[104-10291-10002.pdf — page 235]
SECRET# QUALIFICATIONS SYSTEM RECORD CHANGE## APPLICANT CODING DATA| 1. ID            | 2. APPL. NO.  | 3. NAME                                                                                                                                                                      || ---------------- | ------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- || <2               | 6-DIGI19      | MUST CONTAIN 20-DIGI19                                                                                                                                                       || 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 13 THEN ATTACHED TO FORM 1962, MASTER QUALIFICATIONS CODING RECORD. |## LANGUAGE CODING DATA - FORM 444c| 1. ID             | 2. EMPLOYEE NO.  | 3. NAME   || ----------------- | ---------------- | --------- ||                   |                  | 3-LETTERS || 5. DATE SUBMITYED | 6. DATE OF BIRTH |           || MO DA YA          | MO DA YR         |           || 1. ID                       | 2. EMPLOYEE NO. | 3. NAME                      |              || --------------------------- | --------------- | ---------------------------- | ------------ || <5                          | `460947`        | WHE                          |              || 6. LANGUAGE DATA AFTER TEST | 4. CODE CA-D    | 5. LANGUAGE DATA DEFORE TEST |              || BASE CODE                   |                 | C                            | BASE CODE    || `Not+LANGUAGE`              |                 |                              | `GE`09182169 |WHEN FORM 444C DENOTES NO LANGUAGE COMPETENCE, ENTER THE FOLLOWING IN ITEM 4: "NOT+LANGUAGE" (12-DIGITO)## LANGUAGE PROFICIENCY TEST DATA| R               | W                                                                                        | P   | S   | U   | T   | YR   || --------------- | ---------------------------------------------------------------------------------------- | --- | --- | --- | --- | ---- ||                 |                                                                                          |     |     |     |     |      || `BS96`          | `4`                                                                                      | `7` | `4` | `4` | `3` | `69` || 7. DATE OF TEST | DATA FOR ITEM 2 THRU 7 13 EXTRACTED FROM FORM 1272 LANGUAGE PROFICIENCY AND AWARDS DATA. |     |     |     |     |      || MO DA YR        |                                                                                          |     |     |     |     |      |## QUALIFICATIONS RECORD CHANGE| 1. ID | 2. EMP/APPL NO. | 3. NAME                                                                                                             |     |     |      |          |     |     |     || ----- | --------------- | ------------------------------------------------------------------------------------------------------------------- | --- | --- | ---- | -------- | --- | --- | --- || <4    |                 | 3-LETTERS                                                                                                           |     |     |      |          |     |     |     || TYPE  | CODE # 1        | ENTER UNDER "TYPE" - A - ADDITION TO RECORD C - CHANGE TO EXISTING RECORD D - DELETION OF DATA FROM EXISTING RECORD |     |     |      |          |     |     |     || BASE  | 1               | 2                                                                                                                   | 3   | YR  | BASE | CODE # 2 |     |     |     || ---   | ---             | ---                                                                                                                 | --- | --- | ---  | ---      | --- |     |     ||       |                 |                                                                                                                     |     |     |      |          | 1   | 2   | YR  ||       |                 |                                                                                                                     |     |     |      |          |     |     |     ||       |                 |                                                                                                                     |     |     |      |          |     |     |     ||       |                 |                                                                                                                     |     |     |      |          |     |     |     ||       |                 |                                                                                                                     |     |     |      |          |     |     |     ||       |                 |                                                                                                                     |     |     |      |          |     |     |     ||       |                 |                                                                                                                     |     |     |      |          |     |     |     ||       |                 |                                                                                                                     |     |     |      |          |     |     |     ||       |                 |                                                                                                                     |     |     |      |          |     |     |     ||       |                 |                                                                                                                     |     |     |      |          |     |     |     |10-64 1962aSECRET