TRAVEL VOUCHER]CABLEDISPATCHDUTY STATUS OR "TIWE AND ATTENDANCE REPORTOTHER (Specify)DOCUMENT IDENTIFICATION N০,DOCUMENT DATE/PERIOD16. Dec. 77BEWARES![signature]THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNELIN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERADMINISTRATIVE-Internal Use Only
[104-10225-10006.pdf — page 208]
CONFIDENTIALSE TRAINING REPORT SOVIET/EAST EUROPEAN OPERATIONS COURSE| STUDENT             | YEAR OF BIRTH        | GRADE || ------------------- | -------------------- | ----- || Flores, Daniel      | 1935                 | GS-12 || EOD DATE            | OFFICE               |       || March 1962          | LA                   |       || SERVICE DESIGNATION | COURSE DATES         |       || D                   | 7 - 15 November 1977 |       |COURSE OBJECTIVESTo orient the student on the special nature of the Directorate of Operation's Soviet/East European target and to examine the application of clandestine methods for collecting information on assessing and preparing recruitment operations against Soviet/East European personalities.ACHIEVEMENT RECORDThis is a certificate of attendance. No evaluation is made of individual performance in the course.![signature]SE Training OfficerCONFIDENTIAL
[104-10225-10006.pdf — page 209]
CONFIDENTIALOFFICE OF TECHNICAL SERVICESBEHAVIORAL ACTIVITIES BRANCHHUMAN ELEMENTS IN OPERATIONAL TARGETING1.  This certifies that *Daniel Flores - LA* has completed five days of training in the course, Human Elements in Operational Targeting.2.  Primary goals of the course are to familiarize Agency case officers with applied psychology techniques as they relate to operational data collection, evaluation and application in the assessment and manipulation of target personalities.3.  This is a certificate of attendance only. Student achievement was not evaluated.![signature]OTS/Training BranchCONFIDENTIAL.E2 INPDET CL BY 019432
[104-10225-10006.pdf — page 210]
S-E-C-R-E-TTRAINING REPORT/CERTIFICATION OF HANILIN QUALIFICATIONTITLE: Countering Terrorist Tactics Course No. 16-77 DATES: 19-23 September 1977STUDENT: FLOMS, Daniel OFFICE: LA SD: DFURIOUSE AND SCOPE OF COURSE:(S) This course stressed countermeasures to thwart terrorist acts against U.S. personnel abroad. Coverage inclules a discussion of the modus operandi of terrorist groups, recognition and familiarity with explosive devices employed, basic skills training in the use of hand weapons and Mace-type chemical devices, discussion and demonstration of residential security measures, and specialized driving techniquos designed to counter vehicular kidnapping attempts.PERFORMANCE RECORD:(U/AIUO) This is to certify that the student has satisfactorily completed the prescribed course of instruction.HANTIIN QUALIFICATION:(C) Stalent completed 24 hours of instruction on handguns at the Special Training Center on 23 September 1977; subsequently fired the Handgun Qualification test achieving a score of:Revolver (Cal. - .38) 289Automatic (Cal. - 9mm) 255out of a possible 300.(U/AIVO) The student demonstrated satisfactory application of safety procedures; mechanical aptitude; marksmanship techniques; and maintenance during range firing/classroom sessions; and is qualified to use the handguns (or similar gums) listed above.FOR THE DIRECTOR OF TRAINING:![signature]John H. SawyerChief, Special Activities Branch/OTD Special Training Center 9/26/77DateS-E-C-RE-T E2 IMPDETCL by 056382
[104-10225-10006.pdf — page 211]
