[104-10291-10013.pdf — page 34]
# SECRET(When Filled In)## REQUEST FOR PERSONNEL ACTION|          | V to V | V to UV  || -------- | ------ | -------- || UV to UV |        | UV to UV || 1. Serial No.   | 2. Name (Last-First-Middle)  |                                 | 3. Dute Of Burth Mo Do Yr         | 4. Vet. Hial. None-0 Code 5 P1-1 11/10 P1-2 | 5. Sex M. Sere   | 6. DATE PREPARED Mo Do Ye 3 4 62 | CS. EOD Mo Do Yr || --------------- | ---------------------------- | ------------------------------- | --------------------------------- | ------------------------------------------- | ---------------- | -------------------------------- | ---------------- || 7. SCD Mo Da Yr | 8. CSC Rotmit Yes - 1 No - 2 | 9. CSC Or Other Legal Authority | 10. Amt. Affidav.  Yes - 1 No - 2 | 11. FEGLI Code Yes - 1 No - 2               | 12. LCD Mo Da Yr | 13. G Code                       |                  |## CURRENT ASSIGNMENT| 14. Organizational Designations || ------------------------------- || DDP/WH                          || Branch III                      || Havana, Cuba Station            || 16. Dept. Field Dopt Usild Ergn | Code                        | 17. Position Title CHIEF OF STATION | 18. Position No. 114                | 19. Serv (FS) 05                | 20. Occup. Series 0136-01 || ------------------------------- | --------------------------- | ----------------------------------- | ----------------------------------- | ------------------------------- | ------------------------- || 21 Grade & Stop 15              | 22. Salary Of Rate $ 13,670 | 23. SD -DI                          | 24. Date Of Grada Mo Do Ye 08 01 54 | 25. PSI. Due Mo Do Ye - 24 - 60 | 26. Appropriation Number  || 27. Nature Of Action. PROMOTION (TEMPORARY) * || --------------------------------------------- ||                                               || Code | 28. Eff. Date Mo Do Ye 03 20 60 | 29. Type Of Employee REGULAR || ---- | ------------------------------- | ---------------------------- ||      |                                 |                              |## PROPOSED ASSIGNMENT| 31. Organizational Designations | Code | 32. Location Of Official Station | Station Code. || ------------------------------- | ---- | -------------------------------- | ------------- ||                                 |      |                                  |               ||                                 |      |                                  |               || 33. Dept. Field Dopt Usild Fron | Code | 34. Position Title | 35. Positian No.. | 36. Serv. | 37. Occup. Series || ------------------------------- | ---- | ------------------ | ----------------- | --------- | ----------------- ||                                 |      |                    |                   |           |                   || 38. Grade & Step 16 | 39. Salary Or Rafa $ 14,190 | 40. SD -DI | 41. Date Of Grade Mo Da 07 20 Ye 60 | 42. PSI Due 1/19/61 | 43. Appropriation Number 0155-5450-3000 |## SOURCE OF REQUESTA. Requasted By (Name And Title)B. For Additional Information Call (Name & Telephone Ext.)C. Request Approved By (Signature And Title) Date Approved![signature of Richard Helms] Richard HelmsChief of Operations, DD/P| CLEARANCES        | Signature | Date   | CLEARANCES     | Signature | Date                || ----------------- | --------- | ------ | -------------- | --------- | ------------------- || A. Career Board   |           |        | D. Placement   |           |                     || B. Pos. Control   |           | 3/10/0 | E. Release     |           |                     || C. Classification |           |        | F. Approved By |           | ![signature] MAR 06 |Remarks* Promotion to the grade indicated is temporary and for such duration as the Director will determine.. Your permanent grade is the grade from which you are temporarily promoted.FORM 1152a (USE PREVIOUS EDITION)SECRETContinued on reverse side(4)