Released under the John F. Kennedy
Assassination Records Collection Act of
1992 (44 USC 2107 Note). Case#:NW
88613 Date: 03-18-2025
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
Date : 08/24/98
Page :
1
AGENCY INFORMATION
AGENCY : CSF/INSCOM
RECORD NUMBER :
194-10006-10181
RECORDS SERIES : DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS
AGENCY FILE NUMBER : PAGES 640-640A
ORIGINATOR : USA
DOCUMENT INFORMATION
FROM : NICHOLS, WH
ΤΟ :
TITLE : [ RESTRICTED ]
DATE : 11/04/66
PAGES : 2
SUBJECTS
: SCHEER, ROBERT
RESIDENCES
EMPLOYMENT
CIVILIAN SCHOOL
US ARMY REQUEST FOR NATIONAL AGENCY CHECK
DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT
CLASSIFICATION
: UNCLASSIFIED
RESTRICTIONS
: 3
CURRENT STATUS :
RELEASED WITH DELETIONS
DATE OF LAST REVIEW : 03/07/95
OPENING CRITERIA :
COMMENTS : REGRADED UNCLASSIFIED AND ANNOTATED "FOR OFFICIAL USE
ONLY" WHEN SEPARATED FROM CLASSIFIED INCLOSURES.
INCLOSURES NOT INCLUDED.
NW 88613 Docid:34530126 Page 1
CONTROL OFFICE:
US ARMY RC
3
LAST NAME FIRST NAME MIDDLE
NAME
SCHEED, Robert
5. DAY, MONTH, YEAR OF BIRTH
4 April 195S
a. FATHER
B. RELATIVE'S NAMES
Fred ScheST
b. MOTHER (maiden name)
Ide Kuren
C. SPOUSE (DEL InSme)
Anne Fallis
4
a. FROM
1949
ALIASIES NICKNAM
6. PLACE OF BIRTH
ENCY CHECK
ن لامون در آن ها
SECRETIC 14422-66
Drank, New York, New Yack
9. DATE AND PLACE OF E
25 tay 185
Germany
24 Apr 1900
Russia
Fab 1942
Eureka, Calif.
FOR
#0121
DV 22 1966
BNPV
DATE OF REQUEST
4 Nov 1966
in AL SECURITY NO
331
-1154
7 SERVICE NUMBER
CITIZENSHIP
OFFICIAL USE ONLY...
Decussed
2000 Brona Park East
Bronx, New York
2523 via Stræt
Barbalay, California
12. RESIDENCES (List all from 16th birthday or during last to years, whichever is shorter)
C. NUMBER AND STREET
653 Gritton Street, Brom
Syracuda H.Y.Enrried Student Housing buss
b. TO
1953
1958
1960
1959
1561
Francisco Street
1981
1953
2157 Kason Straet
1963
1563
444 Columbus Street
ince
Ruzaion
e. STATE
New York
d. CITY
flow York
New York
Cerioley
Colif.
San Francisce
Calif.
San Franciers
Calif.
San Franciams
Calif
175 Seaton St. & 2870 Geary
-
st 15 years, whichever is shorler)
AGENCY TO BE CHECKED: FBI(S)
office 
contain FBI reports dated through 1962 when
Records of this
SUBJECT was previously processed 
as a Selective
✓ 
Service Registrant, and 
three letterhead memoranda
subsequent thereto dated 28 
May 65(San Francisco)
13 Aug 65(Washington D C) 
and 14 Feb 66 (San Francis-
go).
Request any additional 
information re
SUBJECT.
d. PLACE
Berkalay, Californis
San Francisco, Calif.
San Francisco, Calif.
O. FROM
b. TO
C. NAME
f
Sep 53
Jun 63
University of California
L
d. PLACE
Berkalay, California
YES
NO
x
器
✗
15. ITEM ("Yes" answers are expanded in Remarks)
THE UNITED STATES?
a. IS THE SUBJECREMQUEST COPY OF RESULTS OF ANY.
b. ANY FOREIGN CONNECTIONS, INTERESTS. EMPLOYMENT OR MILITARY SERVICE?
C. ANY FOREIGN THNVESTIGATION○CONDUC1ED TO SAVERNMENT?
d. EMPLOYMENT BY A FIRM HAVING A CLASSIFIED US GOVERNMENT CONTRACT?
e. FORMER US GOVERNMEN
f. ANY QUALIFICATION OF DD FORM 398 OR DD FORM 98?
9. ANY ARREST OR COURT
"DOD NAC CENTER
To Holabird, Ma
16. REMARKS (If additional space is needed, continue on plain paper)
SAC
ITE 12 ESENT 1965 to Present 2828 Milvia Street, Corkley, Californie
NEW 125 C. Aug 1 to Sep 1960 - Cube – To Learn to wito
-
Jan 1953 to for 1953 – England,France,Palend, Hungary,Soviant Union
Crochaelsukis - To write
Feb 1955 to for 1965 - Vietnam, Cambodia, Indonesia, Japon, Loos &
Thailand - To write
Feb 1955 to Ear 1955 - Vietnam, Cambodia, Thailand & Japen – To urite
#15f Registrant rafused to execute DD 98 and portions of DD 398
FICE USED and annotated 18. FROM
17. CONTROL OFFICE
To be regrad CHIC
FOR OFFICIAL USE ONLY when separated from
classified inclosures.
