Francesco/who-killed-jfk huggingface dataset:
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# SEC. XIV. MILITARY STATUS1. Present Draft Status   Have you registered under the Selective Service Act of 1948? Yes No.   If yes, indicate your present draft classification 4H2. Present Reserve or National Guard Status   Do you now have Reserve or National Guard Status Yes No.   If yes, complete the following.   1. National Guard   2. Air National Guard   3. Active Reserve Status (member of organized unit)   4. Inactive Reserve StatusService ARMY Grade PFC Serial Number ER17214704Reserve Unit with which currently affiliatedService Mobilization Assignment, if anyLocation of Service Records, if known Washington 25, D.C# SEC. XV. TRAININGList the training courses or subjects you have taken in this organization.| Course or Subject | (from) Dates (to) | Hours || ----------------- | ----------------- | ----- ||                   |                   |       ||                   |                   |       ||                   |                   |       |# SEC. XVI. REMARKSUse this space to indicate any other qualifications you may have which you do not describe above.DATE Now. 13, 1952SIGNATURE Jenis S.
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# REPORT OF QUALIFICATIONSNOTE: THIS REPORT MUST NOT BE DISCUSSED WITH APPLICANT OF EMPLOYEE.NAME OF EMPLOYEE (OR APPLICANT)WOODS, James S.Acct Clk.THIS DATE20 December 1951TEST RECORDNOTE: PRINTED BLACK LINE REPRESENTS MEAN PERCENTILE RANKINGS OF GS-4'S. COLORED LINE REPRESENTS PERCENTILE RANKINGS FOR THIS PARTICULAR SUBJECT.|             | PROFILE |     |     |     |     |     |     |     |     |     || ----------- | ------- | --- | --- | --- | --- | --- | --- | --- | --- | --- ||             | 1       | 2   | 3   | 4   | 5   | 6   | 7   | 8   | 9   | 10  || DIRECTIONS  |         |     |     |     |     |     |     |     |     |     || CLERICAL    |         |     |     |     |     |     |     |     |     |     || SPELLING    |         |     |     |     |     |     |     |     |     |     || SENTENCES   |         |     |     |     |     |     |     |     |     |     || NUM. ABIL.  |         |     |     |     |     |     |     |     |     |     || ABST. REAS. |         |     |     |     |     |     |     |     |     |     || SPACE REL.  |         |     |     |     |     |     |     |     |     |     || TYPING             |     |     |     |           |             |     | SHORTHAND |     |     |     || ------------------ | --- | --- | --- | --------- | ----------- | --- | --------- | --- | --- | --- || GROSS NET ERRORS   | 1   | 2   | 3   | TOT. TIME | VERB. REAS. |     |           |     |     |     || 28      18      10 |     |     |     |           |             |     |           |     |     |     |EVALUATION OF EDUCATION AND EXPERIENCE| TYPE OF POSITION    | OUTSTANDING | SUPERIOR | ADEQUATE | WEAK | INADEQUATE || ------------------- | ----------- | -------- | -------- | ---- | ---------- || EDUCATION           |             |          |          |      |            || DIRECT EXPERIENCE   |             |          |          |      |            || INDIRECT EXPERIENCE |             |          |          |      |            || EDUCATION           |             |          |          |      |            || DIRECT EXPERIENCE   |             |          |          |      |            || INDIRECT EXPERIENCE |             |          |          |      |            || EDUCATION           |             |          |          |      |            || DIRECT EXPERIENCE   |             |          |          |      |            || INDIRECT EXPERIENCE |             |          |          |      |            |QUALIFICATIONS TECHNICIAN
