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# US ARMY keCONTROL OFFICE:3 LAST NAME FIRST NAME MIDDLE NAME ALIASES NICKNAMSCHEED, Robert (MM)5. DAY, MONTH, YEAR OF BIRTH4 Apeil 1935Q. FATHERFred Schaarb. MOTHER (maiden name)Ide KurenC. SPOUSE (WED ehInSme)Anne KoillaI DATE OF REQUEST4 Nov 1966SECRETIC 1172-66SERVICE NUMBER6. PLACE OF BIRTHDrans, Mes York, Bee Yask9. DATE AND PLACE OF25 Cay 1898Germany24 Apr 1900RussiaFob 1942Eureka, Celif.CITIZENSHIPU.S.Ruzaien2060 bror Pork EastCrona, ou York2823 vie StreatCarloloy, Celifornia4.S.12. RESIDENCES (List all from 16th birthday or during last years, whichever is shorter)| a. FROM | b. To | C. NUMBER AND STREET                      | d. CITY       | e. STATE || ------- | ----- | ----------------------------------------- | ------------- | -------- || 1949    | 1953  | 653 Brittan Street, arom                  | flow fark     | o York   || 1958    | 1950  | Syracuse B.V.Corried Student Housing Dusa | How York      | How York || 1959    | 1961  | Francisco Street                          | Cerkaloy      | Colif.   || 1961    | 1953  | 2157 Cason Stract                         | San Franciaco | Calif.   || 1963    | 1953  | 444 Columbus Streot                       | San Francisco | Calif.   || SARA    | 195   | festen St. & 2870 Geary                   | San Francisco | Calif.   |AGENCY TO BE CHECKED: FBI(S)st 15 years, whichever is shorter)Records of this office contain FBI reports dated through 1962 whenUBJECT was previously processed as a Selective Service Registrant, and three letterhead memoranda subsequent thereto dated 28 May 65(San Francisco)23 Aug 65(Washington DC) and 14 Feb 66(San Francis- do).Request any additional information re SUBJECT.| Q. FROM | b. TO  | C. NAME                  | d. PLACE             || ------- | ------ | ------------------------ | -------------------- || Sep 59  | Jam 63 | University of California | Berkalay, California || YES | NO  || --- | --- || X   |     ||     | X   || X   |     || X   |     || X   |     || X   |     || X   |     |15. ITEM ("Yes" answers are expanded in Remarks)a. IS THE SUBJECREQUEST COPYUOFIZRESULTS OF HAITED STATES?b. ANY FOREIGN CONNECTIONS, INTERESTS, EMPLOYMENT OR MILITARY SERVICE?c. ANY FOREIGN TRANVESTIGATION CONDUCTED+TOSDADERNMENT?d. EMPLOYMENT BY A FIRM HAVING A CLASSIFIED US GOVERNMENT CONTRACT?e. FORMER US GOVERNMENT DOD NAC CENTERf. ANY QUALIFICATION OF DD FORM 398 OR DD FORM 98?g. ANY ARREST OR COURT FOR Holabird. Md.16. REMARKS (If additional space is needed, continue on plain paper)ITE YES 22 RESIDENTES - 1965 to Presant 2828 Gilvia Strast, Carmisy, CalifornieITEM 115 C. Aug 8 to Sep 1960 - Cube - To Learn to eritoJan 1953 to Ear 1963 - England, France, Poland, Hungary, Soviant Union & Czechcelsukis - To writeFeb 1965 to Cor 1965 - Vietnaa, Combodia, Indonesia, Japon, Locs & Thailand - To sriteFob 1955 to Ear 1965 - Vietnam, Combedis, Thailand & Japan - To urits#15f-Registrant trafused to execute DD 98 and portions of DD 39817. CONTROL OFFICE USETo be regradb FFICE USED and annotated 18. FROM DCofS, Operations Headquarters, USAINTC ATTN: ICOP-III 24 Fort Holabird, Maryland 21219FOR OFFICIAL USE CHLY when separated from classified inclosures.19. FOR OFFICIAL USE ONLYFOR OFFICIAL USE ONLYA FORM DOD27Center REPLACES DA FORM 340. I DEC 58, WHICH ISNW 88613 Docld:34530126 Page 2