Francesco/who-killed-jfk huggingface dataset:
[104-10291-10002.pdf — page 232]
# SECRET(When Filled In)## SECTION V GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE | DATES OF TRAVEL OR RESIDENCE | DATE & PLACE OF STUDY | KNOWLEDGE ACQUIRED - CHECK (X)  || ------------------------- | ----------------------------- | ---------------------------- | --------------------- | ------------------------------- ||                           |                               |                              |                       | DENCE TRAVEL STUDY ASSIGN- MENT ||                           |                               | MAR 22 04 34 71              |                       |                                 |## SECTION VI TYPING AND STENOGRAPHIC SKILLS1. TYPING (WPM) 2. SHORTHAND (WPM) 3. INDICATE SHORTHAND SYSTEM USED - CHECK (X) APPROPRIATE ITEM. `[]` GREGG `[]` SPEEDWRITING `[]` STENOTYPE `[]` OTHER SPECIFY:## SECTION VII SPECIAL QUALIFICATIONSPROVIDE INFORMATION ON HOBBIES, SPORTS, LICENSES, PUBLISHED MATERIALS OR DEVICES WHICH YOU MAY HAVE INVENTED.## SECTION VIII MILITARY SERVICE CURRENT DRAFT STATUS1. HAS YOUR SELECTIVE SERVICE CLASSIFICATION CHANGED?`[]` YES `[]` NO 2. NEW CLASSIFICATION3. LOCAL SELECTIVE SERVICE BOARD NUMBER AND ADDRESS4. IF DEFERRED, GIVE REASONMILITARY RESERVE, NATIONAL GUARD STATUSCHECK RESERVE OR GUARD ORGANIZATION 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) `[]` RETIRED `[]` 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 COMPLETED || -------------------------- | ----------------------- | -------------- ||                            |                         |                |## SECTION IX PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS| NAME AND CHAPTER | ADDRESS (Number, Street, City, State, Country) | DATE OF MEMBERSHIP || ---------------- | ---------------------------------------------- | ------------------ ||                  |                                                | FROM TO            ||                  |                                                |                    |## SECTION X REMARKSDATE 17 MAR 1971 SIGNATURE OF EMPLOYEE![signature of employee Robert P. Wheeler]SECRET
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SECRET(When Filled In)QUALIFICATIONS 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 auto-matically for much information; however, some must be obtained directly from you. This form is for that purpose.Section I must be completed in all cases. You need provide other information only if there have been changes sinceyou submitted your Forin 444), "Qualifications Supplement to the Personal 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 signedand dated form should be returned through administrative channels to the File Room, Office of Personnel, Room 5E-13Headquarters, whether information is added or not.Additionally, a qualifications update may take place at any time there is information to be added or changed simplyby completing and returning an update form on your initiative.SECTION I BIOGRAPHIC AND POSITION DATAEMP. SER. NO. NAME (Last-Piret-Middle) DATE OF DIRTH SD060947 WHEELER, Robert P. 4 Oct 1915 DSECTION 11 EDUCATIONLAST HIGH SCHOOL ATTENDED HIGH SCHOOL YEARS ATTENDED (From-To) GRADUATEADDRESS (City, State. Country)YES NOCOLLEGE OR UNIVERSITY STUDYNAME AND LOCATION OF COLLEGE OR UNIVERSITY SUBJECT YEARS ATTENDED DEGREE YEAR NO. SEM/QTR.MAJOR MINOR FROM TO RECEIVED RECEIVED HRS.