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*SECRET(When Filled In)REQUEST FOR MEDICAL EVALUATION1.  DATE OF REQUEST25 August 19762.  NAME (Last, First, Middle)Woais, James S.3. POSITION TITLERecords Admin Officer4.  GRADEGS-125.  OFFICE, DIVISION, BRANCH6. EMPLOYEE'S EAT.DOO/ACCS/RO63527.  PURPOSE OF EVALUATIONHDQS/TDYOVERSEAS ASSIGNMENTPRE-EMPLOYMENTETOENTRANCE ON DUTYSTATIONTDY STANDBYTDY OR PCSSPECIAL TRAININGTYPE OF COVERXX ANNUALNO. OF DEPENDENTS TO ACCOMPANYRETURN TO DUTYNO. OF DEPENDENTS' REPORTS OF MEDICALHISTORY ATTACHEDFITNESS FOR DUTYRETURN FROM OVERSEASETAMEDICAL RETIREMENTSTATIONNO. OF DEP.'S8. OVERSEAS PLANNING EVALUATION (One block must be checked)YES9. REQUESTING OFFICERSIGNATUREDonald E. SeithillNOROOM NO. & BUILDINGEXT.10. COMMENTS11. REPORT OF EVALUATIONAnnual Exam Completed.DATESIGNATURE FOR CHIEF OF MEDICAL STAFF4 October 1976William T. Colder. OMS/PEOFORM 2599-72USE PREVIOUSEDITIONSSECRETE I MPDET CL BY 007622
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14-00000SECRET1. NAME (Last, First, Middle)WOODS, James S.4. OFFICE, DIVISION, BRANCH (or overseas station and existing cover if lateral assignment)DDP/EUR7. PROPOSED STATIONRome, Italy9. TYPE OF COVER AT NEW STATION.SS# 502-16-6806Nominal (Light State)12. COMMENTSPlease evaluate for proposed assignment.No language is required for this positionForm 58 attached2. DATE OF BIRTH20 February 19285. PRESENT POSITIONRecords Admin Officer8. PROPOSED POSITION (Title, Number, Grade)Records Admin Officer 0699 (09)10. ESTIMATED DATE OF    DEPARTURE31 May 197111. NO. OF DEPENDENTS TO ACCOMPANY-2-3. GRADEGS-106. EMPLOYEE EXTENSION9/0715213. DATE OF REQUEST8 March 197114. SIGNATURE OF REQUESTING OFFICIALFloyd G. Lanter, E/Pers15. ROOM NUMBER AND BUILDING 16. EXTENSION480002 Ha. 715217. OFFICE OF MEDICAL SERVICES DISPOSITION18. OFFICE OF SECURITY DISPOSITION19. OVERSEAS CANDIDATE REVIEW PANEL DISPOSITION![qualifications]REQUEST FOR PCS OVERSEAS EVALUATIONFORM 259a (USE PREVIOUS EDITIONS)SECRET(4)
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# SECRET(When Filled In)## SECTION V GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE | DATES OF TRAVEL     | DATE & PLACE OF STUDY | KNOWLEDGE ACQUIRED BY--CHECK (X)  || ------------------------- | ----------------------------- | ------------------- | --------------------- | --------------------------------- ||                           |                               | MAR 11 to 21 APR 71 |                       | RESIDENCE TRAVEL STUDY ASSIGNMENT ||                           |                               |                     |                       | MAIL ROOM                         |## SECTION VI TYPING AND STENOGRAPHIC SKILLS1. TYPING (PPM) 2. SHORTHAND (WPM) 3. INDICATE SHORTHAND SYSTEM USED--CHECK (X) APPROPRIATE ITEM[] OREGO [] SPEEDWRITING [] STENOTYPE [] OTHER SPECIFY:## SECTION VII SPECIAL QUALIFICATIONSPROVIDE INFORMATION ON HOBBIES, SPORTS, LICENSES, PUBLISHED MATERIALS OR DEVICES WHICH YOU MAY HAVE INVENTED.## SECTION VIII MILITARY SERVICE CURRENT DRAFT STATUS1. HAS YOUR SELECTIVE SERVICE CLASSIFICATION CHANGED?[] YES [] NO 2. NEW CLASSIFICATION3. LOCAL SELECTIVE SERVICE BOARD NUMBER AND ADDRESS 4. IF DEFERRED, GIVE REASONMILITARY RESERVE, NATIONAL GUARD STATUSCHECK RESERVE OR GUARD ORGANIZATION TO WHICH YOU BELONG [] ARMY [] MARINE CORPS [] COAST GUARD [] NATIONAL GUARD[] NAVY [] AIR FORCE [] AIR NATIONAL GUARD1. CURRENT RANK, GRADE OR RATE 2. DATE OF APPOINTMENT IN CURRENT RANK 3. EXPIRATION DATE OF CURRENT OBLIGATION4. CHECK CURRENT RESERVE CATEGORY [] READY RESERVE [] STANDBY (active) [] STANDBY(Inactive) [] RETIRED [] DISCHARGED5. 