rom. {fice Position Title: Title: Troms. oL cormeonsiomee Office Position Title: Duty Tithe: rade cgej Salary Crasmet yee Tet wet 4 ata Vereen dad From < ffice Position ‘Title: Duty ¢ ‘ Note wet Yat rade wv.i Salary aii; ic Pesaterad jOffiice RO osition Tithe: Intellicencs Duty Tithe: ViseeCorsul: From.>. Tov... eat eneeman nape comme rade cy. Salary “5 lor To-+- Gradeyv > Salary 15 eat PS rare et ELE e -H, WORK EXPERIENCE ea CLA’ ‘Experience: State’ the Specific nature of duties performed with CIA. and ® 2 CIG; . starting with your present position. Take position titles from your of-' ficial personnel ‘papers,.- if you have personal copies. Pleasé do not request ‘your Official Personnel: Folder. Include geographic area and subject matter a ~ dealt with, if ap , -Geographer, Intelligence Office?; plicable. Ofvtenr - Tot.mos. OOO OtPficer Tot. mos, Tithe Security Information SECRET Position Title is your classification title such as, USe a continuation sheet, if nécessary, to ete. ‘Duty Title indicates your organization position such as - Section Chief, ‘Branch Chief, Administrative Assistant, etc, and is to be ‘filled in only if different to the Position Title. (month and year) are sufficient. adequately describe your duties. +> TO pres Tot.mos, 34 rreerertonseeetreceteceent ipod Approximate dates 1 i L Description of Dutiesicpeseci. of antic BMiantes maretatt Av Roe tet fon ag eye” a at fs ecw tie Oring. “ “ a et elk wre 7 Fee ue st t - ~ . « co a “ . : 1 Duty Station, if overseas: SECRET Security Information escription of Dutiesttnger ceeral Cirectia: of the Chic?, Youston Office. sore noeminie “or concuc lows Tochereaniiie: oo ee. Biiteagn eoncorns. sofeantict.. tio wey bey tye Pine te set Todee, rea taetyt a teeta . Duty Station, i1 overseas: - * oy |Description of Duties: Tr ooa~-e ar - Fat Usicutta, Indian. gyn: Lok aches dns intel drones eb sues cde eee at ante pf eewg aes oath Pee eee ere Sanne tare At fh Clee fe eee Duty Station, if overseas: indie 7. |Description of Duties: 4. atetin Sawer Thay * fe asain See * i a Duty Station, if overseas: -, et gs on
SECRET Security Information . SEC. UN, WORK EXPERIENCE (GONT'D, ) ‘ 2a: Other, than ‘CIA: (Describe work experience for the last 15 years in sufficient: detail to permit specific coding of your qualifications, Include military work? ; Experience. List last. position first.) “Fi From: : .Tot.mo's:. | Exact Title of your position Spormvé mast es a Classification: Cant £ in: Federal Lo a ae Service)” ae “Salary... . tty -Dese Tiption of Duties: Ty ape Te ST sees ee tet ‘Number and Class. of. Employees Vote ge te ee “Supervised: wow oR Tp dts oe ave ae be ite tos oy , Bmployer ms eo Re Tage eS ge aetysaee fe TR te =~ “Kind: 6 ‘Business « or oFganization:. (ice., paper Products mir, public utility)” ABS g sean ; . From: ii.) To” Bee Tot. mo $y" Classification Gretetir in Federal Service)i.i; Salary ¢3,°° . Number and Class of Employees Supervised: 0 nu cet Employer o:7 Kind of Business or organization (i.e., paper products mfr, public utility) Goce ch ene - Duty Station if overseas: 9-2-0 eee tte Exact Title of your position. 3-~-> 7 - Description of Duties: 7-27 Duty Station if overseas: From? . To : “Tot. mo's -> | Exact Title of your position a Tae -Classification Gradetr in Federal . : : “Description of Duties: (avis... pets . Sérviceyac!. Salaty® co Number and Class of Employees Supervised: -Employer.. “Kind of Business or organization (i.e., paper products mfr, public utility) socoreront, Aceh - From  Tot.mo's Classification Grade(if in Federal Service) Salary Number and Class ot Employees Supervised: Employer Kind of Business or organization fi.e., paper products mfr, public Duty Station if overseas: Exact Title of your position Description 6f:Duties: Duty Station if overseas: utility) - From . To Tot. mo's Exact Title of your position Classification Grade(if in Federal Service) Salary Description of Duties: Number and Class of Employees Supervised: Employer Kind of Business or organization (i.e., paper products mfr, public utility) “| Duty Station if overseas: a Security Information
SECRET Security Information ; &. ‘ SEC... WORK EXPERIENCE (CONT'D) a a you may ha¥e.been employed. Oi U.S. Secret Service | - 2° “Civil Police, ~ “7 O37 Military Police: “U.S:. Border Patrol’ U.S. Narcotics Squad FBI no, ; Criminal Investigation Div. Office of Naval Intelligence Office of War Information Army G2 . Office of Strategic Services o ae | ° fe twtv ty fe & 5, ES wets of OP, | 7 sya SEC, IZ. FOREIGN LANGUAGES ‘3. Special Work Experience: Check any of the following organizations by which 24 Air Force A-2 25 Foreign Economic Admin, | 26 _ Counter Intelligence Corps ‘27 Immigration -& Naturalization 28 . Stratéyic Services Unit 2) . Forcign Service, State Dept. 30 . Central Intelligence Group 31 Armed Forces Security Agency 32 Coordinator of‘ Information 33. Office of Facts & Figures 34 Board of Economic Warfare % Federal Communications Comm, TEE EE ET | List below the forcign languages in which you have some competence. Be sure to include wae LANGUAGE common modern languages. Check ( X) your competence and how acquired. COMPETENCE HOW ACQUIRED CIA training) obviously Fluent but Foreign * Adequate for Research ** (inc, * if yoo Gave checked 'Fluent' for a language that has significant difference in spoken and write en form (e.g., Arabic), explain your competence herein e@speiaized Language Competence: Describe ability to invaiwiag vocabularies and terminology in the scientific, engineering, telecommuni- 1 © specralized language work canons, and military fields. List the language with the type of speciality. pe RET 4 Security Information 7 Pad ee, neyo
