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# US ARMY REQUEST F. NATIONAL AGENCY CHECK2. CONTROL OFFICE:3. LAST NAME FIRST NAME MIDDLE NAME   SCHEER, Robert (EN)5. DAY, MONTH, YEAR OF BIRTH   4 April 19368. RELATIVE'S NAMES   a. FATHER   Fred Scheerb. MOTHER (maiden name)Ida Kurenc. SPOUSE (mdWE TLS)Anne Caille6. PLACE OF BIRTH   Bronx, New York, New York9. DATE AND PLACE OF BIRTH   25 May 1898   Germany   24 Apr 1900   Russia   Feb 1942   Eureka, Calif.10. PRESENT ADDRESS    Deceased    2660 Cronx Park East    Bronx, New York    2028 Silvia Street    Berkeley, California11. CITIZENSHIP    U.S.    Russian    U.S.12. RESIDENCES (List all from 16th birthday or during last 15 years, whichever is shorter)| FROM | TO   | NUMBER AND STREET                           | CITY          | STATE    || ---- | ---- | ------------------------------------------- | ------------- | -------- || 1949 | 1953 | 653 Critton Street, Bronx                   | New York      | New York || 1958 | 1959 | Syracuse N.Y.Carried Student Housing System | Syracuse      | New York || 1959 | 1961 | 2157 Macon Street                           | Berkeley      | Calif.   || 1961 | 1963 | 444 Columbus Street                         | San Francisco | Calif.   || 1963 | 1963 | 444 Columbus Street                         | San Francisco | Calif.   || 1964 | 1965 | 332 Castro St. & 2070 Geary                 | San Francisco | Calif.   |13. EMPLOYMENT (List all from 16th birthday or during last 15 years, whichever is shorter)| FROM   | TO      | EMPLOYER                 | PLACE                 || ------ | ------- | ------------------------ | --------------------- || Sep 60 | Jun 61  | University of California | Berkeley, California  || Sep 61 | Oct 63  | City Lights Bookstore    | San Francisco, Calif. || Jun 65 | Present | Rampart's Magazine, S.F. | San Francisco, Calif. |REQUEST COPY OF RESULTS OF ANY| FROM   | TO     | NAME                     | PLACE                || ------ | ------ | ------------------------ | -------------------- || Sep 59 | Jun 61 | University of California | Berkeley, California || YES | NO  | ITEM ("Yes" answers are expanded in Remarks)                              || --- | --- | ------------------------------------------------------------------------- ||     | X   | a. IS THE SUBJECT AN ALIEN OR A NATURALIZED CITIZEN OF THE UNITED STATES? || X   |     | b. ANY FOREIGN CONNECTIONS. INTERESTS. EMPLOYMENT OR MILITARY SERVICE?    || X   |     | c. ANY FOREIGN TRAVEL OTHER THAN FOR THE UNITED STATES GOVERNMENT?        ||     | X   | d. EMPLOYMENT BY A FIRM HAVING A CLASSIFIED US GOVERNMENT CONTRACT?       || X   |     | e. FORMER US GOVERNMENT EMPLOYMENT OR MILITARY SERVICE?                   ||     | X   | f. ANY QUALIFICATION OF DD FORM 398 OR DD FORM 98?                        || X   |     | g. ANY ARREST OR COURT RECORD?                                            |16. REMARKS (If additional space is needed, continue on plain paper)Item 15 c. Aug 1965 to Present - 2028 Silvia Street, Berkeley, CaliforniaItem 15 d. Aug 1963 to Sep 1963 - Cuba - To learn to writeJan 1963 to Mar 1965 - England, France, Poland, Hungary, Soviet Union & Czechoslovakia - To writeFeb 1955 to Mar 1965 - Vietnam, Cambodia, Indonesia, Japan, Laos & Thailand - To writeFeb 1955 to Mar 1966 - Vietnam, Cambodia, Thailand & Japan - To write#15 f-Registrant refused to cooperate re DD 398 98 (Security operations) 398.17. CONTROL OFFICE USEJAN 16 19676ON BASIS OF DATA FURNISHED UNABLE TO LOCATE ARREST RECORD IN FBI IDENTIFICATION DIVISION18. FROM    Headquarters, USAINTC    ATTN: ICOP-III-24    Fort Holabird, Maryland 2121919 THRU:6305 6016 requestNW 88613 Docld:34530125 Page 3