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 ON SPECIALIZATION | DATE COMPLETED            || -------------------------- | ----------------------- | ------------------------- ||                            |                         |                           ||                            |                         | RESIDENT AGENCY-SPONSORED |## SECTION IX PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS| NAME AND CHAPTER | ADDRESS (Number, Street, City, State, Country) | DATE OF MEMBERSHIP || ---------------- | ---------------------------------------------- | ------------------ || 1.               |                                                | FROM TO            || 2.               |                                                |                    || 3.               |                                                |                    |## SECTION X REMARKSDATESIGNATURE OF EMPLOYEEX *Janis Laurie Woods*SECRET
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# SECRETQUALIFICATIONS SUPPLEMENT TO PERSONAL HISTORY STATEMENTREAD INSTRUCTIONS CAREFULLY BEFORE COMPLETING TYPE OR PRINT AVOID USING LIGHT COLORED INKSBIOGRAPHIC AND POSITION DATASECTION I| 1 EMP. SER NO | 2 NAME (Last, First, Middle) | 3 SEX                  | 4 DATE OF BIRTH            | 5 SCHEDULE/GRADE, STEP || ------------- | ---------------------------- | ---------------------- | -------------------------- | ---------------------- || 010032        | WOODS JAMES S                | M                      | 02/20/28                   | GS-09-07               || 6 SO          | 7. POSITION TITLE            | 8 OFFICE OF ASSIGNMENT | 9 LOCATION (Country, City) |                        || D             | RECORDS ADMIN OF             | PE                     | SAIGON, SOUTH VIET NAM     |                        |SECTION II| AREA               | AGENCY OVERSEAS SERVICE | TYPE TOUR | FROM     | TO  || ------------------ | ----------------------- | --------- | -------- | --- || JAPAN              | PCS 56                  | 54/08/01  | 56/07/01 |     || JAPAN              | TDY 56                  | 56/08/01  | 56/11/01 |     || MEXICO             | TDY 56                  | 57/02/01  | 57/08/01 |     || PHILIPPINE ISLANDS | PCS 56                  | 57/09/01  | 59/03/19 |     || JAPAN              | PCS 45                  | 61/04/24  | 66/09/34 |     || VIETNAM            | PCS 6                   | 67/01/04  | 68/10/3  |     |OVERSEAS DATACODE:DATE: 16 OCT 1969INITIALS:SECTION III| DEGREE                      | MAJOR FIELD | COLLEGE | YEAR || --------------------------- | ----------- | ------- | ---- || NO COLLEGE DEGREE ON RECORD |             |         |      |SECRET
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# SECTION IIILAST HIGH SCHOOL ATTENDEDSECRETWhen filled inEDUCATION (Cont'd)HIGH SCHOOLADDRESS: U.S. State CountryYEARS ATTENDED: YES NO## COLLEGE OR UNIVERSITY STUDYNAME AND LOCATION OF COLLEGE OR UNIVERSITY MAJOR SUBJECT MINOR YEARS ATTENDED FROM TO DEGREE RECEIVED YEAR RECEIVED NO. SEM/QTR HRS (Specify)1. U. OF MD. TACHIKAWA, JAPAN ENG I 1966  32. U. OF MD. TACHIKAWA, JAPAN PM 10 1966  33. U. OF MD. SAIGON HIS 127 1967  34. U OF OVIEDO SAIGON FCN 31 1967  35.  PY I 1967  3IF GRADUATE DEGREE HAS BEEN NOTED, A REQUIRED SUBMISSION OF A WRITTEN THESIS, INDICATE THE TITLE OF THE THESIS AND BRIEFLY DESCRIBE ITS CONTENTTRADE, COMMERCIAL AND SPECIALIZED SCHOOLSNAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHSOTHER NON-AGENCY EDUCATION OR TRAINING NOT INDICATED ABOVENAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHSAGENCY-SPONSORED EDUCATIONSpecify which, if any, of the education shown in Section III was Agency sponsored.NAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHSSECRET- 2 -