SECRET(When Filled In)# REPORT OF SERVICE ABROADTO: Office of Personnel, Control Division, Statistical Reporting BranchSERIAL NO.NAMELASTFIRSTMIDDLEINSTRUCTIONSUSE 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 THE NUMBER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OFI NO. 58, REVISEDPCS 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) 3. CORRECTION 5. CANCELLATION | 38 39 |     | 40-42 || 25-26       | 27-28         | 29-30        | 31-32        | 33-34   | 35-36 |                                              |       |     |       |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) 4. CORRECTION 6. CANCELLATION | 38 39  |     || 25-26       | 27-28         | 29-30        | 31-32        | 33-34   | 35-36 |                                              |        |     || 2           | /             | 76           | 2            | 10      | 76    | 2                                            | Canada | 120 |OFFICE OF PERSONNEL USE ONLY - PUNCH AREASOURCE DOCUMENT AND CERTIFICATIONTRAVEL VOUCHER DISPATCHCABLE DUTY STATUS OR TIME AND ATTENDANCE REPORTOTHER (Specify)DOCUMENT IDENTIFICATION NO. DOCUMENT DATE/PERIODREMARKSPREPARED BY REPORT ANNOTATED TO ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCE DOCUMENT CITEDDATE SIGNATURETHIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERSECRET
[104-10225-10006.pdf — page 213]
# ADMINISTRATIVEInternal Use Only# REPORT OF SERVICE ABROADTO: Office of Personnel, Control Division, Statistical Reporting Branch|            |                  NAME                  || ---------- | :------------------------------------: || SERIAL NO. |                                        || 1-6        | LAST           FIRST            MIDDLE ||            |          (Print)        7-24           || **036130** |      **FLORES**       **DANIEL**       |INSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN TO DESIGNATE WHE THEN SUBMISSION 15 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. 38. REVISCO.PCS DATES OF SERVICE|     | ARRIVAL O/S | DEPARTURE O/S | TYPE OF DATA | CODE  | O/P USE ONLY | COUNTRY |      CODE       |     |       |     |       || --- | :---------: | :-----------: | :----------: | :---: | :----------: | :-----: | :-------------: | --- | ----- | --- | ----- ||     |    MONTH    |      DAY      |     YEAR     | MONTH |     DAY      |  YEAR   |                 |     |       |     |       ||     |    25-26    |     27-28     |    29-30     | 31-32 |    33-34     |  35-36  | 1. PCS (Rasic)  | 37  | 38 39 |     | 40-42 ||     |             |               |              |       |              |         |  3. CORRECTION  |     |       |     |       ||     |             |               |              |       |              |         | 5. CANCELLATION |     |       |     |       |TOY DATES OF SERVICE|     | ARRIVAL O/S | DEPARTURE O/S | TYPE OF DATA |  CODE  | O/P USE ONLY | AREA(S) |      CODE       |     |       |            |         || --- | :---------: | :-----------: | :----------: | :----: | :----------: | :-----: | :-------------: | --- | ----- | ---------- | ------- ||     |    MONTH    |      DAY      |     YEAR     | MONTH  |     DAY      |  YEAR   |                 |     |       |            |         ||     |    25-26    |     27-28     |    29-30     | 31-32  |    33-34     |  35-36  | 2. TDY (Basic)  | 37  | 38 39 |            | 40-42   ||     |   **02**    |    **09**     |    **77**    | **02** |    **18**    | **77**  |  4. CORRECTION  |     | **2** | **CANADA** | **120** ||     |             |               |              |        |              |         | 6. CANCELLATION |     |       |            |         |OFFICE OF PERSONNEL USE ONLY - PUNCH AREA![office of personnel use only punch area annotation]SOURCE DOCUMENT AND CERTIFICATION[x] TRAVEL VOUCHER DISPATCHCABLE DUTY STATUS OR TIME AND ATTENDANCE REPORTOTHER (Specify)DOCUMENT IDENTIFICATION NO. DOCUMENT DATE/PERIODLA 10-77 2/9-2/18/77REMARKSPREPARED BY REPORT ANNOTATED ON ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCECONTROL DOCUMENT DOCUMENT CITED![prepared by annotation]DATE SIGNATURE3/25/77 ![signature]THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNELIN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERADMINISTRATIVE-Internal Use Only
[104-10225-10006.pdf — page 214]
