Francesco/who-killed-jfk huggingface dataset:
[104-10291-10001.pdf — page 249]
SECRETSECRETSecurity InformationSEC. IV. AREA KNOWLEDGE1.  List below any foreign countries or regions of which you have knowledge gained as a result of residence, travel or study. Study can mean either academic study, or study of a foreign country resulting from an intelligence, military, commercial or professional work assignment.| Country or Region | Dates of Residence, Study Etc. | Manner in Which Knowledge Was Aquired (check (X) one) Residence Travel Study || ----------------- | ------------------------------ | ---------------------------------------------------------------------------- || Japan             |                                |                                                                              || China             |                                |                                                                              || Mainland SEA      |                                |                                                                              |2. Specialized Knowledge of Area   List specalized knowledge of foreign country such as knowledge of terrain, coasts and harbors, utilities, railroads, industries, political parties, etc., gained as a result of study or work assignment. Include name of employer or organization.| Country | Type of Knowledge | How and When Gained || ------- | ----------------- | ------------------- ||         |                   |                     ||         |                   |                     ||         |                   |                     |SEC. V. TYPING AND STENOGRAPHIC SKILLS (PRESENT UTILIZATION) N/A| Skill             | Per. Cent of Time Used | Not Used                    | WPM (Approximate Proficiency) | Prefer Assignment Using Skill Oftener || ----------------- | ---------------------- | --------------------------- | ----------------------------- | ------------------------------------- || Typing            | 1.                     | 2.                          |                               | 1. Yes 2. No                          || Shorthand         | 1.                     | 2.                          |                               | 1. Yes 2. No                          || Shorthand System: | 1. Manual              | 2. Machine 3. Speedwriting. |                               |                                       |SEC. VI, LICENSES, HOBBIES, SPECIAL QUALIFICATIONS1.  Licenses: List any licenses or certi-    fication such as teachers, pilot, marine, etc.*None*2.  Hobbies: List any hobbies such as sailing, skiing, writing, or other special qualifications.*Writing*SEC. VII. PROFESSIONAL AND ACADEMIC HONORSList any professional or academic associations or honorary societies in which you hold membership.*American History ASSN.**American ASSN OF UNIVERISTY Professors*SECRET
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Security InformationSECRETSecurity InformationSEC. VIII. PUBLICATIONSList below the type of writing (non-fiction: professional or scientific articles, general interest subjects, current events, etc; fiction: novels, short stories, etc..) of any published materials of which you were author or co-author."The Koreans and their Living Spare", *Korean Review Sept. 1949*."A Frontier Experiment with Higher EDUCATION", *PENNA HISTORY, JAN. 1949*Vaderstanding Our State ETHNOUT, *Masiandandiolus Carlisle, Pa 1949*SEC. IX. INVENTIONSDescribe any devices you have invented as to type of work for which intended and whether patented.| Device | Patented       || ------ | -------------- || None   | (1) Yes (2) No ||        | (1) Yes (2) No ||        | (1) Yes (2) No |SEC. X. CIA TESTSDescribe below the type of tests which you have taken in CIA:| Type ot Test | Date Taken || ------------ | ---------- || None         |            ||              |            ||              |            |SEC. XI. PHYSICAL HANDICAPSList any physical handicaps you may have.NoneSEC. XII. OVERSEAS ASSIGNMENTAre you willing to accept periodic tour of duty overseas?(1) 2 year Tour X (2) 4 year Tour X (3) Not interestedSEC. XIII. WORK ASSIGNMENTIn view of your total experience and education, for what assignment in CIA do you think you are best qualified?Work on prychological and political warfare matters related to the for fair of headquarters or in the Field, in a planning and/for supervisory capacity.SECRETSecurity Information