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# SECRET(When Filled In)SECTION IVNONEGEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE | DATES OF TRAVEL OR RESIDENCE | DATE & PLACE OF STUDY | KNOWLEDGE ACQUIRED BY -- CHECK (X)     || ------------------------- | ----------------------------- | ---------------------------- | --------------------- | -------------------------------------- ||                           |                               |                              |                       | RESIDENCE TRAVEL STUDY WORK ASSIGNMENT ||                           |                               |                              |                       |                                        ||                           |                               |                              |                       |                                        ||                           |                               |                              |                       |                                        ||                           |                               |                              |                       |                                        |SECTION VNONETYPING AND STENOGRAPHIC SKILLS1. TYPING (WPM)2. SHORTHAND (WPM).3. INDICATE SHORTHAND SYSTEM USED -- CHECK (X) APPROPRIATE ITEM:[] GREGG[] SPEEDWRITING[] STENOTYPE[] OTHER, SPECIFY,4. INDICATE OTHER BUSINESS MACHINES WITH WHICH YOU HAVE HAD OPERATING EXPERIENCE OR TRAINING (comptometer, mimeograph, card punch, etc.)SECTION VINONESPECIAL QUALIFICATIONS1. LIST ALL HOBBIES AND SPORTS IN WHICH YOU ARE ACTIVE OR HAVE ACTIVELY PARTICIPATED. INDICATE YOUR PROFICIENCY IN EACH.2. EXCLUDING BUSINESS EQUIPMENT OR MACHINES WHICH YOU MAY HAVE LISTED IN ITEM 4, SECTION V. LIST ANY SPECIAL SKILLS YOU POSSESS RELATING TO OTHER EQUIPMENT AND MACHINES SUCH AS OPERATION OF RADIO TRANSMITTERS (i.e. speed, sending & receiving), OFFSET PRESS, TURRET LATHE, EDP AND OTHER SCIENTIFIC & PROFESSIONAL DEVICES.3. ARE YOU NOW OR HAVE YOU EVER BEEN A LICENSED OR CERTIFIED MEMBER OF ANY TRADE OR PROFESSION SUCH AS PILOT, ELECTRICIAN, RADIO OPERATOR, TEACHER, LAWYER, CPA, MEDICAL TECHNICIAN, PSYCHOLOGIST, PHYSICIAN, ETC.?[] YES[] NO4. IF YOU HAVE ANSWERED "YES" TO ITEM 3 ABOVE, INDICATE KIND OF LICENSE OR CERTIFICATION AND THE ISSUING STATE. MUNICIPALITY, ETC. Provide license registry number & dates.5. FIRST LICENSE/CERTIFICATE (year of issue)6. LATEST LICENSE/CERTIFICATE (year of issue)7. LIST ANY SIGNIFICANT PUBLISHED MATERIALS OF WHICH YOU ARE THE AUTHOR (Do NOT submit copies unless requested). INDICATE THE TITLE, PUBLICATION DATE, AND TYPE OF WRITING (non-fiction or scientific articles, general interest subjects, novels, short stories, etc.)8. INDICATE ANY DEVICES WHICH YOU HAVE INVENTED AND STATE WHETHER OR NOT THEY ARE PATENTED9. PUBLIC SPEAKING AND PUBLIC RELATIONS EXPERIENCESECRET-3-
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SECRETSECTION VIIAGENCY EMPLOYMENT HISTORY1. INCLUSIVE DATES (From-to- by month & year) 2. LOCATION (Country, City) 3. DIRECTORATE, OFFICE OR DIVISION, BRANCH 5. GRADES HELD IN JOBJUL 67-OCT 68 Washington, D.C. History6. DESCRIPTION OF DUTIES1. INCLUSIVE DATES (From-to- by month & year) 2. LOCATION (Country, City) 3. DIRECTORATE, OFFICE OR DIVISION, BRANCH 5. GRADES HELD IN JOBAPR 61-SEPT 66 Tokyo, JAPAN FE GS-94. TITLE OF JOBCHIEF OF REGISTRY5. DESCRIPTION OF DUTIESSUPERVISED 7 EMPLOYEES IN REGISTRY WORK.1. INCLUSIVE DATES (From-to- by month & year) 2. LOCATION (Country, City) 3. DIRECTORATE, OFFICE OR DIVISION, BRANCH 5. GRADES HELD IN JOBFEB 59-MAR 61 WASH. D.C. FC GS-94. TITLE OF JOBRECORDS ADMW OFFICER6. DESCRIPTION OF DUTIESASSIST THE FE RMO IN THE MANAGEMENT OF FE RECORDS. INCLUDED CLOSE LIRISON WITH RID. ALSO INVOLVED 4 MONTHS OF HALF-DAY WORK WITH DDP/MACHINE RECORD GROUP IN SETTING UP THE APERTURE CARD SYSTEM.SECRET-5-
