[104-10291-10002.pdf — page 237]
# SECRETSECTION VGEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE | DATES OF TRAVEL OR RESIDENCE | OFFICE OF PERSONNEL DATE & PLACE OF STUDY | TESTS ACQUIRED BY CHECK (X) APPROPRIATE ITEM | RESULT || ------------------------- | ----------------------------- | ---------------------------- | ----------------------------------------- | -------------------------------------------- | ------ ||                           |                               |                              | APR 22 9 12 AM '68                        |                                              |        ||                           |                               |                              |                                           |                                              |        ||                           |                               |                              |                                           |                                              |        ||                           |                               |                              |                                           |                                              |        |SECTION VIMAIL ROOMTYPING 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 VIIIMILITARY SERVICECURRENT, DRAFT STATUS1.  HAS YOUR SELECTIVE SERVICE CLASSIFICATION CHANGED?    *   YES    *   NO2.  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*   NAVY*   MARINE CORPS*   AIR FORCE*   COAST GUARD*   NATIONAL GUARD*   AIR NATIONAL GUARD1.  CURRENT RANK, GRADE OR RATE 2. DATE OF APPOINTMENT IN CURRENT RANK2.  EXPIRATION DATE OF CURRENT OBLIGATION3.  CHECK CURRENT RESERVE CATEGORY    *   READY RESERVE    *   STANDBY (ACTIVE)    *   STANDBY (INACTIVE)    *   RETIRED    *   DISCHARGED4.  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 | AGENCY SPONSORED || -------------------------- | ----------------------- | -------------- | ---------------- ||                            |                         |                |                  ||                            |                         |                |                  ||                            |                         |                |                  |SECTION IX| NAME AND CHAPTER | ADDRESS (Number, Street, City, State, Country) | DATE OF MEMBERSHIP | FROM | TO  || ---------------- | ---------------------------------------------- | ------------------ | ---- | --- ||                  |                                                |                    |      |     ||                  |                                                |                    |      |     ||                  |                                                |                    |      |     |SECTION XREMARKSDATE4/18/68SIGNATURE OF EMPLOYEERobert P. WelcheSECRET