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SECRETSecurity InformationSEC. XIV. MILITARY STATUS1. Present Draft StatusHave you registered under the Selective Service Act of 1948? Yes No.If yes, indicate your present draft classification2. Present Reserve or National Guard StatusDo you now have Reserve or National Guard Status Yes X No.If yes, complete the following.1. National Guard2. Air National Guard3. Active Reserve Status (member of organized unit)4. Inactive Reserve StatusService Grade LocationReserve Unit with which currently affiliatedService Mobilization Assignment, if anyLocation of Service Records, if knownSEC. XV. CIA TRAININGList the training courses or subjects you have taken while in the CIA.| Course or Subject | (from) Dates (to) | Hours || ----------------- | ----------------- | ----- || Nerve             |                   |       |SEC. XVI. REMARKSUse this space to indicate any other qualifications you may have which you donot describe above.From 15 Jan 1952 to 19 May 1952, I attended a seminar in Psychological Warfare given by an FE Division Consultant, operated at SAIS.DATE 24/ June /1952SIGNATURESECRETSecurity Information
[104-10291-10001.pdf — page 252]
# CONFIDENTIALPlease READ INSTRUCTION SHEET BEFORE PREPARING THIS FORMSTATEMENT OF FEDERAL CIVILIAN AND MILITARY SERVICESmith, Joseph SuckholderI FEDERAL CIVILIAN SERVICE (BEGIN WITH THIS AGENCY AND FOLLOW IN REVERSE CHRONOLOGICAL ORDER)| AGENCY                      | LOCATION         | FROM      | TO       | TOTAL SERVICE || --------------------------- | ---------------- | --------- | -------- | ------------- || Central Intelligence Agency | Washington, D.C. | 17 9 1951 | 31 12 51 | 1 5 3         ||                             |                  |           |          |               ||                             |                  |           |          |               ||                             |                  |           |          |               ||                             |                  |           |          |               ||                             |                  |           |          |               |Total Civilian ServiceII MILITARY SERVICE (INCLUDE ONLY PERIODS OF ACTIVE DUTY; DO NOT INCLUDE TERMINAL LEAVE)| BRANCH OF SERVICE | FROM      | TO        | TOTAL SERVICE |     || ----------------- | --------- | --------- | ------------- | --- || U.S. Army         | 11 3 1943 | 24 2 1946 | 11 1 2        |     |Total Military ServiceIII CERTIFICATIONI hereby certify that the above Civilian and Military service is complete and accurate to the best of my knowledge.IV REMARKS: (CONTINUATION SHEET SERVICE)V FOR PERSONNEL OFFICE USE ONLYTOTAL CREDITABLE SERVICE| DAYS | MONTHS | YEARS || ---- | ------ | ----- || 29   | 2      | 3     |
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# APPOINTMENT AFFIDAVITSIMPORTANT.--Before swearing to these appointment affidavits, you should read and understand the attached information for appointeeCIA(Department or agency)Washington, D. C.(Place of employment)I, Josoph Burkholder Smith, do solemnly swear (or affirm) that--## A. OATH OF OFFICEI will support and defend the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely without any mental reservation or purpose of evasion; that I will well and faithfully discharge the duties of the office on which I am about to enter, SO HELP ME GOD.## B. AFFIDAVIT AS TO SUBVERSIVE ACTIVITY AND AFFILIATIONI am not a Communist or Fascist. I do not advocate nor am I a member of any organization that advocates the overthrow of the Government of the United States by force or violence or other unconstitutional means or seeking by force or violence to deny other persons their rights under the Constitution of the United States. I do further swear (or affirm) I will not so advocate, nor will I become a member of such organization, during the period that I am an employee of the Federal Government.## C. AFFIDAVIT AS TO STRIKING AGAINST THE FEDERAL GOVERNMENTI am not engaged in any strike against the Government of the United States and that I will not so engage while an employee of the Government of the United States; that I am not a member of an organization of Government employees that asserts the right to strike against the Government of the United States, and that I will not, while a Government employee, become a member of such an organization.## D. AFFIDAVIT AS TO PURCHASE AND SALE OF OFFICEI have not paid, or offered or promised to pay, any money or other thing of value to any person, firm or corporation for the use of influence to procure my appointment.## E. AFFIDAVIT AS TO DECLARATION OF APPOINTEEThe answers given in the Declaration of Appointee on the reverse of this form are true and correct.17/9/51(Date of entrance on duty)Joseph B. Smith(Signature of appointee)Subscribed and sworn before me this 17 day of September A. D. 1951at Washington, D. C.(City)Curtis W. Bidwell(Signature of officer)NOTE.--If the oath is taken before a Notary Public the date of expiration of his commission should be shown.