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SECRETSECTION VIII1 INCLUSIVE DATES (From - To - by month & year)Aug 57-FEB 592 LOCATION (Country, City)MANILA, P.I.3 DIRECTORATE OFFICE OR DIVISION BRANCHFE4 TITLE OF JOBCHIEF OF RECORDS MANAGEMENT TEAM5 GRADES HELD IN JOBGS-7 & GS-96 DESCRIPTION OF DUTIESCHIEF OF A TEAM OF THREE individualsSTATIONED PCS MANILA but TRAVELLEDTHROUGHOUT THE FE (Including AUSTRALIA) TO SETup RECORD SYSTEMS, including REGISTRY, ACCORDINGTO HEADQUARTERS REGULATION. THIS WAS TO ENSURETHAT FIELD SYSTEMS would be in line with HQS PROCEDURES.1 INCLUSIVE DATES (From - To - by month & year)FEB 57 - July 572 LOCATION (Country, City)MEXICO CITY, MEXICO3 DIRECTORATE OFFICE OR DIVISION BRANCHWH4 TITLE OF JOBTEAM MEMBER OF RECORDS MANAGEMENT TEAM5 GRADES HELD IN JOBGS-76 DESCRIPTION OF DUTIESMEMBER OF A TEAM OF 4 SENT TO MEXICOTO ESTABLISH AND STREAMLINE A SYSTEM OF RECORDSTHIS INVOLVED SETTING up A 201. SYSTEM, BETTERNAME TRACE SYSTEM, CHECK-OUT SYSTEM FOR FILESAND THE MICROFILMING OF FBI RECORDS. MYMAIN SPECIALTY WAS. 201's.1 INCLUSIVE DATES (From - To - by month & year)Aug 54-NOV 562 LOCATION (Country, City)Seoul, Korea & Yokosuka, Japan3 DIRECTORATE OFFICE OR DIVISION BRANCHFE4 TITLE OF JOBADMIN ASSISTANT5 GRADES HELD IN JOBGS-5 & GS-76 DESCRIPTION OF DUTIESNAME TRACES AND OTHER REGULARREGISTRY DUTIES.
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SECRETSECTION DI1 PRESENT STATUS (Single Married Widowed Separated Divorced Annulled Common)MARITAL STATUS: MARRIED2 NAME OF SPOUSE: Woods3 DATE OF BIRTH: 8 May 19374 PLACE OF BIRTH (City, State, Country): Brooklyn, New York5 OCCUPATION: House Wife7 CITIZENSHIP: AMERICAN8 FORMER CITIZENSHIPS (Countries)9 DATE U.S. CITIZENSHIP ACQ./REQ:SECTION XDEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSE| NAME                 | RELATIONSHIP | DATE AND PLACE OF BIRTH   | CITIZENSHIP | PERMANENT ADDRESS || -------------------- | ------------ | ------------------------- | ----------- | ----------------- || Christine Marie Dall |              | TOKYO, JAPAN APR 14, 1963 | American    | DECEASED July '73 |SECTION XINONE| PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS |                                                || ---------------------------------------------- | ---------------------------------------------- || NAME AND CHAPTER                               | ADDRESS (Number, Street, City, State, Country) ||                                                |                                                ||                                                |                                                ||                                                |                                                ||                                                |                                                ||                                                |                                                ||                                                |                                                ||                                                |                                                ||                                                |                                                ||                                                |                                                ||                                                |                                                |DATE: 9 OCT 68SIGNATURE OF EMPLOYEE: James S. Woods