14-00000 Toe: Tot.mo's : “From. 2 Service)“ ivSalary- 27 . . Number and Elass ‘of Employees | Supervised: . Risees tea ‘Employer : ; .five., paper Products: mfr, public [rucility) wtf ovens From. . : To? -Tot.mo's . Classification Staiett in Federal Service}ouji Salary 0. oo qNumber and Class of Employees — Supervised: 0... 10 .- a. Employer ovr - Kind of Business or organization (i.e., paper products mfr, public utility) Gov ot some From vor... To. “20 i°Tot.mo's . + Classification Grade (if in Federal ‘Service)ow-: Salary os Number. and Class of & Employées : Supervised: ac. i Employer . “T “Kind of Business or organization (i.e., paper products mfr, nublic From To Tot. mo's Classification Grade(if in Federal. Service) Salary Number and Class ot Employees Supervised: Employer Kind of Business cr organization (i.e., paper products mfr, public utility) From To ' Tot. mo's Classification Gradefif in Federal Service) Salary Number and Class of Employees Supervised: Employer | Kind of Business or oryanization (i.e., paper products mfr, pubiic utility} ae detail to permit specific céding of your qualifications, pan at experience. - List ‘Last position first.) . “Exact Tithe of your position Seeret Date tte  Classifjcatio ion ere fin n Federal ; Kind of Business or F oFganination Duty Station if overseas: Security Information SECRET | a - es . Security Information a . SEC, We. WORK EXPERIENCE. (CONT'D, - +23 aS Description of Duties: Tae Pep yt Tune weaeeetie s Duty Station if overseas) yt tan Exact Title of your posifion S00 °:) Othe# than CIAL (Describe wotk experience for the last ‘15 years in 1 sufficient ‘Include military work Description of Duties: ooo.) per let tie: wp fas tes t see ey AUpe ey tem ge Denys Day Station if overseas: Exact Title of your position ...>;: Description of Duties:  stseqoy) Qetia-: Duty Station if overseas: Exact Tithe of your position Description of Duties: i Duty Station if overseas: Exact Title of your position | Description of Duties: SECRET
tent nee x SEC. II. WORK EXPERIENCE (CONT'D) ; ; 3. Special Work Experience: Check any of the following organiza you may have been erriployed. 01 U.S. Secret Service 02” Civil Police © 03 Military Police 04” U.S. Border Patrol’ -:° ~ 05 U.S. Narcotics Squad >. 06: FBI aoe 07 Criminal Investigation Div. — 21. Office of Naval Intelligence 22° Office of War Information 23. Army G-2 20. Office of Strategic Services “SEC, Ill, FOREIGN LANGUAGES SECRET aS - EB Security Information tions by which 24 Air Force A-2 25 “Foreign Economic Admin. 26 Counter Intelligence Corps - 27 Immigration & Naturalization | 28 . Strategic Services Unit _ 29 Foreign Service, State Dept, - 30 « Central Intelligence Group | |. 31” "Armed Forces Security Agency 32.“ Coordinator of Information 33 _—OOffice of Facts & Figures 34 Board of Economic Warfare es) Federal Communications Comm. List below the foreign languages ia which you have some. competence: Be sure to include uncommon modern languages. .Check ( X) your competence and how acquired. LANGUAGE and written form (e.g., Arabic), explain your competence herein COMPETENCE HOW ACQUIRED CIA training) ive Fluency * Fluent but obviously. Foreipn * Adequate for Research ## tudy (Inc. SS **Specialize d Language Competence: Describe ability to do specialized language work involving vocabularies and terminology in the scientific, engineering, telecommuni- cations, and military fields. List the language with the type of speciality. CRET Security Information 4.
14-00000 Loe. “ SECRET noe Security Information SEC. IV. AREA KNOWLEDGE TL 1. List below any foreign countries or reyions of which-you have knowledge - gained as a result’ of residence, travel or study. ‘Study cam mean either academic study,’ or study of a foreign country resulting from an ‘intelligence, military, | commercial or professional work assignment. . Dates of ~ . Manner in Which Knowledge so 3 are r OF. ion | Residence, Study Was Aquired (check {X) one) 2, Specialized Knowledge of Area List specalized knowledge of foreign country such as knowledge of terrain, coasts ard harbors, utilities, railroads, industries, political parties, etc., gained as a result of study or work assignment. Include name of employer or organization. SEC. V. TYPING AND STENOGRAPHIC SKILLS_ (PRESENT UTILIZATION) rome . : r WPM (Approximate Prefer Assignment on ime ‘Use _Proficiency) Using Shall Ortener es a . . Shorthand System: 1. Manual - Machine 3. Speedwriting. SEC. VI. LICENSES, HOBBIES, SPECIAL QUALIFICATIONS Il. Licenses: List any licenses or certi- Hobbies: List any hobbies such fication such as teachers, pilot, marine, aS Sailing, skiing, writing, or ete. Ho lire nt , other special qualifications. noretreoues SEC. VII, PROFESSIONAL-AND ACADEMIC HONORS : List any professional or academic associations or honorary societies in which you hold membership. SECRET 5 & Security Information & _ -
14-00000 “ti SEGRET .  —~ - 4 as Security Information a  ) ‘SEC. VIN, PUBLICATIONS List below _the-type of writing (non-fiction: ‘professional < or scientific articles, ‘general interdst- ‘subjects, current events, etc; fiction: novels, short stories,etc. ) of any published materials of which | you were author oF co- -author.- ; SEC, IX. INVENTIONS . Describe any devices you have invented as to type of work for which intended ‘and whether patented. : - ee *» SEC, X, CIA TESTS Describe below the type of tests which you have taken in CIA: SEC. XI, PHYSICAL HANDICAPS List any physical handicaps you may have. SEC, XII. OVERSEAS ASSIGNMENT Are you willing to accept periodic tour of duty overseas? , Not interested @. prcbenc tse. SEC. XIN. WORK ASSIGNMENT In view of your total experience and education, for what assignment in CLA do you think you are best qualified? SECRET Security Information