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SECRETMEDICAL ACTION REQUEST AND REPORTI REQUEST FOR PHYSICAL EXAMINATION BY1. NAME (Last)   SMITH3. TO POSITION   Foreign Sarvice Staff Off.5. TYPE OF POSITIONDepartmentalU.S. FieldOverseasGIB4. NAME (First)   Joseph6. OFFICE, DIVISION, BRANCH   FE7. EVALUATE FORTDYOverseasReturns(Middle)B.2. DATE25 July 19565. GRADEGS-13Pre-EmploymentAnnualSpecial (Specify)II REPORT OF MEDICAL EVALUATIONQualified for Full Duty (General)Qualified for Departmental Duty OnlyQualified for Full Duty (Special)DisqualifiedRemarks: Subject is qualified for Departmental Duties (8/3/56).May be re-evaluated on request.SECRETMax. N. HartmanMEDICAL OFFICEMEDICAL ACTION REQUEST AND REPORTI REQUEST FOR PHYSICAL EXAMINATION BY PERSONNEL DIVISION () OVERT (X) COVERT (X) ISR () CPE)1. NAME (Last)   SMITH3. TO POSITION   Intell. Off,5. TYPE OF POSITIONDepartmentalU.S. FieldOverseas4. NAME (First)   Joseph6. OFFICE, DIVISION, BRANCHSingapore, Malaya   DDP/FE, Malaya Station7. EVALUATE FORTDYOverseasReturnsTransfer of funds.2. DATE   2 Dec. 53   GRADE   GS-12Pre-EmploymentAnnualSpecial (Specify)II REPORT OF MEDICAL EVALUATIONQualified for Full Duty (General)Qualified for Departmental Duty OnlyQualified for Full Duty (Special)DisqualifiedRemarks:Transfer of funds from Vouchered to Unvouchered.Return to Miss Meadows, Wing 1-J, Curie HallS. had exam 3-30-53 and found qualified for Full duty/General12-9-53.
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FORK 10. 37-115MAY 1950TO:Medical DivisionFACH:Transactione & ReaprdaSIEJECT:Joseph 3. 31thRequest that above nared subject be given a physical examination.POSITION:Intelligence OfficerGRAD:essBRANCH:OPCSERVICES:DepartmentelΝΑΤΙΟΣ ΟΕ ΑΡΡΟΙΗΤΗΣ: Exc.![signature of Perry DeceH and date 9/17/51]FOON NC. 37-115MAY 1950
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# PHYSICAL QUALIFICATION RECORDNAMESmith, Joseph B.NATURE OF ACTIONEODTITLE OF POSITIONI.O.GRADEGS-9DEPARTMENT OR FIELDDepartmentSubject was found physically fit unfit for duty with this organization in the above grade and position.RECOMMENDATIONS:17 Sept 1972DATESIGNATURE O YSICAL REQUIREMENTS OFFICERFORM NO.NOV 1966 37-87
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# SECRET## 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 automatically for much information; however, some must be obtained directly from you. This form is for that purpose. Section 1 must be completed in all cases. You need provide other information only if there have been changes since you submitted your Form 414), "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 signed and dated form should be returned through administrative channels to the File Room, Office 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 initiative.## SECTION I BIOGRAPHIC AND POSITION DATAIMP. SER. NO.007894.NAME (Last-First-Middle)SMITH Joseph BurkholderDATE OF BIRTH16 June 1921## SECTION II EDUCATIONHIGH SCHOOLLAST HIGH SCHOOL ATTEADEDADDRESS (City, State Country)YEARS ATTENDED (From-To)GRADUATECOLLEGE OR UNIVERSITY STUDYNAME AND LOCATION OF COLLEGE OR UNIVERSITYSUBJECTYEARS ATTENDEDDEGREEYEARNO. SEM/QTR.MAJORMINORFROM - TORECEIVEDRECEIVEDHRS. (Specify)IF A GRADUATE DEGREE HAS BEEN NOTED ABOVE WHICH REQUIRED SUBMISSION OF A WRITTEN THESIS, INDICATE THE TITLE OF THE THESIS AND BRIEFLY DESCRIBE ITS CONTENT.TRADE, COMMERCIAL AND SPECIALIZED SCHOOLSNAME AND ADDRESS OF