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Duplicate copy (less old 398) previouslyBI, submitted to Josh Makin75 64151284.# STATEMENT OF PERSONAL HISTORYINSTRUCTIONS: Read the certification at the end of this questionnaire before entering the required data. Print or type all answers. All questions and statements must be completed. If the answer is "None," so state. Do not misstate or omit material fact since the statements made herein are subject to verification. If more space is needed, use the Remarks section, item 20, and attach additional sheets if necessary. The information entered hereon is for official use only and will be maintained in confidence.1. Peter Carroll Glynn Jr.2. STATUS:3. ALIASES(), NICKAME(S). OR CHANGES IN NAME (Other than by marriage)   NONE4. PERMANENT MAILING ADDRESS   107 Howard St., Dumfries, Va. 220265. DATE OF BIRTH (Day, month, year)   05 March 1940   PLACE OF BIRTH (City, County, State, and Country)   Fall River, Bristol, Mass. U.S.A.   PLACE CERTIFICATE RECORDED   Fall River, Massachusetts.HEIGHT5 FT 8 INWEIGHT184COLOR OF EYESHazelCOLOR OF HAIRGraySCARS, PHYSICAL DEFECTS, DISTINGUISHING MARKSScar, left wrist, 3½ inches long6. DO YOU HAVE A HISTORY OF MENTAL OR NERVOUS DISORDERS! YES NO ARE YOU NOW OR HAVE YOU EVER BEEN ADDICTED TO THE USE OF HABIT FORMING DRUGS SUCH AS   NARCOTICS OR BARBITURATES? YES NO   ARE YOU NOW OR HAVE YOU EVER BEEN A CHRONIC USER TO EXCESS OF ALCOHOLIC BEVERAGES? YES NO   IF THE ANSWER TO ANY OF THE ABOVE IS "YES" EXPLAIN IH ITEM 20.7. U. S. CITIZEN   YES8. ALIEN   REGISTRATION O   NATIVE   IF NATURALIZED, CERTIFICATE NO.   IF DERIVED, PARENTS CERTIFICATE NI(5).   DATE, PLACE, AND COUNT   NATIVE COUNTRY   DATE AND PORT OF ENTRY   DO YOU INTEND TO BECOME   AU. S. CITIZEN   YES   NO9. MILITARY SERVICE   ARE YOU PRESENTLY ON ACTIVE DUTY IN THE U. S. ARMED FORCES DRAWING FULL PAY YES NO IF YES. COMPLETE THE FOLLOWING:   SERVICE AND COMPONENT   GRADE AND SERVICE   ORGANIZATION AND STATION   DATE CUPRENT ACTIVE   SERVICE STARTED   ARE YOU PRESENTLY A MENSER OF A U. S. RESERVE OR NATIONAL GUARD ORGANIZATION! YES NO IF YES, COMPLETE THE FOLLOWING:   SERVICE AND COMPONENT   GPADE AND SERVICE   ORGANIZATION AND STATION OR UNIT AND LOCATION   HAVE YOU PREVIOUSLY SERVED TOURS OF EXTENDED ACTIVE DUTY, DRAWING FULL PAY, FROM WHICH YOU WERE DISCHARGED OR SEPARATED TO CIVILIAN STATUS! VES NO   IF YES COMPLETE THE FOLLOWING:   COUNTRY   SERVICE   COMPONENT   FROM (Date)   TO (Date)   TYPE DISCHARGES OR SEPARATICS-GEALE AND SERVICE   N/C   N/C   N/C10. EDUCATION (Account for all civilian schools and military academia. Do not include service schools)    MONTH AND YEAR    NAME AND LOCATION OF SCHOOL    GRADUATE    YES    NO    DEGREE    N/C    N/C10 FAT (List in order firan, perente, spouse, Auardians, stapparants, foster parenta, parents-in-law, former spouses) (i diverted live date and place), children, brothers and sistera, aven though daceaned. Include any others you resided with or with whom a clos relationshi existed of asian 11 the person is not a U. S. citizen by birth, give data and port of entry, alien registration number, naturalization certiñcals number and place of jasuaれです)| RELATION AND NAME                                       | DATE AND PLACE OF DEATH                   | PRESENT ADDRESS, IF LIVING               | U. S. CITIZEN || ------------------------------------------------------- | ----------------------------------------- | ---------------------------------------- | ------------- || FAYSER Peter Carroll Clynn                              | N/C                                       | N/C                                      |               || Margaret Mary McMahon                                   | N/C                                       | 107 Howard St. Dumfries, Virginia 22191  | X             || Belity Harie Speer                                      | 23 December 1943 Hubbard, Texas.          |                                          |               || (sister) Carolyn L. Cashmen                             | 14 January 1938 Fall River, Massachusetts | 505 Hillsboro Drive Silver Spring, Mi.   | X             || (son) Jama: Michael Glynn                               | 21 October 1966 Falls Church, Virginia.   | 107 Howard St. Dumfries, Virginia 22191  | X             || (daughter) Christine Marie GlynrFalls Church, Virginia. | 20 January 1970                           | 107 Howard St. Dumfries, Virginia 22191. | X             || (mother-in-law)                                         | N/C                                       | N/C                                      |               || (father-in-law) Terlin Sneer                            | N/C                                       | N/C                                      |               |DD... 398REPLACES EDITION OF I MAY 53 WHICH MAY BE USED.(ENCLOSURE 1)Exception to Standard Fora S6Approved by Bureau of the Bintant Joan 1053