SEC, XIV. MILITARY STATUS. oo af _ SECRET Security Infotmation - . - e en a. . oe Present Dratt Status : : Have you registered under the Selective Service Act of 1948? Yes -3 _ If yes, indicate your present draft classification - Present Reserve or National Guard Status Do you now have Reserve or National Guard Status. Yes No. If yes, complete the following. ; ~~ — lL. National Guard 2, Air National Guard 3.77 Active Reserve Status (member of organized unit) 4. “z_Inactive Reserve Status ‘Service 9 37 Grade =, 3-, Location palias Reserve Unit with which currently affiliated Service Mobilization Assignment, if any Location of Service Records, if known “nellas. Fexas, om Washinton, SEC, XV. CIA TRAINING List the training courses, or subjécts you have taken while in the CIA, Course or Sublect ‘ : SEC, XVI, REMARKS . Use this space to indicate any other qualifications you may have which you do not describe above. . - SECRET SaBccurity Information . A)
SECURITY INFORMATION —_ CONFIVENTIAL.. . * eo PLEASE BBaD ANS TECCTION SHe8T BEFORE PREPARING THES Fore” ; . ‘ ‘ OFFICE . foty Sion a ot STATEMENT CF FEDERAL. CIVILIAN AND MILITARY SERVICE a operotions Contact ~RERaNCH _ Housten - a Te sa [els bert SECTION - i ONE, “alton ; BRANCH OF SERVICE US Navy ta CERTIFICATIOR I hereby certify that the above Civilian and Military service is complete and accurate to the best of my knowledge. Th Necerh-er 10S] é, (Ago: sare - Siswafuee CF CweLoree iy REMARKS: (CONCEGNIAG ASCE SERVICE} ' v Fom PERSONNEL OFF ICE ust ORLY : Cetece eke aes ta a oe wae Bf CCeTiaues ce at
14-00000 _ewinucti with leave at Gevernnent niin determining transportation ¢ RESWPENCE ald CEFINDENCY REFORT file te y cow | a i ars fey, — _ -Testructions| eee marital er dependeney : ctatus expenses and transit salery allowable in eNSE! nse, return te residence upon sunaration, RPS TseS allewable in connection with shiorent cember ef fanily. aoytes Cray | ou wt in duplicate on entering al mee of rorains of officer or omvloyee er mest denee when snp 8S ta FOSS Ve cae in continenta abilene, Teas. vasninet ton resicerce in continental United States ntvd Sermanent or legal rosicence ater ed marriage: « e april loved wate shed ' Date sreuse Gicd waPaTaret Lee faford einen | ele en en ee a
ah eeae .L, STANDARD FORM 61 (nevicro avant, 1368) ProwuLcareD ay. civ, stevicg Commission CHAPTER AG FEDERAL PERSONNEL MANUAL APPOINTMENT AFFIDAVITS AMPORTANT.—Befors swearing | to these. appointment affidavits, you should read and ‘understand the attached information for appointees : Le a Central Intellizence Agericy , Houston, Texas reese (Department ce sera) pmene nee (Bureau dividen) (Place of emaplaywent) James We: Moore : : , do solemnly swear (or affirm) that— Ey seennsseccceecesedbesecnrenachetecenanenraetensacsene Laveencasnesensatennsseseceetes i : A. OATH OF OFFicE " I will support and defend the Constitution of the United States apainst all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely without | any mental reservation or-purpose of evasion; that I will well and faithfully discharge the duties of the office on which i am about to enter; SO HELP ME GOD. ; B. -AFFIDAVIT. ‘AS TO SUBVERSIVE ACTIVITY AND AFFILIATION I am not a Communist or Fascist. I do not advecate nor am I a member of any organization ‘that advocates the overthrow of the Government of the United States by force or violence or other unconstitutional means or secking by force or violence to deny other persons their rights under the Constitution of. the United States. Ido further swear (or affirm) I will not so advocate, nor will I become a member of such organization during the period that I am an employee of the Federal Government. : C. AFFIDAVIT AS TO STRIKING. AGAINST THE FEDERAL GOVERNMENT I'am not engaged in any strike against the Government of the United States and that I will not “$0 engage while-an eniployee of the Government of the United States; that I am riot a member of an organization of Government employees that asserts the right to strike against the Government. 7 of the United States, and.that I will not, while a Government employee, become a member of such .an organization. D. AFFIDAVIT AS TO PURCHASE AND SALE OF OFFICE I have not paid, or offered or promised to pay, any money or other thing of value to any person, firm or corporation for the use of influence to procure my appointment. ; E. AFFIDAVIT AS TO DECLARATION OF APPOINTEE ; The answers contained in my Application for Federal Employment, Form No. 2h, dated ......19_c.ober oo. , 19.44., filed with the above-named department or agency, which I have reviewed, are true and correct as of this date with the exceptions noted in the Declara- tion of Appointee on the reverse of this form. (If no exceptions, write ‘‘None” on the Declaration of Appointee.) Subscribed-and sworn before me this vewneee Oth Meee day of weveeee POCO OR eects A.D. 19.49., At ecececeaseneeesee HOUS CON nn anenweecneeencereere 0 aces veneer OXAS cenvattacectecesestuseneeceuceaee (City> : (State) : Chapter i chive I, Sec. 206 wees — caceseseentseee uno 26, 1943 Appointaent Clerk eevesnescecteastesscenasserenteteeuna a vec vecesecnoeesreonere NOTE.— If the oath is taken before a Notary Public the date of expiration of his commission should be shown. yo—ta200-@
14-00000 oe DECLARATION: OF APPOINTEE This forts 3 Ss n be “conipleted before entrance on duty, ‘Question. 3 isto be akswered i inall cases, dtherwine answeronw thote-guestions which require. an daswer different from: that diven to the ce esponding questions on Wout application form. i no answers ace diferent, write “NONE” in Item 10/ below. Any false staterien rE ; | (8) PLACE OF BIRTH (cet oF ., bared , ae and State ar countey) g for cancellation of a application or dismiss! afer appointment, (8) RELA TIORE® urvfe 3) tm CAST OF =e EVAN: 9 sate oon Poti vece d. Juerv df oa, for oath ook relative Ailin the Blanka below ff additonal apace feapres $9, (c} St AND RUMBLR, CITY AND STATE $ SNURVUENT CHALOY, 10h A CIVLIUR 4 A CIVIL CAPT. ARY SELATIVE OF YOCRS (HTHER BY BLOOD OR MARAIAGE) WITH WHOM YOU Live OR HAVE LavED WITH ig meceasary, complete undar Lem 20. POST once annersy (1) Position (TEMPORARY OR HOT RELATION. suNeLE sant . (Give stroet number, f any) a EPAR TM YD ie wHicnt soe (ened one) B eevecceceecteee ceeecscusenesenecesesonr eas ; enn nenene peenecesee tone ee mnenenenwe nee] Bc aeeccnrenee aaeeseceneerewmmmnnnan anemone: = - t i QHOICATE “YES O8 “NO” ANSWER BY PLACING ‘ | ves ROG US PROPER COLUMN pO EES | eave at Lory covus NUMBERS OF ITEMS TO WitICH DETAILED ANSWERS APPLY ——!—t | . - | \necaclenuenesceecsne taeerecamwerenmenen Steneenncareanses dee sae naererereceererseenensecn - B ARE POE A CATT OF OE OD TO) Ome ALLEGIANCE TO THE UNITCO STATES). i } | A : 5 Jemenme te ccgnefennsuscecsensecssceewereoens soeesceavecareronen oe cearncesennsnecerecrreseseassseae « $ ~ : a @ ARE YOu av OEP AL ae EMPL YEE OF ANY STATE. TERRITORY, COUNTY, OR | H Posese nennweee ane eae ceeneremmere neuer neta weneeensenae Oo ee ee eer E ame tes oreenesaroewone® BMURICIPALITY? nee pesensereseneeee meneceensonsenencend i i ; if your answer x2 ~ Yoo", g:ve dvtasts in Trem 16 | ! —_ ‘a eee serene sreereeers woreeeeeeces Seeeeaeerere ° FP OO WAG RECT Ser awetTY PRIW THE UNITED STATES OR CNSTRICT OF { | COLUM BIG GOVE RRUEN™ ADS E ANY QETIREMENT ACT OR ANY PENSION OR OR | FEEL AIEEE ALAR LAO A OTHER COWAERS ATO SR WET ARY OR NAVAL SE UIC? "|. bac cemawecaccnncaecacneuraarnceuee your answee ms ~ Yes ‘. 2+ in ltem 16 reason for reticem H | ow” fom Tete aeeemar ener ee eeme se reer esc merrseceeceetcces Bee eee ee ee ee meeeewee eoee meme n —* hae at, age. epvancal J-sebsiity, of br reason of voluntary L oe naweda Baw cer anne ves necewer sen cen senenenvewenmenseneanenvsererebeserernepssenes cae eoerae oe anvotuniar: gpasarsce alter $ years service, amount of + | I Felirement pat, ana ~ Dore whal retirement act, and rating | i [owancataceensee nae enee ee eeenreaenaneecaecteesere eneneeenectese aeseavevecneceenencammmnens af detired frome maaicacs or caval serene i i i te ttn wm Ime eee ee amen ee ew ete ne mawnwne eres SRO TORO ETE TOE AEE OES TOTES SORE MOORES B MALE VOU St APE ATCT Ot FORCED TO RESIGH, FOR MISCONDUCT | OR UNSATISE AC CAY SOD AE Bw ANY ROSITION?.. your encwes a” Fas’. grec deem 10ehe name and address a emplourar, Gann and PRESON AM each casa. Hy & SINCE YOUR ETH RETNA nae YOU EVER Aen ApRESTEL inneTea o@ | Sa MRATRED EST ONE as FEN SANT FO A COUMINAL PRICEEDG 08 COW CTED FTA Ot TENT NG DOR PLACED OS PROSATION OR HALE woKs t EVER BEER RT RET HD Ee Balt CR COLLATERAL FOR Tete SILA TON, OF ANY LAD PRE eeaat AMA OFC MONASCE CP ACLUC NG MINOA TRAE WROLATIONS FOR Bee BEAD OW FORFERTURE OF ESS OR LESS AS TMAGSEO)T i af youre ansereg sx ° Yee’. bite alf such cases under frem 10 Give ar each came 42° Tae date, (2) che nature of the offenses So mace pod location of the court, (4) the Sos ane. ce other deposition of the cans. | 3 7 i t or viodetion. of PMAITE aA THN ft appomted, yout amgerpriate will be taken. INSTRUCTIONS To The apronting aEuce before whors the foregring certificate ay coats shall determine to us oT saat that thie appointment mould be ra coc AwEtace eth the Civ Sree a4, agrocable Cusit Service Rules and Reguiatoss and acte of Comgresa pertncerag te appointment. Ttus form shoo: te odevied fe holting of office, pensions, tatabeliey mm oon. Rect wath any nieord of reowed aischarer or arrest, and partacwlerty for the SSowtag @D fdsatin of aaxncatee — The appoantee’s sigeature and Rancwriting are t be cerpant eca var eppteataw ander ather pertinent panera The piymesl spowarame mas be caked e@gamst dhe meticad certscete. The, Qpprnatiee mar ales de qucwtawmed on tus permaal h.story for agreement eth ibs PTEVES si bietarath G2) 4¢0 — Tf srdmcre age bar's have Bees established foe the posto, it wheal? be determmd tha: arcweeat ss met outmcte the age renge for apguxmiment, Veol euch seteremmese co unk, the eppantoent may Bot be comsummecah 3. % Sratanmee? Mente TKS = 8E—~IIED- 9 Bt ee re eee ee ee APPOINTING OFFICER G3) Crogenstsp --The appointing officer is reeponsible for observing the eitizensiip provisions of (2) the Civil Service. Rules aad (2) appropriation acts, Ferra 6) comstiutes om aiiday: for both purposce and 19 mceptable proof of ciimenstup statue in the absene of cunliicting evidense, In doubtful eases the appuaiment ghoul! not te consummaied unt clesiame has been secured from the certifying ofne of the Civil Service Comamuanioa, (3) Members of Family —-Section 9 of the Civst Service .Act provides that whenever there arc already two or more membere of a family serving under geebational of permanent appartment in the competitive acevice, oo other taember of such family ta chgible for prohahonal or premanent agpgointment ia the competitive erevne, The appantmensia of gtisuns enitiad to veteran | preference are Get aubie. & to ths requirement, The members-of-famly prowines dace not apply ta tempurecy uppontments, Doubtful cases may be referred to the epprupnate offie of the Covil Service Commuesion for devasioa, Wea?
14-00000 Standart Porn No. (1a vee hihuory SA IS49 Paes Serene Imi ee 28 me ty bos see" OA, «OOF OFFICE, AFFIDAV ._ : : | AND: DECLARATION OF APPOINTEE: DEPARTS STRutsclG S. ache , ‘ ICES UN XE Sah Gladys CHI , Doparteant ce Exkshiichmend) eee" Berea ot vine Phe od bagdoreend A . L. _ Janos a OATH OF Do solemnly awear (6r allirm) that { will stipport and defend the constitution of the United OFFICE States against all enemies, foreign and domestic; that I will bear tru faith and allegiance to the sate; that I take-this obligation [reely, ‘withqut any mental reservation or purpose of evasion; and that I will well and faithfully discharge. the duties of the office on which Iam about to enter, SO HELP ME GOD, 8. Do further swear (or affirm) that I do not advocate, nor am Ia member of any polliiical party ~ oF organization that advocates the overthrow of the Gevemmont of the United States by force AFFIDAVIT er violence; and that during such.timo as Iam an employee cf the Federal Government, Iwill - ~ not advocate ner become a meériber of any poltical pdrty or orgunization that advocates the overthrow of the Government of the United States by force er vielence: a Do further certify that (I) I have not paid or olfered or promised to pay any money or other . ‘DECLARATION OF APPOINTEE = ment; (2) I will inform myself of and observe the provisions of the Civil Service law and rules and Executive orders conceming political actwvity, political assessments, etc., as quoted on *. - the attached Information for Appointee, and {strike out either @) or (4)] (3) the answers given by me in the Declaration of Appotntve on the reverse of this sheet aro true and correct; 205a (4) the answers contained in my Application for Federal Employment, Form No: dated 27 By, 19.2, fled with tho above-named department ! . or establishment, which | have reviewed, are true and correct as of this date, ex- “none”; if (4) is executed, the reverse of this sheet need not be used); . Bagrace ol Aygutsbie) Subscribed and sworn before mo this ..... 29%. day of .....41......24 ee A. D., 19 46 4 ayy CT f eetenennenae 7S ee [SEAL] ‘ Bownin Me SORE AR Toe It. ¢ cuP ‘ ween nen ner ee ewes ee eee be ont Ica saree een emote wememee renee se co NOTE.— If the oath is taken before a Notary Public the date of expiration of lds ccesmission should be shown : SS NNT SU cer ~ sore? : ; 29 august 1946 Intelligence Ofricer § Getobor 1919 . (Date of Entrance oa Duty) ee Penton to which appa ” : Dhan od Barth cept for the following (if necessary, use additional sheet; if no exceptions writs - thing of valye to any person, firm, or corporation for-the use ef influence.to procure my.appoint.
14-00000 i > i RoC LR 22 . \ Tt, Jams W. Koore .» 82 hereby 7 swear or affirm that Toav rok engasta sn ary ctetba ayes the .G syerutant of ; the Wi rots 3 that Tas net a.aaster ot an in Stganizasica 2 5 * . . m s . 4 of Goverrcas empleysas thet eacucrts the right *9 sisike egainst the governnent o£ vno UNITED 37.T%5, ard that [ wilh not vhtic a Govornnent omployoo borena a moabeor of exch an ergarisatilo., , Subseribad and svocn to before ne this 29H dey of August 194_6 at __ Shanghal, ___, Oxtna, Bowman He inc arthur, “Ist te. Che ah
APILICATION FOR AVPOINTHS ALL questiong mist bo fully cnsawerod in the Mpplic.stts handwriting ut Neto: BF May 1346 y . I, the undorsipnod, heroby mixo upplic:.tion for eppointmont “a8 a . 7 ° 1. (a) Nine in full: James Walton Moore ED oF el ASE (b>) Name as weurlly signed J. Walton Moore 7 . Tone Cheistion nena rat least | should be used, and not duitiels cnuly) 2. Ferencnt post office nddwus:_ 6/0 We O. Ansley Jr. 3. Plnee and dete of birth: Hartwell Goorala . (city) (Stato 5 Ostober 1919. Day Bonta) Yor r). A. Marriod or single: Married 5. Tf rerricd, give nenes of ‘wife (amexueexx) ond children ond tecs of children; if other depondenta, Give nares and status: Mra, Patricia Ansley Moore ___._ Wife Michael Walton Moore Son 3 1/2 yra Margaret Lee Moore Daughter 2 yrs G. Plecu of birta of wifo (auzuxbex!): Houston, Texas
14-00000 ¥ "e . w . . =~ rem G. Longth of regidence of wife (XZSERXR) in the United states: Total life =. 26 Yrs 8. Nemo of Strte of alich you tro fp leer resident, end the lengtn of loys] rcsidonce thorzin: Texas = 6 yrs §. If & forigner, stuto countsy of vhich + citizen or subject: ; _ se wom @ @ 10. If a netive citizen, r. ertificd copy of birth corti- flerte chouse be tacnuuttted with epplication. (If . such curtifient. enn 0% to obtcined from office of . my . Pagormt, % suru so¢tucert shoving plece end date of a ~ birth should bo furatshod by your fnther or nothor, if living; otherwise, - rerson competent to mko the stetonout). i . if a naturcliced eltigon, cartifiercte.cf.ratureligesion ~~ : : . should be trensnitted with rppliection. Steto how and when citdzcuchip wes acquind: ee ee ll. -‘None, a.tiouwwlity, iad pommnent nddress of fxthor: JoWalton Moore, Amarioan......__ Deceased lé. ieiden ovne and pomy.nent cddrcsa cf mother: Minnis Lee Foster 711 South Sth Street Waco, Texas 13. Fiscw ond 4 te of birth of feth: rMurphy Co. N Carolina 1693 IA. Flaco nnd dite of birth of roth. rMe Laen, Texas 1896 15. If parents cre dowd, strte meme, relntionship, and - address of nearest living reletive or fricnl: 1
ns pened 16 Years residenoe in North China 16. Dosesite your pmatit physical condition, and state whothor you have. any rhyatcel defest or infimity. Is your | hoelth: and physien) condition such thet you cnn serve in any “clicaté? © (The right is rusurved to roquir: the applicant to gubrit to a nadiesl oxrinstion.) Physical condition good Any climate — ; 17. At whet institutions cduovtod? Give drtes covoring > time spent in otech ruc state Genoesl eourses of study pursued; dopsroos, if any, cotsingd; and yocrs whon contorred: e e Ye » y AB Degree Hardin-Simmons U, Abilene, Texas, 1936-1940 ‘£0 bre law George Washington UL. Weshington D. G. 1960= I a ne é& (18. Stato triofly tho extent of your knowledge of foreign argu gos; also tho longth of time you heve rusided abroad, if at cll: Speaking - Language of Mandarin Chinssa creme 19. are you 2 stunographer? If so, how exps rienced? No 20. Are jae t yo cb? 42 36 Ow OX ‘Opbonced? ? 2 & Yes _- fair 2l. State Nally ovary kind of occuprtion you heve followd including when tnd where you wore employed; the nddresses of the
- glary peid is os ch instenes, : sad the nmiture-of tho work a“ »4- difforort employers; “the Length of tine employed by etch; meen porfor S200 3 Bhoba er you 10s Lened volunt” rily or wore aisctnrged: Aprit. 1920 ‘to. Jan as4e Employed As Glerk - Federal Buresu of “‘Investigat ton. Salary when departed $1520 per annum. | Jan 1942 to Nov 1944 - Special Agent FBI -~ Salary when departed gate: OO por annum. Resigned voluntarily both instanoes. = = Ensign - USNR ~ Since 6 Jan 1945. Worked in North China with SSU since June 1945. 22. Hive you any cutstandirg fintneinl obligetions? If so, sttte n.res cf ercditers (individu.is cr firs), arounts duc to ench, @id dcote on which such ollipnticns wore contrected: nD © (See - 23. Wore you ever in the public scivice of tho United States, mililicry, novel, or civil; Stet. or runiciprl? Nene
Nee 25 - offices ona Gstes covering period of sorvies in cech: ° . o.  Departmort of Justice - April 1940 $> Noy. 1944 U. S. Navy 6 Jan 8O4€ to present deta 2h. "Do vos now held, or hive you ever held, any position undor cny forties gaveminsunt? If so, state th: position or positions: Na 25. Whit is the lewsst milary you would «ccopt, taqtesherke - NXINY  XXE CX 26. Give sso0 of five assponsible persess for reforonces: -N. J. L. Pieper, FEI -111 Sutter St., San Franoiseg Chester L. daso>ty, FHI - 111 Sutter St. San Francisca , = Mr. William Eecrison”* Toledo Way, San Francisco Mr, Buford Sllis, Farmers & Merchants Senk, Abilene, Texas Dr. N. A. Richardson, President, Hardin Simmons U, Adilene, Texas. 27. ATG your seivices trrodictely sveiictic for duty in any port of tho world? Yes © —L\ablha iu (Surmitur 2? aspliennas) J; WALTON KOOSE, Ensign - USA 1 ‘SUT ERETRSRE SEO Ta Tape vee etme rteneeeve~yermeratoeenume eresertoatentettett
14-00000 : ore . 1 . P Pear : . : : a . . : oo : ZECRE? . . H . - Chow Buced Pad, ; tL UATE OF MELQUEST { . i 8 March 1971 | cL ZT FeaMe tLast, Fore, Mnldior \" Position TiLEe 4. GRACE i ‘ : ST OFFICE. DIVISION. BRANCH $ . s @. EMPLOYEE O EAT, | . . - . ? PURPOSE OF TVALUATION | | uoos/TOY C] PRE-EMPLOYMENT {_] OVERSEAS ASSIGNMENT i i i CC) ENTRANCE ON DUTY 1 C_) JOY STANCDY : . YV¥PE OF COVER TOY OR PCS { | SPECIAL TRAINING . NO. OF DEPENDENTS TO ACCOMPANY NO OF OEPENDENTS REPORTS OF MEDICAL . Cy ANNUAL HISTORY ATTACHED | . ae aaa mos - ~ ~ sorte oa at oe Sens ST S hye sate . [] RETURN TO DUTY . .. [__].#itse8s FOR DUTY | : ; . . STATION : t i [ MEDICAL RETIACMENT NO. OF DEP'S SEAS PLANNING EVALUATION (Une Block mua? be eArcked} i 2 REQUESTING OFFICER . SIGNATURE i % , . yes ! - rT on ROOM NO & BUILDING eed tO Gsm eretsS iT Riga POF EVALUATION " 5 D2 fia PD 7 OEE cedeamannen ns hen Pam epee tee on we Qualified KWSIYs Annual. Hosa lY¥s a ere ST GIGNAT UAL POR Cher GF MEG AE Stee” i } SECRET FoR | LOE PRT eS ate 239 [Eerharenay 3
14-00000 tease 2 EQUEST ANE OS y eeeS! FOR PHYStca, Exanination BY mS, Ri Pape deat OTe | 2 UT] ee e-taglop eect ! . - r ade flete i omen terres sy) SPT danyat \ a aa eee eT <4 j PT TT setursee [CUT] spacial (specttys GF MEDICAL Evaluation - _ - - : ne (Cmhuattties for Full Cuty dS$peciat? i Blatbitledg for Sait Gat ieee rads . . soanies ‘ness ‘ tewall fled Corr Bartities tor Secartwontal Buty oots a Ye " Cea -mirrs . QUALIFIED FOR CeRREAT Cui ___.__. : . : SECRET ; . . (Per Filled Pa) : . oe ; i ; MEDICAL ACTION REQUEST AND REPORT 7 REQEST FOR PHYSICAL EXAMINATICN EY re . 2. BOE EL aate Fleet? 73 ” rare) . a , MOORE, James : os saat ; 28 Ase ‘ Bad at = ae ; 3. TS a ae eo GEFICE, OFVIS1ON, BPAECH | Oufeatact Division, Field Gs? eS . Hay ef POSTION Te EsQisaté FOR & = (i repartaentat EF }ree (TT Pr e- Captoysent ¥ Leatid a : PXTJv-$- fleve (C7) oreesoas CE] srruat a Y 1) REROTT OF MEDICAL Evaluation (Testi tted for Full Outy iGenorats (TTowetities tor Full Duty USpeciats ° CEE sa! l fled for Oepartmental Duty Out, CUT i squats tte Gamark 9: . Md, Pe Subject is qualified for U.S. Fio'd. (9/1557) eT Ore TCT ges EMT RE Co eerie t a eee te Dae ee INT ee aT OEY ct ih he Sa FR EREIEE S* ° wef PORT OF PHYSICAL QUALIFICATIONS | RAED uta Fle Rett em Tet beret GANG BOD FONT EDR. and - soe peunoced ees TAL OTHE CRLF ev asst ap ile an Bee x,
14-00000 en _—e ees a ry "PHYSICAL QUALIFICATION RECORD POORLS Janes W, THTILE OF POS: TION Zubject was found physically fit (Cl junfit for duty with thig ov-ganisgsation in the stove grade and position. HECOMAESLAT IONS: 4 } a al ‘ ‘ i af jaw t We Fa wn wee BO , : oate SiGmaryee CF Pursil ay, SHGQUIATetars Gerrc ga ~
14-00000 “O88 fora treoo ~ . ye (few. M/12/45) OFFICH OF STRATRUIC SERVICES : ae : “Wasbaagton, B.C. a Fe MAR 18 Ha 22. January 194 9 - ___Meere, James Walton wae gives a paysical exagination oa this date and feuad qualified for Gl. Fall Duty Overseas J ‘Liasted Daty Overseas C] Duty ia USA Only Defecta Noted? . ‘Ropeat Zelay in six ronthse (r0e1) ; a |
14-00000 : F E> ie : : ; } (When Filled Em} ; - co . + A AST sa wie commen : oe /, QUALIFICATIONS UPDATE wee Be, READ- INSTRUCTIONS, CAKREEULLY BEFORE COMPLETING, TYPE OR PRINT, AVOID USING LIGHT COLORED INKS a >of Mow that your qualifications area i . matically. for much information; however, some must be obtained directly from you. T hat : ” eae, Section- 1 must be completed *in.oll.cases, You need provide other iforiation only if there have deen chariges since z 2. #ou submitted your Form 444), “Qualifications Suppleinent to the’ Personal Histury Statement,” or a'previous update form. . 4 Sf .you'dre in doubt whether ‘information has been previously submitted, enter it in the appropriate section. The signed sy.and-dated forin should be returned through admiistrative channels.to the File Room, Ofice of Personnel, Room 56-13 Headquarters, whether information ta added or not.. DCL . . - ; dditionally, a qualifications update may take place at any time there ia information to be added or changed simply ' "by completing and returning an update dorm on your infliative. xe . ; matter of computer record, they must be. perlodicarty upgated perth fs cone ato 's form is fe at purpose. SECTION i BIOGRAPHIC AWD POSITION DATA ' mr. GER, HO, uAMt, (Leat-Peret-widdie) DATE OF BIRTH 003820 MOORE, J. Walton 10-05-19 SECTION 14 . EOUC ATI On ~ HIGH 3CHOOK AOORESS (City, Feate Country) LAST HIGH SCHOOL ATTENDED COLLEGE O8 UNIVERSITY STuOY t supsee tn veaas atvenneo | otcarr veam FROM. TO-+ [RECEIVED] RECEIVED] HAS. (Specify) ~ to a wt . ~~ et noe . - 7 my eo heen . me se ns re . ae ose, oo WAME ANO LOCATION OF COLLEGE OF UNIVERSITY VHESIG AND BRIEFLY OFSCHEBE IF8 COmTERT. TRADE, COMERCEAL AND SPECIAL ZEO SCHOOLS . MAME AND ADORESS OF SCHD0L STUDY OR SPECEALIZATION GTHER HOM- AGENCY ECUCATION O@ TRAINING HOT INDICATED ABOVE MAME AND ADDRESS OF ECHEOL SYUGY OR SFECEALEZATION oO NO. OF MONTHS A a nie arene tate sever r atrangnnnaraanaamennaten siwars an Bh anitalenARin conn 1 Dicer er A CEO oo ree ranean nanan Fs nnn ene en a te nn me re mr SECTION 14% MARITAL STATUS t. PRESEMT STATUS (Single Varried, “idooed Separated, Dayorced.danulled Remarese?}) sPECIRY- 2. WAME OF SPOUSE (Leet) (Fivse) (Middle) (Warden) 3 OATE OF BIRTH @ PLACE OF Bintw (City. State,Countey) ~ s. OCCUPATION ~ @. PRIEST? FaPror~e “@. FORMER CATETENSHIPES) COUNTRYLIES? 9 DATE U3, CITIZENSHIP ACQUIRED SECTION IV DEPENOENT CHILOREN AHO DEPEROENTS OTHER Than SPOUSE RELATIONS COOP BATE AND PLACE OF BERT CUTE ZEN Ge ‘ PERMANENT ADORESS QO ADO ([] occave vane SECRET ete sre SHUR ee tatyree SEs 8 yo
14-00000 | Sts peas i Pa 4 sO “ss SECRET so . . , a (#hen Felted Fay oo | . GUOGRAPNIC ARCA KNOWLEOGE- AND FOREIGN TRAVEL Gare & Prace OF STUDY Ree RICERS SEcTiUR -¥: eae agRtGhe Mattes OF TRave OR MESIDERCE tyPe -OF SPECHALOZED RNOULEDCE mau “OF @2Gion Om counter AKO STEROGRAPHIC SKILLS: i dak APP OOOMTATT t¥ gaa . TYP HG TROLCATE SHORTHAND STSTEM USED CHECK ” . € SHOR ; otnia — Ceazce —-_C] seerowwerine (J stenorvee SPECIFY: Section Vii : SPECIAL QUALIFICATIONS POOVIOE INFORMATION ON HOODIES. SPORTS. LICENSES FUBLIGHED MATERIALS OF DEVICES. RHICH TOU MAY HAVE DRVENTED. secrion ¥i - - Pi "Peeine CPPe la. sHOR THAR, BPM 9. a Ls [section vita. : __ MILITARY SERVICE GORRERT ORAFY STATUS RENTS WETS ETI TAUVT INT? TLTT ONT eCTHT SCOT ITT Ors Tv Tat omen Pomermeree Ts @. WAS VOUS STLECTEVE SERVICE CLASSIFAICAPION CeANGEO? 2. NEW CLASSEFICATION OJ ves. [] xo 3. LOCAL SELECTIVE SERVICE BOARD NUMOER an ADORESS i OF OLFERMED, GIVE REASON MILITARY RESERVE, HATIOHAL GUARD STATUS oO MATEONAL GUARD CHECK RESTAVE OR GUARD ORGANI> - ["] AauY (Cl marine cones Cl] coast Guano {([] ata wartowat Guard yO "PET POM TO SHIEH YOU BELONG C] wavy ["] aim rorce 3. EXPIRATION CATE OF CURR EMT CRLIGA TION ° 1. CyuSRERT RANA, GRADE OR AaTE] 2. BATE OF APPOINTMENT [fm CURRENT RANK 4. CWECK CURRENT RESERVE Carecony ["] Reaoy meserve [] sTanvey( active) { ] stawor(inactivg [] rer inen DISCHARTED ~ @. AESERVE UNIT TO WHICH ASSIGNED OR ATTACHED SB. MILEFARY MOBILIZATION ASSIGNMENT MILITARY SCHOOLS COMPLETED (Hatended Active, Reserve Bery, oe as Civilian} STUDY Of SPECIALIZATION | DATE ComrLETED WHY ni BESeoaat MAME AND ADDRESS OF SCHOOL AQTMC V+ SP ongoRED SECTiOw (2X AME AND CHAPTER 3. a SECTION © REMARKS are F &MPLOVEE hee lens ht leay , 9 May 1972 J. Walton Moore . , 4 SECRET . . . : wed .
