[104-10291-10001.pdf — page 262]
# SECRETQUALIFICATIONS SYSTEM RECORD CHANGE## APPLICANT CODING DATA| 1. ID | 2. APPL. NO. 6-DIGITS | 3. NAME MUST CONTAIN 20-DIGITS || ----- | --------------------- | ------------------------------ || < 2   |                       |                                || 4. DATE OF BIRTH | 5. DATE CODED |                                                                                                                                                                              || ---------------- | ------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- || MO DA YR         | MO DA YR      | THE DATA ABOVE (ITEMS 2 THRU 5) WILL BE FILLED IN WHEN CODING AN APPLICANT FOR THE FIRST TIME. THIS FORM IS THEN ATTACHED TO FORM 1962, MASTER QUALIFICATIONS CODING RECORD. |## LANGUAGE CODING DATA - FORM 444c| 1. ID | 2. EMPLOYEE NO. | 3. NAME 3-LETTERS | 4. LANGUAGE DATA CODE BASE CODE | R   | W   | P   | S   | U   | T   | YR  || ----- | --------------- | ----------------- | ------------------------------- | --- | --- | --- | --- | --- | --- | --- || < 3   |                 |                   |                                 |     |     |     |     |     |     |     || 5. DATE SUBMITTED | 6. DATE OF BIRTH |                                                                                                          || ----------------- | ---------------- | -------------------------------------------------------------------------------------------------------- || MO DA YR          | MO DA YR         | WHEN FORM 444c DENOTES NO LANGUAGE COMPETENCE, ENTER THE FOLLOWING IN ITEM 4: "NOH LANGUAGE" (12-DIGITS) |## LANGUAGE PROFICIENCY TEST DATA| 1. ID | 2. EMPLOYEE NO. | 3. NAME 3-LETTERS | 4. CODE C-A-D | 5. LANGUAGE DATA BEFORE TEST BASE CODE | R   | W   | P   | S   | U   | T   | YR  || ----- | --------------- | ----------------- | ------------- | -------------------------------------- | --- | --- | --- | --- | --- | --- | --- || < 5   | 547894          | SMI               | C             | BL18                                   | 4   | 3   | 4   | 4   | 4   | 63  |     || 6. LANGUAGE DATA AFTER TEST BASE CODE | R   | W   | P   | S   | U   | T   | YR  | 7. DATE OF TEST MO DA YR | DATA FOR ITEM 2 THRU 7 IS EXTRACTED FROM FORM. 1273. LANGUAGE PROFICIENCY AWARDS DATA. |     || ------------------------------------- | --- | --- | --- | --- | --- | --- | --- | ------------------------ | -------------------------------------------------------------------------------------- | --- || BL18                                  | H   | 3   |     |     | H   | 4   | 67  | 4/3 67                   | 10 JUL 1967                                                                            |     |## QUALIFICATIONS RECORD CHANGE| 1. ID | 2. EMP/APPL NO. | 3. NAME 3-LETTERS | ENTER UNDER "TYPE" A - ADDITION TO RECORD C - CHANGE TO EXISTING RECORD D - DELETION OF DATA FROM EXISTING RECORD || ----- | --------------- | ----------------- | ----------------------------------------------------------------------------------------------------------------- || < 6   |                 |                   | TYPE BASE CODE # 1 2 3 YR BASE CODE # 1 2 3 YR                                                                    || •     | •               | •                 |                                                                                                                   || •     | •               | •                 |                                                                                                                   || •     | •               | •                 |                                                                                                                   || •     | •               | •                 |                                                                                                                   || •     | •               | •                 |                                                                                                                   || •     | •               | •                 |                                                                                                                   || •     | •               | •                 |                                                                                                                   || •     | •               | •                 |                                                                                                                   |FORM 10.64 1962aSECRET