Agency checked per you
DEC 2 -1966
for
40
DCofs, Operations
Headquarters, USAINTC
ATTN:
ICOP-III 24
Fort Holabird, Maryland 21219
"per you request FOR OFFICIAL USE ONLY
HwLay
W. H. NICHOLS COD OFFION PL
Chief Closing Divisi UNGEN 8371
A FORM DEMON257 Center
NW 88613 Docid:34530126 Page 2
REPLACES DA FORM 340. 1 DEC 58, WHICH IS
21 1966
201
CONTROL OFFICE:
US ARMY kt
3 LAST NAME FIRST NAME MIDDLE NAME ALIASIES NICKNAM
SCHEEE, Robert
5. DAY, MONTH, YEAR OF BIRTH
April 1035
a. FATHER
8. RELATIVE'S NAMES
Fred Scheer
b. MOTHER (maiden name)
Ide Kuren
C. SPOUSE (me)
Anne Failis
G. FROM
6. PLACE OF BIRTH
5-
ICY CHECK
66-0-89
BNPV 22 1966
DATE OF REQUEST
4 Nov 1966
SECRETIC 2472-661 $12-20-1154
Dean, New York, New York
9. DATE AND PLACE OF E
25 May 1898
Germany
74 Apr 1900
Rusala
Feb 1242
Eureks, Calif.
#0121
33
7. SERVICE NUMBER
CITIZENSHIP
FOR OFFICIAL USE ONLY
Deceased
2060 Braga Park Eest
Bronx, New York
2523 Milvia Streat
Barbeley, California
12. RESIDENCES (List all from 16th birthday or during last to years, whichever is shorter)
C. NUMBER AND STREET
653 Britton Street, Bronyt
d. CITY
New York
Syracuse H.V.Enrried Student Housing Synecuas
b. To
1949
1950
1958
1950
1959
1961
Francisco Street
1981
1953
2157 Eason Street
1963
1963
444 Columbus Street
1964
1955
Cerkeley
Ruzaion
Uose
e. STATE
tion York
New York
Colif.
Sen Franciaco
Calif.
San Francisus
Calif.
O.FROM
Sep
Sap 61
65
O. FROM
332 Castro St. & 2870 Geary
San Franciscs Calif.
13. EMPLOYMENT (List all from 16th birthday or during last 15 years, whichever is shorter)
b. To
Jan 61
DEB 63
Presant
C. EMPLOYER
University of Californis
City Lights Beckstore
Rempert's Regn:inn,S.F.
d. PLACE
Berkeley, Californis
San Francisco, Calif.
San Francison, Calif.
b. TO
C. NAME
14. LAST CIVILIAN SCHOOL
d. PLACE
Sep 59
YES
NO
x
式
"
✗
Jun 63
University of California
Berkalay, California
15. ITEM ("Yes" answers are expanded in Remarks)
a. IS THE SUBJECT REQUEST COPY OF RESULTS OFHANK
THE UNITED STATES?
b. ANY FOREIGN CONNECTIONS, INTERESTS. EMPLOYMENT OR MILITARY SERVICE?
C. ANY FOREIGN TNVESTIGATION CONDUCTEDST TOWERNMENT?
d. EMPLOYMENT BY A FIRM HAVING A CLASSIFIED US GOVERNMENT CONTRACT?
e. FORMER US GOVERNMEN
ENDOD NAC CENTER
f. ANY QUALIFICATION OF DD FORM 398 OR DD FORM 98?
G. ANY ARREST OR COURT R
FOR Holabird Md.
16. REMARKS (If additional space is needed, continue on plain paper).
ITES
ITEA
1
SAC
12 RESIDENTS 1965 to Presunt 2828 Milvia Street, Corbeisy, Californie
So Aug 1 to Sep 1960 – Cube – To Learn to writo
Jan 1953 to for 1965 – England,France, Paland, Hungary,Soviant Union &
Czechoslaukia – To write
Feb 1965 to Bar 1965 – Vietnsa, Cambodia, Indonesia, Japan, Loos &
Thailand - To write
Fab 1955 to Ear 1956 – Vietnam, Cambodia, Thailand & Impen – To urite
#15f_Registrant rafused to execute DD 98 and portions of DD 398.
CONTROL OFFICE USED and annotated
17.
To be regrad
FOR OFFICIAL USE ONLY when separated from
classified
Agency
DEC 23-1966
A
closures.
18. FROM
640
DCofs, Operations
Headquarters, USAINTC
24
ATTN: ICOP-III
Fort Holabird, Maryland 21219
per year FOR OFFICIAL USE ONLY
request
HwLay
FOR
W. H. NICHOLS COD OFFIOnit
for Chief Closing Desk 2URINGEJI INTESTTER.COM
FORM
1 AUG 65
„DEIONA57 Center
NW 88613 Docid:34530126 Page 3
E ATTA
REPLACES DA FORM 340. 1 DEC 58, WHICH IS
1966
201
R
REFER TO DATA RE
Subject (Demonstrations
WHICH 7.3 SENT YOUR ONI-051-62
AGENCY ON 12-6-66
U.S. Intervention in Vietnam
San Marco"
)
радиа
Report dated 11-15-66 at Son Shines pages 18,22,56, +57
In resuance
there ar
reports t
your request
3
to the subject of your inquiry.
This reply is result of check of FBI
investigative file
records, request
hack arrost
De cubmitted to
FBI Identification Division.. Finger-
prints are necessary for positive check.
NW 88613 Docid:34530126 Page 4