SCHOOLSTUDY OF SPECIALIZATIONFROMTONO. OF MONTHSOTHER NON-AGENCY EDUCATION OR TRAINING NOT INDICATED ABOVENAME AND ADDRESS OF SCHOOLSTUDY OF SPECIALIZATIONFROMTONO. OF MONTHS## SECTION III MARITAL STATUS1. PRESENT STATUS (Single, Married, Widowed, Separated, Divorced, Annulled Remarried) SPECIFY:2. NAME OF SPOUSE   (Last)   (First)   (Middle)   (Maiden)3. DATE OF BIRTH4. PLACE OF BIRTH (City, State, Country)5. OCCUPATION6. PRESENT EMPLOYER7. CITIZENSHIP8. FORMER CITIZENSHIP(S) COUNTRY(IES)9. DATE U.S. CITIZENSHIP ACQUIRED## SECTION IV DEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSENAMERELATIONSHIPDATE AND PLACE OF BIRTHCITIZENSHIPPERMANENT ADDRESSADDDELETEADDDELETEFORM2-66 444nSECRET6 SEP 1971
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# SECRETSECTION V| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE | DATES OF TRAVEL OR RESIDENCE | DATE & PLACE OF STUDY | KNOWLEDGE ACQUIRED BY CHECK (X) |        |       |          || ------------------------- | ----------------------------- | ---------------------------- | --------------------- | ------------------------------- | ------ | ----- | -------- ||                           |                               |                              |                       | DESIR                           | TRAVEL | STUDY | RESEARCH || Argentina                 | politics, sociology           | Jun.62-Aug66 Mendoza         | Apr 12-9.01 68        | X                               | X      |       | X        || Peru                      |                               | Jun 4                        | MALMBUOM              | X                               |        |       |          |SECTION VITYPING AND STENOGRAPHIC SKILLSTYPING (G/P/M) SHORTAND(P/M) INDICATE SHORTAND SYSTEM USED CHECK (X) APPROPRIATE ITEMGREGG SPEEDRITING STENOTYPE OTHER SPECIFYSECTION 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?YES NO3. LOCAL SELECTIVE SERVICE HOARD NUMBER AND ADDRESS2. NEW CLASSIFICATION4. IF DEFERRED, GIVE REASONMILITARY RESERVE, NATIONAL GUARD STATUSCHECK RESERVE OR GUARD ORGANIZATION TO WHICH YOU BELONGARMY MARINE CORPS COAST GUARD NATIONAL GUARDNAVY AIR FORCE AIR NATIONAL GUARD1. CURRENT BANK, GRADE OR RATE 2. DATE OF APPOINTMENT IN CURRENT RANK3. EXPIRATION DATE OF CURRENT OBLIGATION4. CHECK CURRENT RESERVE CATEGORY READY RESERVE STANDBY(active) STANDBY(inactive) RETIRED DISCHARGED5. MILITARY MODILIZATION ASSIGNMENT 6. RESERVE UNIT TO WHICH ASSIGNED OR ATTACHEDMILITARY SCHOOLS COMPLETED (Extended Active, Reserve Duty, or as Civilian)| NAME AND ADDRESS OF SCHOOL | STUDY ON SPECIALIZATION | DATE COMPLETED   || -------------------------- | ----------------------- | ---------------- ||                            |                         | RESIDENT         ||                            |                         | AGENCY-SPONSORED |SECTION IXPROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS| NAME AND CHAPTER | ADDRESS (Number, Street, City, State, Country) | DATE OF MEMBERSHIP || ---------------- | ---------------------------------------------- | ------------------ || 1.               |                                                | FROM TO            || 2.               |                                                |                    || 3.               |                                                |                    |SECTION XREMARKSNo updating necessary for portions not filled in.9 April 1968SECRET