(Specify)2. IF A GRADUATE DEGREE HAS BEEN NOTED ADOVE WHICH REQUIRED SUBMISSION OF A WHITTEN THESIS, INDICATE THE TITLE OF THETHESIS AND DNIEPLY DESCRIBE ITS CONTENT.TRADE, COMMERCIAL AND SPECIALIZED SCHOOLSNAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHSOTHER HOA-AGENCY EDUCATION OR TRAINING MOT INDICATED ABOVENAME AND ADDRESS OF SCHOOL STUDY, OR SPECIALIZATION FROM TO NU, OF MONTHSSECTION 111 HARITAL STATUSPRESENT STATUS (Single Married, Widowed, Separated. Divorced, Annulled, Remarried) SPECIFY!2. NAME OF SPOUSE (Last) (First) (Middle) (Maiden)3. DATE OF DIRTH 4. PLACE OF AIRTH (City.State. Country)5. OCCUPATION 6. PRESENT EMPLOYER7. CITIZENSHIP 0. FORMER CITIZENSHIP(S) COUNTRYLIES) 3. DATE U.S. CITIZENSHIP ACQUIREDSECTION IV DEPENDENT CHILDASD AND DEPENDENTS OTHER THAI SPOUSEHAME RELATIONSHIP DATE AND PLACE OF BIRTH.. CITIZENSHIP PERMANENT ADURESS1. ADDDELETE2. ADDDELETEFORM un use PREVIOUS10-83 COITIONSSECRET
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# SECRET(when Filled 701)## SECTION VGEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE | DATES OF TRAVEL OR RESIDENCE | DATE OF STUDY | SKILLS REQUIRED BY CHECK (X) APPROPRIATE ITEM || ------------------------- | ----------------------------- | ---------------------------- | ------------- | --------------------------------------------- ||                           |                               | Apr 24                       | 2 15 PH '70   |                                               ||                           |                               |                              |               |                                               ||                           |                               |                              |               |                                               |## SECTION VITYPING AND STENOGRAPHIC SKILLS MAN-ROOM1. TYPING (HPM) 2. SHORTHAND (WPM) 3. INDICATE SHORTHAND SYSTEM USED CHECK (X) APPROPRIATE ITEM.☐ GREGG☐ SPEEDWRITING☐ STENOTYPE☐ OTHER SPECIFY:## SECTION VIISPECIAL QUALIFICATIONSPROVIDE INFORMATION ON HOBBIES, SPORTS, LICENSES, PUBLISHED MATERIALS OR DEVICES WHICH YOU MAY HAVE INVENTED.## SECTION VIIIMILITARY SERVICECURRENT DRAFT STATUS1. HAS YOUR SELECTIVE SERVICE CLASSIFICATION CHANGED? 2. NEW CLASSIFICATION☐ YES ☐ 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 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) ☐ RETIRED ☐ DISCHARGED5. MILITARY MOBILIZATION ASSIGNMENTd. 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 COMPLETED   || -------------------------- | ----------------------- | ---------------- ||                            |                         | Resident         ||                            |                         | Agency Sponsored |## SECTION IXPROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS| NAME AND CHAPTER | ADDRESS (Number, Street, City, State, Country) | DATE OF MEMBERSHIP || ---------------- | ---------------------------------------------- | ------------------ ||                  |                                                | FROM TO            ||                  |                                                |                    ||                  |                                                |                    |## SECTION XREMARKS---DATE 4/23/70 SIGNATURE OF EMPLOYEERobert R MillerSECRET
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# SECRET## QUALIFICATIONS UPDATEREAD INSTRUCTIONS CAREFULLY BEFORE COMPLETING, TYPK OR PRINT, AVOID USING LIGHT COLORED INKSNow that your qualifications are a matter of computer round, they must be periodically updated. This is done automatically for much information; however, some must tuned directly from you. This form is for that purpose. Section I must be completed in all cases. You need trade other information only if there have been changes since you submitted your Form 444. "Qualifications Supplement to the Personal History Statement." or a previous update form. If you are in doubt whether information has been preravasis submitted, enter it in the appropriate section. The signed and dated form should be returned through administrative channels to the File Room, Ofice of Personnel, Room 58-13 Headquarters, whether information 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 ixitulite.## SECTION I BIOGRAFNIC AND POSITION DATA`060942` WHEELER Robert Prentiss## SECTION IILAST MIGH SCHOOL ATTENDEDEDUCATIONHIGH SCHOOLADDRESS (y.State.Country)DATE OF BIRTH10/4/15TEARS ATTENDED (From-T02 RADUATECOLLEGE OR UNIVERSITY STUDYNAME AND LOCATION OF COLLEGE OR UNIVERSITYSUBJECTVEARS ATTENDED FROM RECEIVEDDEGREE RECEIVEDNO. ST.M/эта.IF A GRADUATE DEGREE HAS BEEN NOTED AHOVE WHICH REQUIRED SUBMISSION OF A WRITTEN THESIS, INDICATE THE TITLE OF THE THESIS AND ARICTLY DESCAINE ITS CONTENT.TRADE, COMMERCIAL AND SPECIALIZED SCHOOLSNAME AND ADDRESS OF SCHOOLSOOR SPECIALIZATIONFROM TOOF MONTHSNAME AND ADDRES OF SCHOOLOTHER MON-AGENCY EDUCATION OR TRAINING HOT INDICATED ABOVEU SPECIALIZATIONIRCU T()## SECTION IIIPHESING STATUS (Single Varried. ed. Seper.)NAME OF SPOUSEDATE OF BIRTOCCUPATIONCITIZENSHIPFLACE OF alate joure.State.Country)PRESENT FEPLOYFONKE Country114)A: .. CITIZENSHIP ACQUIRED## SECTION IV DEPENDENT CHILORER ARD COPENCOTS OTHER THAH SPOUSEADD UNFEIERSECRET
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SECRETQUALIFICATIONS SUPPLEMENT TO PERSONAL HISTORY STATEMENTSECTION I2060947 WHEELER ROBERT P.D IC PROGRAM EVALSECTION II| AREA                     | AGENCY OVERSEAS SERVICE | TYPE TOUR | FROM     | TO       || ------------------------ | ----------------------- | --------- | -------- | -------- || JAPAN                    |                         | PCS 56    | 52/09/01 | 58/06/01 || UNITED STATES OF AMERICA |                         | PCS RR    | 64/08/26 | 66/06/12 || Japan                    |                         | PCS 59    | 59/06/15 | 61/05/20 || USA                      |                         | PCS 56    | 56/06/15 | 59/06/18 |OVERSEAS DATADATE: 31 MAY 67SECTION III| DEGREE | MAJOR FIELD                             | EDUCATION | COLLEGE                   | YEAR || ------ | --------------------------------------- | --------- | ------------------------- | ---- || BACH   | POLITICAL SCIENCE (GOVERNMENT), GENERAL |           | CAL UNIV berkeley         | 40   || MSTR   | INTERNATIONAL RELATIONS, GENERAL        |           | GEORGE WASHINGTON UNIV DC | 46   |
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SECRETSECTION M1. PRESENT STATUS (Single, Married, Widowed, Separated, Divorced, Annulled, Remarried SPECIFY):2. NAME OF SPOUSE3. DATE OF BIRTH4. PLACE OF BIRTH (City, State, Country)5. OCCUPATION6. PRESENT EMPLOYER7. CITIZENSHIP8. FORMER CITIZENSHIPS, COUNTRIES9. DATE U.S. CITIZENSHIP ACQUIREDSECTION XDEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSE| NAME                        | RELATIONSHIP | DATE AND PLACE OF BIRTH | CITIZENSHIP | PERMANENT ADDRESS  || --------------------------- | ------------ | ----------------------- | ----------- | ------------------ || Robert Prentiss Wheeler, Jr | Son          | 2/15/51 Tokyo           | USA         | Bethesda, Maryland || Melissa C.                  | Daughter     | 2/1/51 Tokyo            | USA         | "                  || Charles Slayton             | Son          | 2/11/53 Tokyo           | USA         | "                  || Mary S.                     | Daughter     | 2/16/55 Tokyo           | USA         | "                  |SECTION XIPROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS| NAME AND CHAPTER | ADDRESS (Number, Street, City, State, Country) | DATE OF MEMBERSHIP FROM | TO  || ---------------- | ---------------------------------------------- | ----------------------- | --- ||                  |                                                |                         |     ||                  |                                                |                         |     ||                  |                                                |                         |     ||                  |                                                |                         |     ||                  |                                                |                         |     ||                  |                                                |                         |     ||                  |                                                |                         |     |3/22/67Robert P. WheelerSECRET-7-
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This form was completed by subject in pseudonym. We have deleted as pseudo. However, if it is not acceptable Inxhx as is, we will request another one from the field.A. Tallacksonx-3332FEDERAL AND MILITARY SERVICEremining creditable service for leave purposes and retention credits complete Part I and the Personnel Office should complete Paits II1T2. DATE OF BIRTH4 Colobes 1915RICT OF COLUMBIA SERVICE YOU HAVE HADPART 11--THIS COLUMN IS FOR PERSONNEL OFFICE USE9. RETENTION GROUP10. C&C STATUS (For permanent employees only)☐ YES   ☑ NOYOUR APPOINTMENTS| NAME AND LOCATION OF AGENCY         | YEAR | MONTH | DAY | YEAR | MONTH | DAY | TYPE OF APPOINTMENT IF KNOWN || ----------------------------------- | ---- | ----- | --- | ---- | ----- | --- | ---------------------------- || Department of the Army Tokyo, Japan | 1946 | 6     | 18  | 1953 | 9     | 27  | Excepted Appointment         || CIA                                 | 1952 | 9     | 28  |      |       |     | SCDi 8-6-47 vent-19-52       |4. LIST PERIODS OF SERVICE IN ANY BRANCH OF THE ARMED FORCES OF THE UNITED STATES. IF YOU HAD NO MILITARY SERVICE, WRITE "NONE".| BRANCH     | YEAR | MONTH | DAY | YEAR | MONTH | DAY | DISCHARGE (Hon. or dishon.?) || ---------- | ---- | ----- | --- | ---- | ----- | --- | ---------------------------- || U. S. Navy | 12   | 8     | 6   | 46   | 6     | 15  | Inactive status              |5. DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM 3, DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSENCE WITHOUT PAY, INCLUDING PERIODS OF MERCHANT MARINE SERVICE, DURING ANY ONE CALENDAR YEART   ☐ YES ☑ NO   IF ANSWER IS "YES", LIST FOLLOWING INFORMATION.| TYPE IF YSOWIN  (LWOP, Fuel, Susp, AWOL, Mor Mar) | YEAR | MONTH | DAY | YEAR | MONTH | DAY | TOTAL YEARS | TOTAL MONTHS | DAY || ------------------------------------------------- | ---- | ----- | --- | ---- | ----- | --- | ----------- | ------------ | --- ||                                                   |      |       |     |      |       |     |             |              |     |6. DURING THE FEDERAL SERVICE LISTED IN ITEM 3, DID YOU ACQUIRE A PERMANENT COMPETITIVE CIVIL SERVICE STATUS?☐ YES ☑ NO(If answer is "Yes," in what agency wore you compingad at the time status was acquired?)7. ARE YOU:A. THE WIFE OF A CIDA   ☐ YES ☑ NO15. REEMPLOYMENT RIGHTS☐ YES   ☑ NOB. THE MOTHER OF A DECEASED OR DISALLED VETERANE☐ YES   ☑ NO16. RETENTION RIGHTS☐ YES   ☑ NOC. THE UNELMARRIED WIF OF A VETERA   ☐ YES   ☑ NO17. EXPIRATION DATE OF RETENTION RIGHTS8. TO BE EXECUTED BEFORE A NOTARY PUBLIC OR OTHER PERSONS AUTHORIZED TO ADMINISTER OATHS.I swear (or affirm) that the above statements are true to the best of my knowledge and belief./s/ Robert P. Wheeler(SIGNATURE)Subscribed and sworn to before me on this _____ day of __________ 1952 at ___________(MONTH) (CITY)SEALNOTE: If oath is taken before a Notary Public, the date of expiration of his Commission should be shown.(OVER)
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SECRETPERIODIC SUPPLEMENTPERSONAL HISTORY STATEMENTTHIS DATESEPINSTRUCTIONSThis form provides the seams whereby your official personnel records will be kept current. Even though it duplicates information you have furnished previously, it will be necessary for you to complete Sections I through VI. In these you need complete Sections VII through All only if there has been a change since you entered on duty with the organization or if you believe the stem requires more complete coverage than you have previously reported.SECTION IGENERAL1. FULL NAME (Last-First-Middle)   WHEELER Robert Prentiss2. CURRENT ADDRESS (No., Street, City, Zone, State)   3616 Rittenhouse St. N.W.Washington 15, D.C.4. HOME TELEPHONE NUMBER   WO 6-66163. PERMANENT ADDRESS (No., Street. City, Zone. State)   Same5. STATE, TERRITORY, POSSESSION ON COUNTRY IN WHICH YOU NOW CLAIM RESIDENCE   DISTRICT of ColumbiaSECTION IIPERSON TO BE NOTIFIED IN CASE OF EMERGENCY1. NAME (Last-First-Middle) PREFERABLY RESIDING IN U.S.   WHEELER Adelia Callaway3. HOME ADDRESS (No., Street, City, Zone, State, Country).   Same2. RELATIONSHIP   wife4. BUSINESS ADDRESS (Vo., Street, City. Zune. State, Country). INDICATE NAME OF FIRM OR EMPLOYER, IF APPLICABLE5. HOME TELEPHONE NUMBER   W0-6-66166. BUSINESS TELEPHONE NUMBER7. BUSINESS FELEPHONE EXTENSION3. IN CASE OF EMERGENCY, OTHER CLOSE RELATIVES (Spouse, Mother, Father) MAY ALSO BE NOTIFIED. IF SUCH NOTIFICATION IS NOT DESIRABLE BECAUSE OF HEALTH OR OTHER REASONS, PLEASE SO STATE.SECTION IIIMARITAL STATUS1. CHECK (x) ONE:   SINGLE X MARRIED   SEPARATED   DIVORCED   ANNULLED2. FURNISH DATE, PLACE AND REASON FOR ALL SEPARATION'S. DIVORCES OR ANNULMENTS   NO CHANGE. See last PHS for data re da 1937 annulmentSPOUSE: If you have been worried more than ance, including annulants, use a separate sheet for former wife or husband giving data below for all previous marriages. It marriage is contemplated, provide same data for liance.3. NAME   (First)   Adeline   (Middle)   Belle   (Maiden)   Callaway   (Last)   WHEELER4. DATE OF MARRIAGE   19 Aug 19395. PLACE OF MARRIAGE (City. State. Country)   Huntington, West Virginia, U.S.A.6. ADDRESS JE SPOUSE BEFORE MARRIAGE (No Street, City. State, Country)   1045 Madison Avenue Huntington, West Virginia, U.S.A7. LIVING8. DATE OF DEATH9. CAUSE OF DEATH10. CURRENT ADDRESS (Give last address, if doceased)    3616 Rittenhouse St. NW. Washington, DC.11. DATE OF BIRTH    17 Aug 191712. PLACE OF BIRTH (City, State. Country)    Huntington, West Virginia, U.S, A.    CODED    FOR    QUALIFICATIONS    DATE 4 NOV 195813. BORN OUTSIDE U.S.A    N.A14. DATE OF ENTRY    N.A15. CITIZENSHIP (Country)    U.S.A.16. DATE ACQUIMED    BIRTH17. WEIRY ACQUIMED (City. State. Country)    Anity torayton, West Virginia, USA13. OCCUPATION    Dental Hygienist19. PRESENT EMPLOYER (Also give former employer, of if spouse in docenand at    unemployed, last two sapinvers)    U.S, Avay 1466-194720. EMPLOYER'S ADDRESS (No., Street, City. Stats, Country)    N.ASECTION III CONTINUED TO PAGE 7SECRET
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SECRETSECTION III CONTINUED FROM PAGE 121. DATES OF MILITARY SERVICE OF SPOUSE (From and To- ) BY MONTH AND YEARN.A.22. BRANCH OF SERVICEN.A.23. COUNTRY WITH WHICH MILITARY SERVICE AFFILIATEDN.A.24. DETAILS OF OTHER GOVERNMENT SERVICE, U.S. OR FOREIGNReceptionist, CIA, TONYO, JAPANSECTION IV RELATIVES BY BLOOD, MARRIAGE OR ADOPTION LIVING ABROAD OR WHO ARE NOT U.S. CITIZENS1. FULL NAME (Last-First-Middle)Mrs. Charles A. Wheeler2. RELATIONSHIPSister-in-law3. AGE4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDESUSA5. CITIZENSHIP (Country)Australia6. FREQUENCY OF CONTACTTwice in 10 years7. DATE OF LAST CONTACTJune 19561. FULL NAME (Last-First-Middle)2. RELATIONSHIP3. AGE4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES5. CITIZENSHIP (Country)6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT1. FULL NAME (Last-First-Middle)2. RELATIONSHIP3. AGE4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES5. CITIZENSHIP (Country)6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT1. FULL NAME (Last-First-Middle)2. RELATIONSHIP3. AGE4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES5. CITIZENSHIP (Country)6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT5. SPECIAL REMARKS, IF ANY, CONCERNING THESE RELATIVESRe above - alien is wife of my brother, U.S. Air Force Lt. Col. C.A. Wheeler, 0-5304A. Visited this person in 1945, 1953 and 1956.SECTION VFINANCIAL STATUS1. ARE YOU ENTIRELY DEPENDENT ON YOUR SALARY?YES[X] NO2. DO YOU HAVE ANY FINANCIAL INTEREST IN, OR OFFICIAL CONNECTION WITH, NON-U.S. CORPORATIONS OR BUSINESSES OR IN U.S. CORPORATIONS OR BUSINESSES HAVING SUBSTANTIAL FOREIGN INTERESTS?YES[X] NO IF YOU HAVE ANSWERED "YES," GIVE COMPLETE DETAILS ON A SEPARATE SHEET AND ATTACH IN A SEALED ENVELOPE.3. DO YOU RECEIVE AN ANNUITY FROM THE UNITED STATES OR DISTRICT OF COLUMBIA GOVERNMENT UNDER ANY RETIREMENT ACT, PENSION, OR COMPENSATION FOR MILITARY OR NAVAL SERVICE?YES[X] NO4. IF YOU HAVE ANSWERED "YES" TO QUESTION 3 ABOVE, GIVE COMPLETE DETAILS5. WITHOUT REFERRING TO YOUR SALARY, STATE OTHER SOURCES OF RECURRENT INCOME NOT INDICATED BY PRECEDING ITEMSVery limited dividends from mutual fund investment.SECTION V CONTINUED TO PAGE 5SECRET2
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SECRETSECTION CONTINUED FROM PAGE 26. BANKING INSTITUTIONS WITH WHICH YOU HAVE ACCOUNTSNAME OF INSTITUTION ADDRESS (City, State, Country)Riggs National Bank Conn, Ave, D.C., USA7. HAVE YOU EVER BEEN IN, OR PETITIONED FOR, BANKRUPTCY?   YES [X] NO8. IF YOU HAVE ANSWERED "YES" TO QUESTION 7 ABOVE, GIVE PARTICULARS, INCLUDING COURT AND DATE(S)SECTION VI1. COUNTRY OF CURRENT CITIZENSHIPU.S.A3. HAVE YOU TAKEN STEPS TO CHANGE YOUR PRESENT CITIZENSHIP?CITIZENSHIP2. CITIZENSHIP ACQUIRED BY: CHECK (X) ONE4. GIVE PARTICULARS5. IF YOU HAVE APPLIED FOR U.S. CITIZENSHIP, INDICATE PRESENT STATUS OF YOUR APPLICATION (Papers papers, etc..)SECTION VIIEDUCATION1. CHECK (X) HIGHEST LEVEL OF EDUCATION ATTAINEDLESS THAN HIGH SCHOOL GRADUATE OVER TEN YEARS OF COLLEGE OR UNIVERSITY NO DEGREEHIGH SCHOOL GRADUATE BACHELOR'S DEGREETRADE, BUSINESS, OR COMMERCIAL SCHOOL GRADUATE GRADUATE STUDY LEADING TO HIGHER DEGREETWO YEARS COLLEGE OR LESS [X] MASTER'S DEGREE DOCTORATE DEGREE2. COLLEGE OR UNIVERSITY STUDYNAME AND LOCATION OF COLLEGE OR UNIVERSITY SUBJECT DATES ATTENDED DEGREE DATE SEM/QTR HRS.REC'D REC'D COMPLETED(Specify)MERCER University, Macon, Ga. Science Pre-Law 1934 1937University of California, Berkeley, California Poli. Interntl Relations 1940 1942 A.B. 1942University of Colorado, Boulder JAPANESE (HAVTRESCH JAP) 1942 1943 Certificate in JapaneseGeorge Washington Univ, Wash, D.C. School of Law & Rotations 1944 1946 M.A 19461. TRADE, COMMERCIAL AND SPECIALIZED SCHOOLSNAME OF SCHOOL STUDY OR SPECIALIZATION DATES ATTENDED TOTAL HOURSFROM TO4. MILITARY TRAINING (Full time July in specialized schools such as Ordnance, Intelligence, Communications, etc.)NAME OF SCHOOL STUDY OR SPECIALIZATION DATES ATTENDED TOTAL HOURSFROM TOUniversity of Colorado JAPANESE June 1942 June 1943 54(HAVTRESCH JAP)5. OTHER EDUCATIONAL TRAINING NOT INDICATED ABOVESECRET