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A1B, 2, 6/14 OFFICIAL DISPATCH

1. Va are sending you herewith under separato coyer approxinately two hndred interview forms yhich are designed to aspiat you in the recording of your cases in the.erea. These forns ehe pased specifically on the diacussions held prior to your deperture and it ↓s our belief they coyer, in general, all necessary information.

2. To aesist you and to emplain agoin the varioua fseus.I am going to discuss ench item below. I feel that you andrre could easily fill out thesn forms without advice but ho insure Cont you unlerstend the elenenta we are particulardy ¿ntercbttd in, I an taking the liberty of explaining each in detail

1) Nrne or Coie Desigmatten -Thiais self-explanatory and should be filled in so we can kcy our repord into any matoriel available locnlly and.also so ye can cinainateady reference -- alphabetical, chrponglogical fln. 1=

2) Place landled\- Nhis, o cgurse, is solf-explanatory and should indicnte the exact Rlace the interview was held.

3) Ffach Dates enAHours Involved in Intarvlen/s - Set out as follcs 12 Jamunr  195h, 0800 to 1100 and 1500 to 1700, etc.

4) Fresent - Fill An the nama of the officers presont and under ng" If you carr to explain why more than the necessary mininrim were presentyou can enter the rensons here.

5) Security Precautions Taken - Meroly nake a brief statemnt that the subject was or was not under guard; was at a safo houso; and\_that certain prccautions,(describe them) wero taken.

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QUESTIOND POSED BY CLOE Vo.H-B/3

At presont, ANTICHOKE assigod toG

What relationghip of ARTICILUKE TO n B/3 "AIG ICIIOKE 10 fipld ppont or Aundar joint juriodiotion ofG

Uhore is operatianal direction for AnTICHOKE to oe frou?

Mpi ARTICHKE pereonnol to be utilised and direoted B/3 by

Is ARTICHlOKE to carry out Fexperinontation? Upoc what planning?

Hhat nappens to cotaplated lld aperitatio ofARTICEKCES?

What ia purposo of ARTLclOKs now that in exiotencel

2. No clarification end notifioation in re camand chsnnols, coorlination, reviow, control and approval of fiold experLuentation yhiohewisbee to have placed at his comnand and gtaff level.

B3 Ir joint 50-50 projeot, fiald expurianoe and .kowlodgeofAnTICHoKEneverconaidored.

Little more detall as to purpose, sirs, goalo, eto.s

Froblon rerield teami purpoge of toan, compositien of team, finanoing of projoot, ability to accomplloh purpogo.

No congideration of oparational seourity and ito : implications in implomentations of the field exporinonto.

3. Status of ARiIchikE - whero is it? lo procram? If just oporational support, why, apprcval of rosearch and dovelopmont as already sot up in Wie

A/210/8 Coulver 1954

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6) Corolete Fhysical and liental Descrintion of Subject- State here the usual physical description (5' l0", black  heir, stociy build, crippled, wounded, etc.). Also describe subject's blood pressure, heart rate, or any other physical manifeotations you have observed or obtained. We suggest also you state the mihjoct wes normal (intelligent, dull) or despondent or hal attempted suicide or oscapo rocgntly or whatovor elso you regard as important data.

7) Briof Background of Subject and Caso llistory - Oive hore a brief background of subjeot and descrlbe in some detail tho onsn history. State whother the subject was a possible double ecent or wly hahad begu.picked up.give nationnlity dotails -- whother hg He3 e saeational and thet ho had been asootiated with tho orranization doing ouch anl auch. In connection with the use ofn merely state whether or not fecerhad been usod proviously and with what results.

8) Cbjoctives of the Interviow - A. is self-explanatory. B and C are related and it is imortant that you explain briofly why ARTICHOKE was used and if cortain speclfic datalls wore desired, exactly what theso details wero.

9) Rosults - Fill in herc exactly whet the interview obtaired. If certäin qunations have been answered, comment on thos and if the csse officers express satisfaction or dlssatisfaction,. coment on this alao.

NCTEt Quastlona through 9 (Fage 1) aro for a general pú pose and are designed to be ablo to be ahown where noceasary in the /gancy. Page 2, howevor, is for SRS consumtion or for thoso with\_a nerd to knou and are entitled to know complete technicnl detaiis.

10) Cover Ulsed - Driefly state here hox the sobject wes spprosched, wbether it- was a modical covor or whethr the subject had "voluntarily" requnsted the interviry or whatever mithod you havo uasd.

1l) licrrstive Peport of Intervicw - Ihin shcult be a brlef ttatement of exsctly vhat oocurred in the intervion and ahoull conzlst in dotall of oxactly what wont on, giving tie times, the activitics, descrintiong of tho arça, and all circunatances thal. are pcrtinent.

12) Clinicnl Data - This should be a brief, exact statenent of any chemicals used, dosages, tests made, descriptions of administration of chemicals -- intravenous or otherwisa, etc.

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13) H Vse - Set out hore in brirf how H wos used, what cover was used to introhuce it, longth of timo in offect ánd, in general, what results ware obtained.

lh) Amesia - Amosia is aluays important to us as you knoy end we woull like a brief descrintion of whothor it oecirrod nnd hou in your opinion it was obtained. Whether by direct H, drug or chemical agents.

15) Remlte - This quesllon is sinilar to 9 tut herh wo wnil like to have your personel iprossion of the resalts obtained eithor from what information was securod snd/or fron en exerimental point of viex. It ia poesible that this qunation will have to Le continued on the other gide of Toge 2 under Qurstion 2l.

16) Was Intorview lionitored - The qustion ie self-explanatory.

17) Wero Photogrpphs Taken - This in also uelf-explanatory.

10) Wao Uaed During ani/or Aftor Intorviey -e would like to know whathor you directel the use of at any time during the interviow or afterwards ani tho roasons why you uned send what resulted. Thia nay be very important fron a point of viow of cross-cheoking rasults.

19) (on Pere 3) Cbservations ani Coirents - Sct out hore ar infornation you rogarued as prrtinont as Lo techniians; support; ideas; etc. ，

20) Recommindlations - Here you ahould comant as to vhnt recom-Fendatlons you made in the dispouition of tho.cuse (if requtstod) ond rocormend any ileas you noy have as to future work or techniqpos.

21) Any Adlitional Information - Self-explanatory.

3. We have attasntod to sot out in ss Lrief a spoce uo possitlo the
significnnt clepents thet shculd be covored in this urk. All cf us are
agreed that you shold feel fres to appenl to those forma any adlitional
Infornetion you fecl portinent or if ths iorms are not long envugk adl pagea
for tha extra raterial you wish conveyed. These Ferms wlll to forvarded to or tronsmiasion toligodquartors.

h. All of us hero are watching for daveloprents in the ArTtClckE work with ereat intoreot. We do not wish to. place any unngcensary burdens on you but your comnte concerning the work othor than those officlel reports

would be

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would be greatly opprnclated at any time. Furthernore, if you feal that you are in neod of additional supplins end cannot obtain them locally, pleas, write to us or sond a disnatch and we will attempt to procure tho necassnry itena.

Encl Approx 200 forms (s/c)

Di stFibution

Field - Orig & 2

SO - 1

:RI Copy - SO File

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