[104-10291-10001.pdf — page 263]
SECRET(WHEN FILLED IN)# CERTIFICATION OF LANGUAGE PROFICIENCY1. EMPLOYEE NO. 2. NAME (LAST-FIRST-MIDDLE)SMITH, JOSEPH B.3. TYPE CHANGE 4. LANGUAGE DATA PRIOR TO TEST   A=ADD LAN. CODE R W P S U 1/ T YEAR   C=CHANGE   D=DELETE5. LANGUAGE DATA AFTER TEST 6. DATE TESTED 7. DATE OF BIRTH 8. GRADE 9. OFFICE OR DIVISION   LAN. CODE R W P S U 1/ T YEAR04/13/67 06/16/21 14 OTRNOTICE TO PERSON TESTED10. ON THE DATE SHOWN IN ITEM 6 ABOVE, YOU WERE TESTED IN SPANISH (NEW WORLD) BL18    AND YOUR TEST SCORES ARE AS FOLLOWS:    (NAME OF LANGUAGE)| READING | WRITING | PRONUNCIATION | SPEAKING | UNDERSTANDING || ------- | ------- | ------------- | -------- | ------------- || H       | I       | I             | I        | H             |TEST RATINGS: 0 = ZERO I = INTERMEDIATES = SLIGHT H = HIGHE = ELEMENTARY N = NATIVE11. REMARKS 12. SIGNATURECODEDFOR:QUALIFICATIONSDATE 19 JUN 195213. LD NUMBERL3652FORM 1273 OBSOLETE PREVIOUS (10.45) SECRET GROUP I 1 - OP/QAB11-64 EDITIONS EXCLUDED FROM AUTOMATIC DOWNGRADINGAND DECLABSIFICATION![signature]
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SECRETQUALIFICATIONS SUPPLEMENT TO PERSONAL HISTORY STATEMENTREAD INSTRUCTIONS CAREFULLY BEFORE COMPLETING TYPE OR PRINT AVOID USING LIGHT COLORED INKSBIOGRAPHIC AND POSITION DATA| SECTION#           | NAME                 | DATE OF BIRTH | SCHEDULE GRADE STEP || ------------------ | -------------------- | ------------- | ------------------- || 237294             | SMITH JOSEPH B       | 06/16/21      | GS-14-03            || POSITION TITLE     | OFFICE OF ASSIGNMENT | LOCATION      |                     || D INSTR OPERATIONS | OTR                  | WASH., D.C.   |                     || SECTION # | AGENCY OVERSEAS SERVICE | TYPE TOUR  | FROM     | TO       || --------- | ----------------------- | ---------- | -------- | -------- ||           | INDONESIA               | TDY/PCS 56 | 93/06/01 | 53/08/01 ||           | ASIA-AREA SINGAPORE     | PCS 56     | 94/03/01 | 56/06/01 ||           | PHILIPPINE ISLANDS      | PCS 56     | 98/03/01 | 60/07/01 ||           | ARGENTINA               | PCS 56     | 62/06/01 | 66/08/01 |OVERSEAS DATACODEDDATE: INITIALS:14 JUN 67 LPT| SECTION # | MAJOR FIELD      | EDUCATION | COLLEGE           | YEAR || --------- | ---------------- | --------- | ----------------- | ---- || 4342      | HISTORY, GENERAL |           | HARVARD UNIV MASS | 43   || 4374      | HISTORY, GENERAL |           | PA UNIV           | 50   |SECRET67 JUN ENTO
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SECRETSECTION IX1. PRESENT STATUS No Change2. NAME OF SPOUSE3. DATE OF BIRTH 4. PLACE OF BIRTH5. OCCUPATION 6. PRESENT EMPLOYER7. CITIZENSHIP 8. FORMER CITIZENSHIP(S) COUNTRIES 9. DATE U.S. CITIZENSHIP ACQUIREDSECTION X DEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSE| NAME            | RELATIONSHIP | DATE AND PLACE OF BIRTH | CITIZENSHIP | PERMANENT ADDRESS           || --------------- | ------------ | ----------------------- | ----------- | --------------------------- || Ruthuen Smith   | daughter     | 25/2/46 HARRISBURG PA   | U.S.        | 11703 KAREN DR. POTOMAC, MD || Julie E. Smith  | daughter     | 19/12/52 ALEXANDRIA VA  | U.S.        | 11703 KAREN DR. POTOMAC, MD || Andrew C. Smith | son          | 20/7/60 ALEXANDRIA VA   | U.S.        | 11703 KAREN DR. POTOMAC, MD |SECTION XI PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS| NAME AND CHAPTER | ADDRESS | DATE OF MEMBERSHIP |     || ---------------- | ------- | ------------------ | --- ||                  |         | FROM               | TO  |DATE SIGNATURE OF EMPLOYEE27/4/1987SECRET -7-