ADMINISTRATIVEInternal Use OnlyREPORT OF SERVICE ABROADTO: Office of Fersommel, Control Division, Statistical Reporting BranchSERIAL NO.|        | LAST   | FIRST  | MIDDLE || ------ | ------ | ------ | ------ || 036130 | FLORES | DANIEL |        |INSTRUCTIONSUSE APPROPRIATE SPACE BELCO TO REPORT DATA FOR FITHER PCS OR TOY. INSERT APPROPRIATE COUT NUMBER IN "CODE" COLUMNTO DESIGNATE WHETHER SLISMISSION IS OF BASIC DATA, CORRECTION. OR CANCELLATION (One only). HEPORT DATES BY USINGTHE NUMBER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR, REFER TO OFI NO. 58. REVISED.PCS DATES OF SERVICE|       | ARRIVAL 0/S |       | DEPARTURE O/S |       | TYPE OF DATA    | CODE | O/P USE ONLY | COUNTRY | CODE  || ----- | ----------- | ----- | ------------- | ----- | --------------- | ---- | ------------ | ------- | ----- || MONTH | DAY         | YEAR  | MONTH         | DAY   | YEAR            |      |              |         |       || 25-26 | 27-28       | 28-30 | 31-32         | 33-34 | 35-36           |      | 38 39        |         | 40-42 ||       |             |       |               |       | 1. PCS (Basic)  | 37   |              |         |       ||       |             |       |               |       | 3. CORRECTION   |      |              |         |       ||       |             |       |               |       | 5. CANCELLATION |      |              |         |       |TDY DATES OF SERVICE|       | ARRIVAL 0/S |       | DEPARTURE O/S |       | TYPE OF DATA    | CODE | O/P USE ONLY | AREA(S) | CODE  || ----- | ----------- | ----- | ------------- | ----- | --------------- | ---- | ------------ | ------- | ----- || MONTH | DAY         | YEAR  | MONTH         | DAY   | YEAR            |      |              |         |       || 25-26 | 27-28       | 29-30 | 31-32         | 33-34 | 35-36           |      |              |         | 40-42 || 02    | 22          | 77    | 02            | 25    | 77              |      | 38 39        | CANADA  | 120   ||       |             |       |               |       | 2. TOY (Basic)  | 37   |              |         |       ||       |             |       |               |       | 4. CORRECTION   |      |              |         |       ||       |             |       |               |       | 6. CANCELLATION |      |              |         |       |OFFICE OF PERSONNEL USE ONLY - PUNCH AREASOURCE DOCUMENT AND CERTIFICATION[X] TRAVEL VOUCHERDISPATCHCABLEDUTY STATUS OP TIME AND ATTENDANCE REPORTOTHER (Specify)DOCUMENT IDENTIFICATION NO.LA10-77DOCUMENT DATE/PERIOD2/22-2/25/27REMARKSPREPARED BY[X] DCODATE3/25/77ABOVE DATA CERTIFIED CORDECT, BASED UPON SOURCEDOCUMENT CITIOSIGNATURETHIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNELIN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERADMINISTRATIVE-Internal Use Only
[104-10225-10006.pdf — page 215]
ADMINISTRATIVEInternal Use Only# REPORT OF SERVICE ABROADTO: Office of Personnel, Control Division, Statistical Reporting BranchSERIAL NO.LASTNAME036130 FLORES DANIELINSTRUCTIONSUSE 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 THE NUMBER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OFI NO. 35. REVISED.PCS DATES OF SERVICE| ARRIVAL O/S |       |       | DEPARTURE O/S |       |       | TYPE OF DATA    | CODE | O-P USE ONLY | COUNTRY | CODE |     || ----------- | ----- | ----- | ------------- | ----- | ----- | --------------- | ---- | ------------ | ------- | ---- | --- || MONTH       | DAY   | YEAR  | MONTH         | DAY   | YEAR  | 1. PCS (Basic)  |      |              |         |      |     || 25-26       | 27-28 | 29-30 | 31-32         | 33-34 | 35-36 | 3. CORRECTION   | 37   | 38 39        | 40-42   |      |     ||             |       |       |               |       |       | 5. CANCELLATION |      |              |         |      |     |TDY DATES OF SERVICE| ARRIVAL O/S |       |       | DEPARTURE O/S |       |       | TYPE OF DATA    | CODE | O-P USE ONLY | AREA(S)            | CODE |     || ----------- | ----- | ----- | ------------- | ----- | ----- | --------------- | ---- | ------------ | ------------------ | ---- | --- || MONTH       | DAY   | YEAR  | MONTH         | DAY   | YEAR  | 2. TDY (Basic)  |      |              |                    |      |     || 25-26       | 27-28 | 29-30 | 31-32         | 33-34 | 35-36 | 4. CORRECTION   |      |              |                    |      |     || 03          | 03    | 77    | 03            | 05    | 77    | 6. CANCELLATION | 2    |              | WESTERN HEMISPHERE | 811  |     |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 PERIODLA.10-77 3/3-3/5/77REMARKSPREPARED BY![photo of preparer's signature]DATE3/25/77![photo of approver's signature]THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERADMINISTRATIVE-Internal Use Only
[104-10225-10006.pdf — page 216]
CONFIDENTIAL# RESIDENCE AND DEPENDENCY REPORTAN ORIGINAL OF THIS FORM WILL BE EXECUTED BY EACH EMPLOYEE AT THE TIME OF HIS APPOINTMENT AND WHEN A CHANGE OCCURSIN THE INFORMATION SHOWN BELOW. ITEMS OF CHANGE MAY BE REPORTED IN THE APPROPRIATE BLOCKS WITHOUT COMPLETING THEREMAINDER OF THE FORM (EXCEPT THE EMPLOYEE'S SIGNATURE AND DATE. WHEN EXECUTING ITEM 4 ALSO COMPLY WITH HND 20-7.PERSONNEL EMERGENCY AND LOCATOR RECORDS. THIS FORM WILL BE COMPLETED ONLY BY HEADQUARTERS PERSONNEL AND NOT SENTTO THE FIELD. FORM WILL BE FILED IN THE EMPLOYEE'S OFFICIAL PERSONNEL FOLDER.## GENERALNAME OF EMPLOYEE:Flores Daniel1. MARITAL STATUS   SINGLE [X] MARRIED SEPARATED DIVORCED WIDOWED ANNULLED   IF MARRIED, PLACE OF MARRIAGE: DATE OF MARRIAGE   Lima, Peru 18 Nov 1960   IF DIVORCED, PLACE OF DIVORCE DECREE DATE OF DECREE2. MEMBERS OF FAMILY   NAME OF SPOUSE ADDRESS TELEPHONE NO.   Dorothy A. Flores 8151 Larkin Lane, Vienna, Va. 573-0797   NAMES OF CHILDREN ADDRESS SEX DATE OF BIRTH   Zola Marie Flores (Same as above) F 15 Mar 74NAME OF FATHER (or male guardian) ADDRESS TELEPHONE NO.NAME OF MOTHER, INCLUDING MAIDEN NAME (or ADDRESS TELEPHONE NO.female guardian)WHAT MEMBERS OF YOUR FAMILY IF ANY, HAS BEEN TOLD OF YOUR AFFILIATION WITH THE ORGANIZATION IF CONTACT IS RE-QUIRED IN AN EMERGENCY.Mr. Lonnie Bruce - Brother-in-law3. OTHER RELATIVES WHO ARE DEPENDENT UPON ME FOR AT LEAST 51% OF THEIR SUPPORT AND MEET OTHER REQUIRE-   MENTS IN TRAVEL REGULATIONS. SPECIFY NAMES AND RELATIONSHIPS.RELATIONSHIP4. PERSON RESIDING IN U.S. TO BE NOTIFIED IN CASE OF EMERGENCY   Mr. Vincente Patlan Brother-in-law627 South River St., Seguin, Tex. 78155 512-379-1087Seguin School District SystemDepartment of StateDorothy A. Flores - SpouseXXX
[104-10225-10006.pdf — page 217]
# CONFIDENTIALVOLUNTARY ENTRIESExperience in the handling of employee emergencies has shown that the absence of certain personal data often delays and complicates the settlement of estate and financial matters. The information requested in this section may prove very useful to your family or attorney in the event of your disability or death and will be disclosed only when circumstances warrant.INDICATE NAME AND ADDRESS OF ANY BANKING INSTITUTIONS WITH WHICH YOU HAVE ACCOUNTS AND THE NAMES IN WHICH THE ACCOUNTS ARE CARRIED.ARE YOU A MEMBER OF THE NORTHWEST FEDERAL CREDIT UNION?YES    NOIF YES, DO YOU HAVE A JOINT ACCOUNT?YES   NOHAVE YOU COMPLETED A LAST WILL AND TESTAMENT?YES   NO. (If "Yes" where is document located?)HAVE YOU PREPLANNED AN ARRANGED GUARDIANSHIP OF YOUR CHILDREN IN CASE OF COMMON DISASTER TO BOTH PARENTS?YES   NO. (If "Yes" give name(s) and address)HAVE YOU EXECUTED A POWER OF ATTORNEY?YES   NO. (If "yes", who possess the power of attorney)6.  ADDITIONAL DATA AND/OR CONTINUATION OF PRECEDING ITEMS7. RESIDENCE DATA - TO BE COMPLETED ONLY BY EMPLOYEES ENTERING ON DUTYRESIDENCE WHEN EMPLOYED (Full Address) (No Approval Required)PERMANENT PLACE OF RESIDENCE AS DEFINED IN MR 22-3(Full Address)8. CHANGE IN PERMANENT PLACE OF RESIDENCE (see MR 22.3)CONFIDENTIAL