[104-10291-10013.pdf — page 153]
SECRET(When Filled In)SECTION V CONTINUED FROM PAGE 26. BANKING INSTITUTIONS WITH WHICH YOU HAVE ACCOUNTS| NAME OF INSTITUTION                  | ADDRESS (City, State, Country)    || ------------------------------------ | --------------------------------- || Bank of Bethesda (checking account)  | Bethesda, Maryland                || 1st National Bank (checking account) | 5th & Eday, San Diego, California ||                                      |                                   |7. 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)N.A.SECTION VI1. COUNTRY OF CURRENT CITIZENSHIPUnited StatesCITIZENSHIP2. CITIZENSHIP ACQUIRED BY - CHECK (X) ONE:3. HAVE YOU TAKEN STEPS TO CHANGE YOUR PRESENT CITIZENSHIP?YES [X] NO4. GIVE PARTICULARSOTHER (Specify)5. IF YOU HAVE APPLIED FOR U.S. CITIZENSHIP, INDICATE PRESENT STATUS OF YOUR APPLICATION (First papers, etc.)SECTION VII No changes sinceEDUCATION1. CHECK (X) HIGHEST LEVEL OF EDUCATION ATTAINED:| LESS THAN HIGH SCHOOL GRADUATE                 | OVER TWO YEARS OF COLLEGE, NO DEGREE    || ---------------------------------------------- | --------------------------------------- || HIGH SCHOOL GRADUATE                           | BACHELOR'S DEGREE                       || TRADE, BUSINESS, OR COMMERCIAL SCHOOL GRADUATE | GRADUATE STUDY LEADING TO HIGHER DEGREE || TWO YEARS COLLEGE OR LESS                      | MASTER'S DEGREE                         ||                                                | DOCTOR'S DEGREE                         |2. COLLEGE OR UNIVERSITY STUDY| NAME AND LOCATION OF COLLEGE OR UNIVERSITY | SUBJECT | DATES ATTENDED | DEGREE REC'D | DATE REC'D | SEM/QTR HRS. COMPLETED (Specify) || ------------------------------------------ | ------- | -------------- | ------------ | ---------- | -------------------------------- ||                                            | MAJOR   | FROM  TO       |              |            |                                  ||                                            | MINOR   |                |              |            |                                  ||                                            |         |                |              |            |                                  ||                                            |         |                |              |            |                                  |3. TRADE, COMMERCIAL AND SPECIALIZED SCHOOLS| NAME OF SCHOOL | STUDY OR SPECIALIZATION | DATES ATTENDED | TOTAL HOURS || -------------- | ----------------------- | -------------- | ----------- ||                |                         | FROM - TO      |             ||                |                         |                |             ||                |                         |                |             |4. MILITARY TRAINING (Full time duty in specialized schools such as Ordnance, Intelligence, Communications, etc.)| NAME OF SCHOOL | STUDY OR SPECIALIZATION | DATES ATTENDED | TOTAL WEEKS || -------------- | ----------------------- | -------------- | ----------- ||                |                         | FROM - TO      |             ||                |                         |                |             ||                |                         |                |             |5. OTHER EDUCATIONAL TRAINING NOT INDICATED ABOVESECRET3