[104-10291-10001.pdf — page 267]
SECRET27 April 1962MEMORANDUM FOR: Chief, Contract Personnel DivisionATTENTION : Staff Agents BranchFROM : Chief, Personnel Security DivisionSUBJECT : Smith, Joseph (P)-#561591. Reference is made to your memorandum dated 25 April 1962 in which a covent security clearence was requested to permit Subject's use as a Staff Agent, 60-15, by DDP/WH/2/Argentina Station in the capacity of Operations Officer at Buenos Aires, Argentina.2. This is to advice that a covert security clearence is granted for the use of the Subject, as described in your request as set forth in paragraph 1, above.3. If your office should desire at a later date to change the status or use of this individual, a request to cover any proposed change should be submitted to this office.4. This clearance becomes invalid in the event the Subject's services are not utilized within six months of the date of this memorandum.FOR THE DIRECTOR OF SECURITY:![signature of w. a. osborne]W. A. OsborneSECRET
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SECRETREQUEST FOR SECURITY CLEARANCENAME (LAST, FIRST, MIDDLE):POSITION TITLE:Ops OfficerREQUEST DATE:26 April 1962DATE OF BIRTH:06/16/21LOCATION (CITY, STATE, COUNTRY):Buenos Aires, ArgentinaASSIGNMENT (OFFICE, DIVISION, BRANCH):DDP/WH/2/Argentina StationGRADE:GS-13TYPE OF APPLICANT:REGULAR CONSULTANT MILITARYCONVERSION ACTIONTYPE OF ASSIGNMENT AND FUNDS:CLEARANCE REQUIRED:COVERT SECURITY CLEARANCEATTACHMENTS:PERSONAL HISTORY STATEMENTAPPENDIX IREQUEST FOR WAIVERRECRUIT. CODE:PHOTOGRAPHAPPENDIX IIREPORT OF INTERVIEWVET PREF. & SEE:VETERAN STATUS:MALE - VETERANMALE - NON-VETERANFEMALE - VETERANFEMALE - NON-VETERANREMARKS:Security #: 56169Case Officer: Louis Napoli x6556(under nonofficial cover)Please forward clearance memo to SA Branch/CPDAttn: Dot Kreinheder5 E 38Phone verbal concurrence to Jo Ann Varnayx7170SPACE BELOW FOR OS USE ONLYForm No. 377SECRET
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# PERSONAL HISTORY STATEMENTInstructions: 1. Answer all questions completely. If question is not applicable write "NA." Write "unknown" only if you do not know the answer and cannot obtain the answer from personal records. Use the blank pages at the end of this form for extra details on any question or questions for which you do not have sufficient room.2. Type, print, or write carefully: illegible or incomplete forms will not receive consideration.**HAVE YOU READ AND DO YOU UNDERSTAND THE INSTRUCTIONS?** yes**SEC. 1. PERSONAL BACKGROUND**A. FULL NAME: Joseph Burkholder SmithPRESENT ADDRESS Box 323. B, Route 2, Gardnere, Pa.Telephone 265Office noneExt. Home Mt Holly909-R-12PERMANENT ADDRESS same as aboveUSAB. NICKNAME JoeWHAT OTHER NAMES HAVE YOU USED? noneNAMES?UNDER WHAT CIRCUMSTANCES HAVE YOU EVER USED THESEHOW LONG? IF A LEGAL CHANGE, GIVE PARTICULARSC. DATE OF BIRTH 6/16/21 PLACE OF BIRTH Harrisburg, Pa., USAD. PRESENT CITIZENSHIP U.S. BY BIRTH? yea BY MARRIAGE?BY NATURALIZATION CERTIFICATE NO.ISSUED BYATHAVE YOU HAD A PREVIOUS NATIONALITY? noHELD BETWEEN WHAT DATES? TO ANY OTHER NATIONALITY?GIVE PARTICULARSHAVE YOU TAKEN STEPS TO CHANGE PRESENT CITIZENSHIP? no GIVE PARTICULARS: