Francesco/who-killed-jfk huggingface dataset:
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# SECRET(When Filled In)# MILITARY STATUS QUESTIONNAIRE(READ INSTRUCTIONS ON REVERSE SIDE)1. THIS DATE (Month-day-year)March 18, 19622. NAME (Last-First-Middle)Faires, Daniel (V)3. DATE OF BIRTH (Month-year)August 19356. OFFICE TO WHICH ASSIGNEDEDP/OPSERT7. SUBJECT TO CURRENT DRAFTYES  NO4. SEX(1) MALE (2) FEMALE6. SCHEDULE AND GRADEGS-048. INDICATE DRAFT CLASSIFICATION, IF ANYVETERANS COMPLETE THE FOLLOWING9. BRANCH OF SERVICE ON SE PARATION(Check one)(1) ARMY [X](3) MARINE(2) NAVY(4) AIR FORCE(9) COAST GUARD10. MIL, GRADE ON SEPARATIONCPL (E4)10A. YRS MOS OF ACTIVE SERVICE4 GAS.DO NOT WRITE IN SPACES BELOW1-6. SERIAL NUMBER0061001-24. NAME25-29. DOB193530-31. OFFICE CODE/32-34. SCHD 35-36 GR.6S 6437. DRAFT STATUS38-39. CLASS.40. BRANCH SERVICE 41-42. MIL, GRADE3E 443. STATUS AT SEPARATION11. STATUS AT TIME OF SEPARATION (Check one)[X] (1) REGULAR(2) RESERVE(3) DRAFTER(4) OTHER (Specify)44. TYPE OF SEPARATION(A-less than 8 yrs; B-8 yrs or more)12. TYPE OF SI. PANATION (Check one)PLEASE NOTEALTHOUGH YOU MAY HAVE A SERVICE CONNECTED DISABILITY, DO NOT CHECK THE BOX "RETIRED-SERVICE CONNECTED DISABILITY" UNLESS YOU WERE ACTUALLY RETIRED FOR THIS REASON. IF OTHERWISE, CHECK "HONORABLE DISCHARGE" OR "RELEASED TO INACTIVE DUTY" AS APPROPRIATE, EVEN THOUGH YOU MAY BE DRAWING A DISABILITY ALLOWANCE OR COMPENSATION,[X] (1) RELEASED TO INACTIVE OUTY(5) RETIRED-AGE1 A3 A5 A7 A1 B3 B5 B7 B(2) HONORABLE DISCHARGE(6) RETIRED - SERVICE CONNECTED DISABILITY2 A4 A6 A8 A(3) RETIRED -20 (or more) YRS. SERVICE(7) RE TIRED - COMBAT DISABILITY2 B4 B6 B8 B(4) RE TIRED - LESS THAN 20 YRS. SERVICE(8) OTHER - SPECIFY UNDER COMMENTSMEMBERS OF RESERVE FORCES COMPLETE THE FOLLOWING13. RESERVE BRANCH OR SERVICE14. ORIGINAL ENTRY DATE IN ARMED SERVICES45. BRANCH SERVICE46-49. ENTRY DATE15. SERVICE SERIAL NO.16. MOS, APSC, DESIGNATOR, OR RATING50-56. SERV. SER. NO.60-64. MOS, APSC, ETC.17. MIL. GRADE18. RESERVE CATEGORY (Check one)65-66. MIL. GRADE67. CATEGORY(1) READY(2) STANDBY(3) RE TINED19. EXPIRATION DATE OF APPOINTMENT OR ENLISTMENT (Month and year)68-71. EXPIRATION DATE20. MIL. MOBILIZATION ASSIGNMENT72. MOBILIZATION ASSIGNMENT21. RESERVE UNIT TO WHICH ASSIGNED OR ATTACHED73. ASSIGNMENT UNIT22. COMMENTS74. MOBILIZATION CATEGORYFORM 536 OBSOLETE PREVIOUS EDITION.SECRET141
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# OUTSIDE ACTIVITY APPROVAL REQUESTSPR HR 10.7 POP SUMITTING TO FAR AN ORIGINAL AND COPIES OF THIS FORMTO: DIRECTOR OF SECURITY; ATTN: EMPLOYEE ACTIVITY BRANCHDATE: 16 April 1962THROUGH: (Operating official, administrative and/or security officer)FROM:JOHN A. MAYO, Jr.Security Officer, RIDNAME AND GRADE OF EMPLOYEE (Print of type) COMPONENT ROOM NO. AND BLDG. PHONEFLORES, Daniel 00-04 DDP/OPSER/RID/RB/ID 1 B 4003 67871. DESCRIPTION OF OUTSIDE ACTIVITY FOR WHICH APPROVAL IS REQUESTED:Bartender2. FULL NAMES OF ORGANIZATION AND/OR PERSONS INVOLVEDBartenders Union Local 014 75 Mr. Patrick Duffy3. DATE(S) OF PARTICIPATION AND LOCALE OF ACTIVITYOn call different days of the week.914 F Street, N. W.Washington, D. C.4. REMARKSIn engaging in the requested activity I will make no reference to, or discuss my CIA assignments or duties nor will I make reference to or discuss my CIA employment except as authorized by Headquarters Regulation 10-7.![signature of Daniel Flores]SIGNATURE OF REQUESTING EMPLOYER5. CONCURRENCES AND/OR APPROVAL WITHIN OPERATING OFFICE(signed) John M. WigglesworthJOHN M. WIGGLESWORTHChief, RID/ADMINFOR COMPLETION BY EMPLOYEE ACTIVITY BRANCH AND RETURN OF ORIGINAL TO EMPLOYER![Signature]
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CONFIDENTIAL,(when filled in)MEMORANDUM OF UNDERSTANDINGI hereby acknowledge that I have read and understand the contentsof Handbook 20-4, Employee Conduct, dated 29 August 1961.![signature]Signature![date]DateCONFIDENTIAL
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# APPOINTMENT AFFIDAVITSIMPORTANT. Before swearing to these appointment affidavits, you should read and understand the attached information for appointeeCENTRAL DITELLIGENCE AGENCYWASH DIGTON, Г. С.I. FLORES, DANIEL do solemnly swear (or affirm) that-A. OATH OF OFFICEI will support and defend the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely without any mental reservation or purpose of evasion; that I will well and faithfully discharge the duties of the office on which I am about to enter, SO HELP ME GOD.B. AFFIDAVIT AS TO SUBVERSIVE ACTIVITY AND AFFILIATIONI am not a Communist or Fascist. I do not advocate nor am I knowingly a member of any organization that advocates the overthrow of the constitutional form of the Government of the United States, or which seeks by force or violence to deny other persons their rights under the Constitution of the United States. I do further swear (or affirm) that I will not so advocate. nor will I knowingly become a member of such organization during the period that I am an employee of the Federal Government or any agency thereof.C. AFFIDAVIT AS TO STRIKING AGAINST THE FEDERAL GOVERNMENTI am not participating in any strike against the Government of the United States or any agency thereof, and I will not so participate while an employee of the Government of the United States or any agency thereof. I do not and will not assert the right to strike against the Govern ment of the United States or any agency thereof while an employee of the Government of the United States or any agency thereof. I do further swear (or affirm) that I am not knowingly a member of an organization of Government employees that asserts the right to strike against the Government