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# SECRETPERIODIC SUPPLEMENTPERSONAL HISTORY SUPPLEMENT Return toThis form provides the whereby your official will be kept current. Even though duplicates information you have furnished previously, it will be to complete their entirety. You need complete Sections VII through only if there has been a change since you entered in July although than you have previously reported.SECTION I1. FULL NAMEWOODS JAMES SAUVIE2. CURRENT ADDRESS2224 F. ST. N.W. WASH. D.C FOREST RIVER, NORTH DAKOTA3. HOME TELEPHONE NUMBER4791 U.S.A.SECTION IIPERSON TO BE NOTIFIED IN CASE OF EMERGENCY1. NAME PREFERABLY RESIDING IN U.S.MR. ROSS A WOODS FATHER2. HOME ADDRESSFOREST RIVER, NORTH DAKOTA3. BUSINESS ADDRESS INDICATE NAME OF FIRM OR EMPLOYER, IF APPLICABLEPARATARIJER, NORTH DAKOTA4. HOME TELEPHONE NUMBER4791 NA5. BUSINESS TELEPHONE NUMBER6. IN CASE OF EMERGENCY OTHER CLOSE RELATIVES MAY ALSO BE NOTIFIED. IF SUCH NOTIFICATION IS NOT DESIRABLE BECAUSE OF HEALTH OR OTHER REASONS, PLEASE SO STATE.NA NASECTION III1. CHECK ONE:SINGLE MARITAL STATUS2. FURNISH DATE, PLACE AND REASON FOR ALL SEPARATIONS, DIVORCES OR ANNULMENTS12 SEPWIER OF HUSBAND. If you have been married more than once, including annulments, use a separate sheet for wife or husband giving for all previous marriages. If marriage is contemplated, provide some details in advance.3. NAME4. DATE OF MARRIAGE5. PLACE OF MARRIAGE6. HIS (or her) ADDRESS BEFORE MARRIAGE7. LIVING8. DATE OF DEATH9. CAUSE OF DEATH10. CURRENT ADDRESS11. DATE OF BIRTH12. PLACE OF BIRTH13. IF BORN OUTSIDE U.S., STATE OF ENTRY14. PLACE OF ENTRY15. CITIZENSHIP16. DATE ACQUIRED17. WHERE ACQUIRED18. OCCUPATION19. PRESENT EMPLOYER20. EMPLOYER'S OR LAST ADDRESSSECTION III CONTINUED TO PAGE 2SECRET1
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SECRET(When Filled In)SECTION III CONTINUED FROM PAGE 221. DATES OF MILITARY SERVICE (From- and To-) BY MONTH AND YEAR22. BRANCH OF SERVICE23. COUNTRY WITH WHICH MILITARY SERVICE AFFILIATED24. DETAILS OF OTHER GOVERNMENT SERVICE, U.S. OR FOREIGNSECTION IV RELATIVES BY BLOOD, MARRIAGE OR ADOPTION LIVING ABROAD OR WHO ARE NOT U.S. CITIZENS1. FULL NAME (Last-First-Middle)   *NA*2. RELATIONSHIP3. AGE4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES5. CITIZENSHIP (Country)6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT1. FULL NAME (Last-First-Middle)   *NA*2. RELATIONSHIP3. AGE4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES5. CITIZENSHIP (Country)6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT1. FULL NAME (Last-First-Middle)   *NA*2. RELATIONSHIP3. AGE4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES5. CITIZENSHIP (Country)6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT1. FULL NAME (Last-First-Middle)   *NA*2. RELATIONSHIP3. AGE4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES5. CITIZENSHIP (Country).6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT5. SPECIAL REMARKS, IF ANY, CONCERNING THESE RELATIVES*NA*SECTION V FINANCIAL STATUS1. ARE YOU ENTIRELY DEPENDENT ON YOUR SALARY?   [X] YES    [] NO2. IF YOUR ANSWER IS "NO" TO THE ABOVE, STATE SOURCES OF OTHER INCOME*NA*3. BANKING INSTITUTIONS WITH WHICH YOU HAVE ACCOUNTS| NAME OF INSTITUTION | ADDRESS (City, State, Country) || ------------------- | ------------------------------ || UNION TRUST CO.     | Washington, D.C                |SECTION V CONTINUED TO PAGE 3SECRET