[104-10291-10002.pdf — page 204]
# CONTRACT INFORMATION AND CHECK LIST (CONTINUED)*WITH SEE INSTRUCTIONS ON FIRST SHEET.*46. BENEFITS (See HB 30-40. HB 30-41, HB 30.7, HB 30.33. and HB 10.630.1, HB 30:1000-1 and/or successor regulations for benefits applicable to various categories of contract personnel.)Same as Staff Employee## SECTION IX| 47. STATUS (Check)                                                                   | 48. TYPE (Check) | COVER ACTIVITY || ------------------------------------------------------------------------------------ | ---------------- | -------------- || X Proposed                                                                           | X Commercial     |                || 49. -IF COVER PAYMENTS ARE CONTEMPLATED. THEY WILL BE EFFECTED ON REIMBURSABLE BASIS |                  |                || YES                                                                                  | COMPLETE         | PARTIAL        |## SECTION X50. OFFSET OF INCOME AND OTHER EMOLUMENTS DERIVED FROM COVER ACTIVITIES (If less than total, justify in separate memo attached hereto.)TOTAL PARTIAL NONE## SECTION XI| 51. DURATION                               | 52. EFFECTIVE DATE                                                            | 53. RENEWABLE || ------------------------------------------ | ----------------------------------------------------------------------------- | ------------- || MONTHS 2 YEARS                             | YES NO                                                                        |               || 54. TERMINATION NOTICE (Number of days) 30 | 55. FORFEITURE OF RETURN TRAVEL FOR RESIGNATION PRIOR TO CONTRACT TERMINATION |               || YES NO                                     |                                                                               |               |## SECTION XII56. PRIMARY FUNCTION (CI, FI, PP, other) FI## SECTION XIII57. GENERAL DESCRIPTION OF DUTIES TO BE PERFORMEDAs Senior operations officer at Honolulu Base, subject will be responsible for all administration and operational activities of the base. He will handle recruiting of agents once they have been spotted and assessed.## SECTION XIV58. EXPERIENCE QUALIFICATIONSSubject has been employed by the Agency since 25 September 1952| 59. EDUCATION (Check Highest Level Attained)                  | COLLEGE SCHOOL      | BUSINESS SCHOOL GRADUATE |     | TRADE SCHOOL GRADUATE || ------------------------------------------------------------- | ------------------- | ------------------------ | --- | --------------------- || 60. LANGUAGE COMPETENCY (Check Appropriate Degree Competency) | LANGUAGE SPEAK READ |                          |     |                       || HIGH                                                          | X                   | X                        |     |                       || 61. INDIVIDUAL'S COUNTRY OF ORIGIN                            |                     |                          |     |                       || U.S.A.                                                        |                     |                          |     |                       |62. AREA KNOWLEDGE Japan## SECTION XV EMPLOYMENT PRIOR TO CIA63. GIVE INCLUSIVE DATES, POSITION, TITLE OR TYPE WORK, SALARY AND REASON FOR LEAVING1941-42 - Univ. of Calif.1942-46 - U.S. Navy1946-52 - War Dept, Intel Specialist## SECTION XVI ADDITIONAL INFORMATION64. ADDITIONAL OR UNUSUAL REQUIREMENTS, JUSTIFICATIONS OR EXPLANATIONS (Use other side if necessary)![signature of requesting approving officer]![typed name & signature of requesting officer] 2 NOV 1964 ![typed name & signature of contract approving officer]SECRET