of the United States or any agency thereof and I will not, while an employee of the Government of the United States or any agency thereof, knowingly become a member of such an organization.D. AFFIDAVIT AS TO PURCHASE AND SALE OF OFFICEI have not, nor has anyone acting in my behalf, given, transferred, promised or paid any con. sideration for or in expectation or hope of receiving assistance in securing such appointment.E. AFFIDAVIT AS TO DECLARATION OF APPOINTEEThe answers given in the Declaration of Appointee on the reverse of this form are true and correct.11 March 1962Subscribed and sworn before me this 12 th day of Farch A. D. 196.Washington,D. C.[SEAL]
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# CONFIDENTIALComplete in duplicate. The data recorded on this form is essential in determining travel expenses allowable in connection with leave at government expense, overseas duty, return to residence upon separation, and for providing current residence and dependency information required in the event of an employee emergency. The original of this form will be filed in the employee's official personnel folder.NAME OF EMPLOYEE(Last)ACRES(First)DANIEL(Middle) SOCIAL SECURITY NUMBER67.45-6250## RESIDENCE DATAPLACE OF RESIDENCE WHEN INITIALLY APPOINTED2528 CYNECICNT ACE. WASS S, DCLAST PLACE OF RESIDENCE IN CONTINENTAL U.S. (If appointed abroad)PLACE IN CONTINENTAL U.S. DESIGNATED AS PERMANENT RESI- HOME LEAVE RESIDENCEDENCE## MARITAL STATUSSINGLE MARRIED SEPARATED DIVORCED WIDOWED ANNULLEDIF MARRIED, PLACE OF MARRIAGESOUTH HILLERICADATE OF MARRIAGENov. 14, 1961IF DIVORCED, PLACE OF DIVORCE DECREE DATE OF DECREEIF WIDOWED, PLACE SPOUSE DIED DATE SPOUSE DIEDIF PREVIOUSLY MARRIED, INDICATE NAME(S) OP SPOUSE, REASON(S) FOR TERMINATION, AND DATE(S)## MEMBERS OF FAMILYNAME OF SPOUSEHOROTHY A. FLORESADDRY 38 (No., Street, City, Zone, State)2828 Connecticut Ave. N.W.TELEPHONE NO.265-8322NAMES OF CHILDREN ADDRESS SEX DATE OF BIRTHNAME OF FATHER (Or male guardian)JOSE J. FLORESADDRESS501 5. Guadalupetis San Marcos,TEXASTELEPHONE NO.NAME OF MOTHER (Or female quantian)ANTERION FLORESADDRESSJOIS CHADALINDEST San Marcos, TEXASTELEPHONE NO.WHAT MEMBER(S) OF YOUR FAMILY IF ANY, HAS BEEN TOLD OF YOUR AFFILIATION WITH THE ORGANIZATION IF CONTACT IS RE-QUIRED IN AN EMERGENCY.## PERSON TO BE NOTIFIED IN CASE OF EMERGENCYNAME (Mr., Mrs., Miss)FLORES DANIEL ARNETTRELATIONSHIPWIFEHOME ADDRESS (Nd., Street, City, Zine, State)2528 Connecticut Ave. N.W., Wash, S. DC.HOME TELEPHONE NUMBER265-5572BUSINESS ADDRESS (No., Street, City, Zone, State) AND NAME OF EMPLOYER, IF APPLICABLE1600 16th St., N. W., Washington, D.C.BUSINESS TELEPHONE EXTENSIONR. 7-5444IS THE INDIVIDUAL NAMED ABOVE BITFING OF YOUR AGENCY AFFILIATION (II "No" give name and address of organisation he believes you work fuw.)YES []NO [X]IS THIS INDIVIDUAL AUTHORIZED TO MAKE DECISIONS ON YOUR BEHALF? (ll "No" give name and address of proth H an who can sale sud deletons in rese of emontener.)YES []NO [X]DOES THIS INDIVIDUAL SNOW THAT HE HAS BEEN DESIGNATED AS YOUR EMERGENCE Drillm?YES []NO [X]The persons named in item 3 above may also be notified in case of emergency. If such notification is not formable because of health other reasons, please se state sa item & on the reverse side of this form.CURRENT RESIDENCE AND DEPENDENCY REPORTCONFIDENTIAL
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CONFIDENTIAL(When Filled in)VOLUNTARY ENTRIESExperience in the handling of employees emergencies has shown that the absence of certain personal data often delays and compl:.cates the settlement of estate and linascial matters. The information requested in this section may prove very useful to your familyor attorney in the event of your disability, 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.UNION TRUST G, WASH., D.C. - Daniel or Diritiny A. FluresBANK OF CALIFORNIA, Portland Ore, Daniel er Direcity H. FluresHAVE YOU COMPLETED A LAST WILL AND TESTAMENT? YES [X] NO. (If "Yes" where to 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 [X] NO. (If "Yes", who possess the power of attorney?)6. ADDITIONAL DATA AND/OR CONTINUATION OF PRECEDING ITEMSSIGNED ATDATESIGNATUREWashington DC March 12, 2012CONFIDENTIAL
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# REQUEST FOR MEDICAL EVALUATIONX SECRETCONFIDENTIALINTERNAL USE ONLYUNCLASSIFIED12 Sept 77Flores, Daniel460-48-6230 4 Aug 35 M13 All EDO/LA 5270 Ops officerFlores, Dorothy 31Jan35 F wife yesFlores, Zola M. 15Mar74 F dau yesMexico City 14 Oct 77 2Nominal State Ops OfficerAssignment to Tokyo, Japan has been cancelled, Subject is now being considered for Mexico City.30313 Jas 5270 Diane M. HoyCHARTERED IN US CS MUSTTO BE EVALUATED PRIOR TOFUTUROES OF PCS.26 OCT 1977
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# REQUEST FOR MEDICAL EVALUATIONSECRET1 NAME (Last, First, Middle): Flores, Dantel" DOB: 4 August 19352 OFFICE DIVISION BRANCH: OTR/FTD/UTB3 POSITION TITLE: Instructor4 GRADE: GS-126 EMPLOYEE & EXT: 51917. PURPOSE OF EVALUATION:[ ] PRE EMPLOYMENT[ ] HOGO/TOY[ ] ENTRANCE ON DUTY[ ] OVERGEAS ASSIGNMENT[X] TOY STANDBY[ ] ETD[ ] STATION[ ] TOY OR PCO[ ] SPECIAL TRAINING[ ] TYPE OF COVER[ ] ANNUAL[ ] NO. OF DEPENDENTS TO ACCOMPANY[ ] NO OF DEΡΓΝΟΡΝΤΟ REPORTO OF MEDICAL HISTORY ATTACHED[ ] RETURN TO DUTY[ ] RETURN FROM OVERSEAS[ ] FITNESS FOR DUTY[ ] ETA[ ] MEDICAL RETIREMENT[ ] STATION[ ] NO. OF DEP. S8 OVERSEAS PLANNING EVALUATION (One block must be checked):[ ] YES[ ] NO9. REQUESTING OFFICER:SIGNATURE:![Signature]Phronsie A. JoynesROOW & BUILDING: 6067 HasEXT. 510110 COMMENTS:Destination: World-Wide11 REPORT OF EVALUATION:Qualified for TDY Standby until 1 August 1978.DATE: 31 August 1976SIGNATURE FOR CHIEF OF MEDICAL STAFF:William T.Golder, ONS/PEO
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# REQUEST FOR MEDICAL EVALUATIONSECRET1. DATE OF REQUEST18 June 19762. NAME (Last, First, Middle)Flores, Daniel3. POSITION TITLEInstructor4. GRADEGS-135. OFFICE DIVISION BRANCHOTR/FTD/OTB6. EMPLOYEE'S EXT.6141DOB 19357 PURPOSE OF EVALUATIONPRE-EMPLOYMENTMOQB/TDYENTRANCE ON DUTYOVERSEAS ASSIGNMENTTDY STANDBYETDSTATIONSPECIAL TRAININGTDY OR PCSANNUALTYPE OF COVERRETURN TO DUTYNO. OF DEPENDENTS TO ACCOMPANYFITNESS FOR DUTYNO OF DEPENDENTS REPORTS OF MEDICAL HISTORY ATTACHEDMEDICAL RETIREMENTRETURN FROM OVERSEASETASTATIONNO. OF DEP.'S8 OVERSEAS PLANNING EVALUATION (One block must be checked)9. REQUESTING OFFICERSIGNATUREYESNOPhronsie A. JoynesEXT.ROOM NO. & BUILDING6057Lines519110. COMMENTS11. REPORT OF EVALUATIONQualified for TDY Standby until 1 August 1978.DATE31 August 1976SIGNATURE FOR CHIEF OF MEDICAL STAFFWilliam T. Golder. CMS/PEOFORM 259 USE PREVIOUS EDITIONSSECRET
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SECRET# REQUEST FOR MEDICAL EVALUATION1 DATE OF REQUEST10 Mar 752 NAME (Last, First, Middle)Flores, Daniel (NMN)3 POSITION TITLEOps Officer4 GRADEGS-125 OFFICE DIVISION BRANCHDDO/LA/COG6 EMPLOYEE'S EXT72657. PURPOSE OF EVALUATIONHDQS/TOYPRE EMPLOYMENTOVERSEAS ASSIGNMENTENTRANCE ON DUTYETDSTATIONXX TOY STANDBYTOY OR PCSTYPE OF COVERSPECIAL TRAININGNO. OF DEPENDENTS TO ACCOMPANYANNUALNO OF DEPENDENTS' REPORTS OF MEDICAL HISTORY ATTACHEDRETURN TO DUTYRETURN FROM OVERSEASFITNESS FOR DUTYETASTATIONMEDICAL RETIREMENTNO. OF DEP.'S8 OVERSEAS PLANNING EVALUATION (one block must be checked)YES9. REQUESTING OFFICERSIGNATUREKathy HallKathy Hill, LA/TrngNOROOM NO & BUILDING3D5317 HasEXT.743110 COMMENTS11 REPORT OF EVALUATIONDisposition deferred until subject fulfills medical requirements.DATE1 April 1975SIGNATURE FOR CHIEF OF MEDICAL STAFFWilliam T. Golder, 04S/RegistrarSECRET
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SECRET1. NAME (Last, First. Middle)Flores, Daniel460-48-62302. DATE OF BIRTH4 Aug 19353. GRADEGS-104. OFFICE. DIVISION, BRANCH (or overseas station and existing cover if lateral assignment)DDP/WH/Guayaquil (State)5. PRESENT POSITION03766. EMPLOYEE EXTENSION74317. PROPOSED STATIONLima, Peru8. PROPOSED POSITION (Title, Number, Grade)Ops Officer/0636/GS-139. TYPE OF COVER AT NEW STATIONState10. ESTIMATED DATE OF DEPARTURESept 7111. NO. OF DEPENDENTS TO ACCOMPANYtwo12. COMMENTSVice: Donald J. VenutoPlease schedule appointments week of 31 May 1971/Mr. Flores' Spanish capabilities are native reading and high speaking which more than meets the language requirements of intermediate reading and speaking for the station.13. DATE OF REQUEST11 Mar 7114. SIGNATURE OF REQUESTING OFFICIAL![Signature of Joan Wright]15. ROOM NUMBER AND BUILDING3D 5309 Hqs16. EXTENSION743117. OFFICE OF MEDICAL SERVICES DISPOSITION18. OFFICE OF SECURITY DISPOSITION19. OVERSEAS CANDIDATE REVIEW PANEL DISPOSITION15 JUN 1971QUALIFIED FOR PROPOSED ASSIGNMENT OVERSEAS![Signature]Chairman, Overseas Candidate Review PanelREQUEST FOR PCS OVERSEAS EVALUATIONSECRET
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# REQUEST FOR MEDICAL EVALUATIONSECRET1. DATE OF REQULS.: 11 Mar 712. NAME (Feat. Vuld): Flores, Daniel (Dependents of)3. POSITION TITLE: Ops Officer4. GRADE: GS-105. OFFICE CIVISION, BRANCH: DDP/WH/Quayaquil6. EMPLOYCE'S EXT.: 74317. PURPOSE OF EVALUATION:HDQS/TDYOVERSEAS AGBIGNMENTETD: September 1971STATION: Lima, PeruTOY OR PCB: PCBTYPE OF COVER: StateNO OF DEPENDENTS TO ACCOMPANY: TwoNO OF DEPENDENTS' REPORTS OF MEDICAL HISTORY ATTACHED:PRE, EMPLOYMENTENTRANCE ON DUTYTOY STANDBYSPECIAL TRAININGANNUALRETURN TO DUTYFITNESS FOR DUTYMEDICAL RETIREMENT8. OVERSEAS PLANNING EVALUATION (One Hark and to checke):YESRETURN FROM OVERSEASETASTATIONNO OF DEP.'S9. REQUESTING OFFICER: Joan WrightSIGNATUREROOM NO & BUILDING: 3D 5900EXT.: 743110. COMMENTS:Dorothy wife 31 Jan 1935Kendra dau 3 Mar 1971Please schedule appointmats veok of 31 May 1971.11. REPORT OF EVALUATION: SPERRY PAKSTON16 87F
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# SECRETREQUEST FOR MEDICAL EVALUATION1 DATE OF REQUEST11 Mar 712 NAMEFlores, Daniel (Dependents of)3 POSITION TITLEOps Officer4. GRADE08-105. OFFICE DIVISION BRANCHDDP/WH/Guayaquil6. EMPLOYEE & EXT.74317. PURPOSE OF EVALUATIONHOQS/IOYOVERBEAS ASSIGNMENTETDSeptember 1971STATIONLima, PeruTDY OR PCBPCBTYPE OF COVERStateNO. OF DEPENDENTS TO ACCOMPANYTwoNO OF DEPENDENTS REPORTS OF MEDICAL HISTORY ATTACHEDRETURN FROM OVERSEASETASTATIONNO. OF DEP, S8 OVERSEAS PLANNING EVALUATIONYES9. REQUESTING OFFICERJoan BrightROOM NO. & BUILDING3D 5300 HqsEXT.743110 COMMENTSDorothy wife 31 Jan 1938Kendra dau 3 Mar 1971Please schedule appointments week of 31 May 1971.SPERRY PRESTONSIGNATURE FOR CHIEF OF MEDICAL STAFF
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# SECRET1. FILE NO. 467-43-62304. OFFICE, DIVISION, BRANCH (for overseas station and DIO/SIO/Cans/Sgfi...(state)7. PROPOSED STATION   Lima, Peru9. TYPE OF COVER AT NEW STATION   State2. : MAY 19635. PRESENT POSITION   10708. PROPOSED POSITION (Title, Number & grade)   Ops Officer/0030/GS-1310. ESTIMATED DATE OF    Septmd3. EXTENSION   743111. NO. OF DEPENDENTS TO ACCOMPANY12. COMMENTS    Vico: Donald J. Venuto    Please schedule appointments week of 31 May 1971/Mr. Floren' Spanish capabilities are native reading and high speaking which more than meets the language requirements of intermediate reading and speaking for the station.13. DATE OF REQUEST    11 Mar 7114. SIGNATURE OF REQUESTING OFFICIAL    Joan Wright15. ROOM NUMBER AND BUILDING. EXTENSION    3D 5309 B/s 743117. OF Qualified Overseas-POR11 June 1971Joe W. Cline, OMS/pro18. OFFICE OF SECURITY DISPOSITION19. OVERSEAS CANDIDATE REVIEW PANEL DISPOSITIONREQUEST FOR PCS OVERSEAS EVALUATION
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SECRET1. NAME (Last, First, Middle)Flores, Daniel2. DATE OF BIRTH4 August 19353. GRADEGS-084. OFFICE DIVISION, BRANCH (For overseas station and existing cover if lateral assignment)DDP/WH/45. PRESENT POSITIONOps Officer6. EMPLOYEE EXTENSION68157. PROPOSED STATIONGuayaquil8. PROPOSED POSITION (Title, Number, Grade)Ops Off 0376 GS-099. TYPE OF COVER AT NEW STATIONDepartment of State10. ESTIMATED DATE OF DEPARTUREo/a 27 April 6911. NO. OF DEPENDENTS TO ACCOMPANY112. COMMENTSVICE KENNETH R. GOODMANWILL INTEGRATE IN 14 APRIL 1969 FSI CLASS89's ATTACHED.13. DATE OF REQUEST6 March 196914. SIGNATURE OF REQUESTING OFFICIALPPMacDougall15. ROOM NUMBER AND BUILDING 16. EXTENSION3D5309 Hqs.681517. OFFICE OF MEDICAL SERVICES DISPOSITION18. OFFICE OF SECURITY DISPOSITION19. OVERSEAS CANDIDATE REVIEW PANEL DISPOSITION25 MAR 1969QUALIFIED![signature]ChairmanREQUEST FOR PCS OVERSEAS EVALUATION
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SECRET# REQUEST FOR MEDICAL EVALUATION2. NAME (Last, First, Middle)Flores, Daniel (dependent)3. OFFICE, DIVISION, BRANCHDDP/WII/44. DATE OF REQUEST6 March 19695. GRADEGS-086. EMPLOYEE'S ENT.68157. PURPOSE OF EVALUATIONHOUS TOY[x] OVERSEAS ASSIGNMENTPRE-EMPLOYMENTENTRANCE ON DUTYTDY STANDBYSPECIAL TRAININGANNUALPTOo/a 27 April 1969STATIONGuayaquil.TDY OR PCSPCSTYPE OF COVERDepartment of StateNO. OF DEPENDENTS TO ACCOMPANY1NO. OF DEPENDENTS' REPORTS OF MEDICAL HISTORY (SF 59) ATTACHEDRETURN TO DUTYRETURN FROM OVERSEASFITNESS FOR DUTYMEDICAL RETIREMENTCTASTATIONNO. OF DEP.'S6. OVERSEAS PLANNING EVALUATION (the block must be checked)[x] YESNO8. SIGNATURE9. REQUESTING OFFICERPPMacDougall WII/PersonnelROOM NO. & BUILDING EXT.3D5309 Hqs. 681510. COMMENTSWife - Dorothy A. - 1/31/3511. REPORTDATEQUALIFIED FOR PROPOSED OS PCSSPERRY-PRESTONSIGNATURE FOR CHIEF OF MEDICAL STAFFSECRET
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SECRET# 1. NAME (Last, First, Middle)Flores, Daniel# 4. OFFICE, DIVISION, BRANCH (for overseas station and existing cover if lateral assignment)DUD/WU/4# 7. PROPOSED STATIONGuayaquil# 9. TYPE OF COVER AT NEW STATIONDepartment of State# 12. COMMENTSVICE KENNETH R. GOODMANWILL INTEGRATE IN 14 APRIL 1969 FBI CLASS83's ATTACHED.# 2. DATE OF BIRTH4 August 1935# 5. PRESENT POSITIONOps Officer# 8. PROPOSED POSITION (Title, Number, Grade)Ops Off 0378 GL-09# 10. ESTIMATED DATE OF DEPARTUREc/a 27 April 69# 3. GRADEGS-09# 6. EMPLOYEE EXTENSION6816# 11. NO. OF DEPENDENTS TO ACCOMPANY1# 13. DATE OF REQUEST6 March 1969# 14. SIGNATURE OF REQUESTING OFFICIALPPMacDougall# 15. ROOM NUMBER AND BUILDING3D0309 Hq.# 16. EXTENSION6816# 17. OFFICE OF MEDICAL SERVICES DISPOSITION# 18. OFFICE OF SECURITY DISPOSITION# 19. OVERSEAS CANDIDATE REVIEW PANEL DISPOSITIONMEDICALLY-QUALIFIED-FORPROPOSED OS PCS![photo of DONALD FARLY]3 21 69REQUEST FOR PCS OVERSEAS EVALUATION
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# SECRET(When Filled in),# REQUEST I OR MEDICAL EVALUATION2. NAME (Lost, First, Middle)   FIORCS, DANIELS. OFFICE, DIVISION, BRANCHDDP/OPGER1. DATE OF REQUEST   6 October 19613. POSITION TITLE   File Clea4. GRADE   05-046. EMPLOYEE'S FAЃ.7. PURPOSE OF EVALUATIONHOQS/TDYOVERSEAS ASSIGNMENTETDSTATIONΤΟΥ OR PCSΤΟΥ STANDBYSPECIAL TRAININGTYPE OF COVERNO. OF DEPENDENTS TO ACCOMPANYNO. OF DR. PENDENTS' REPORTS OF MEDICALHISTORY (SF 89) ATTACHEDANNUALRETURN TO DUTYRETURN FROM OVERSEASFITNESS FOR DUTYEIASTATIONMEDICAL RETIREMENTNO. OF DEP'SB. OVERSEAS PLANNING EVALUATION (One block must be checked)YESNO9. REQUESTING OFFICER   SIGNATUREShirley WellsROOM NO. BUILDING801 1016 16th StreetEXT.2781COMMENTSL REPORT OF ΕΥΑΔΕΙΑΤΙΟΝINVME 2ECIIONHUN SA 19 24 7H 181DATE22NOV 1SIGNATURE FOR CHIEF OF MEDICAL STAFFOFFICE OR SE & '40'SECRETFORM10-60 259 USE PREVIOUSEDITIONS.
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CONFIDENTIAL(When Filled Int)REQUEST FOR PRE-EMPLOYMENT MEDICAL EVALUATION2. NAME (Last)   PLORES,(First)DANIEL(Middle)1. DATE   6 October 19613. SEX   X Male Female4. ORGANIZATIONAL ASSIGNMENT   JDP/OPSER5. POSITION, TITLE AND GRADE   File Clerk GS-C46. MEDICAL STAFF REQUESTED TO CHECK DESIRED ACTION BELOW. RETURN ORIGINAL COPY TO OFFICE OF PERSONNEL.Approve ProcessingFor E. O. D.Hold Pending Receipt of Addi-tional Medical Information(Form Letters Attached)Request Pre-EmploymentMedical ExaminationRejected ForMedical Reasons7. REMARKS   259 Forwarded as of 6 October 1961![Signature for Medical Stuff]FORM NO. 5701 MAYObsolete PreviousEditionsCONFIDENTIAL(4)
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# SECRETSECTION V GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVELNAME OF REGION OR COUNTRY TYPE OF SPECIALIZED KNOWLEDGE DATES OF TRAVEL OR RESIDENCE DATE & PLACE OF STUDY KNOWLEDGE ACQUIRED BY: (CHECK ONE)SECTION VI TYPING AND STENOGRAPHIC SKILLS1. TYPING (WPM) 2. SHORTHAND (WPM) 3. INDICATE SHORTHAND SYSTEM USED: (CHECK ALL APPROPRIATE ITEMS)GREGG SPEEDWRITING STENOTYPE OTHER (SPECIFY)SECTION VII SPECIAL QUALIFICATIONSPROVIDE INFORMATION ON HOBBIES, SPORTS, LICENSES, PUBLISHED MATERIALS OR DEVICES WHICH YOU MAY HAVE INVENTEDSECTION VIII MILITARY SERVICECURRENT DRAFT STATUS1. HAS YOUR SELECTIVE SERVICE CLASSIFICATION CHANGED? 2. NEW CLASSIFICATIONYES 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 GUARDNAVY 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) MTIME 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 COMPLETEDSECTION IX PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONSNAME AND CHAPTER ADDRESS (Number, Street, City, State, Country)SECTION X