14-00000 QUALIFICATIONS SYSTEM RECORD CHANGE | s3te APELICANT COOING DATA c. APPL, NO. MUST CONTAIN DD: aitg- 5 DATE coceo THE Data aBove (items 2 tery Sp-weat BE FILLED IN THIS MO OA YR WHEN CODING AN APPLICANT FOR tee CrRST Time, “FORA -15 THEN ATTACHED TO fom 1903, “ASTER QUALIFICA® TIONS CCOING RECCAR, wren ror libbe oenores no Lawauace N COMPETENCE, ENTER THE FOALOWING IN ire Ws “NOHLANGUAGE” (1Zs01c873} LANGUAGE PROFICIENCY TEST DATA ites 2 ExTMactes FROM FORM 127, LANGUAGE PROFICIENCY AN AWARTS DATA, enter unocr “type” « A» AQDITION TQ RECORD C » CHANGE YO EXISTING RESIRO DELETION CF DATA FROM £..9° NG RECORD ? Cae ub ona. 1962a SECRET areaune 9 sepa ae een PrweARCaRE 10.64
14-00000 “| Additionally, qualifications wpdaté may take place at ary ‘| by. completing and returning an update Yo SECRET . , 2 (Bien Filled 3 . j ee QUALIFICATIONS UPDATE | va _ READ: INSTRUCTIONS CAREFULLY BEFORE COMPLETING, TYPE GR PRINT, AVOID USING LIGHT COLORED INKS: -Now that potr qualifications are a matter of-computer record. they must be periodically upddted. This ts done auto- ‘matically for muchuirijormahon; Mewever; same must Belobtained directly from you: This: form is for thal purpose. ‘Section I must be conigleted-wilall cases. You need provide other information only if there have been changes since you submitted your Form 444), “Qualifications Supplement to the Personal History Statement,” or a previous update form. If you"are in doubt. whether information-hagy been previdusly submitted, enter it in the appropriate section. The signed and dated form $kould be returned: throu fh administrative channels to the File Room, Opice of Personnel, Room 58-13 ‘Headquarters. whether information ts added or not. . ; - _time there is information to be added or changed simply rim on your initia Section i Emr. Sea, NO. _ 003320" SECTION 14 BIOGRPNIC MID POSITION DATA . . bare OF winTH | [80 10-05-19 . It NAME Cisee-Firat twiddle) “MOORE, J. Walton COuC ATI Om - : : HGH -SCHOOL LAST MEGH SCNOCL ATTENOTE ADDRESS (Caty. State Country} GRADUATE [J ves (J *e YEARS ATTENDED ( From-fo) COLLEGE OR UNIVERSITY STUDY 7 r i K DEGREE year [NO, SEM/OTa. a FROM>-YO-- [RECEIVE | RECEIVED] HRS. (Specify) AMOICATE THE TETRLE OF Tre ‘TE & GIADUATE TEGREE HAS BEEN NOTED AGOVE WHICH REQUIRED SUBMISSION OF A WRETTEN THES!S. THESIS AND BRIEFLY OESTREBE ETS CONTENT. TRADE, COMMERCIAL ANO SPECIALIZED SQHOOLS NAME AND AODRESS OF SCHOOL STUDY OW SPECIALEZATION [to | Wo. oF montns| : OTHER HON- AGENCY EDUCATION NAME ANO ADDRESS OF SCHOOL , . SECTION 114 MARITAL STATUS” . MAME Of SPOUSE . (heat) (Firee) (Middle) (Haiden) - PLACE OF BIRTH (City, State Country) + CATE OF BLRTH . OCCUPATION . PRESENT EMPLOVER « CEVOZENSHEP 8. FORMER CITEZENSHIPIS) COunTaY (tes) @. DATE U.S. CITIZENSHIP ACQUIRED OEPESOERT CHILDREN ANO DEPENDENTS OTHER Tuan spouse OATE ABD PLACE OF BIRTH ek) * (I) ocucre SECRET OS ee 7 test. [epeegrudiog an0 Aautomdtn stan | PERMANENT ADORESS SECTION t¥ roren OUGM Br cgegen
14-00000 . SECRET . Chen Filled gad “GEOGRAPHIC AREA KNOWLEDGE an FOREIGH TRava, StCTion ¥ or sefcracized [raves ‘or reare bate & uace - RwCeREsSE OR RESTOENCE oF stucy hawt OF REGION “OR Counray ; = ~~ TYPING AHO STENOGRAPNT te n : - a - - oe ce 2 SHORTHAND BPH )|S. TNOLCATE: SHORTHAND SYSTEM USEO--CHECR dab APPOCPRIATE IVES j 7 : : ' . ee » OF MES - - |  . ‘EJerces (secedsartine | []stesorvee SPECIFY: SPECIAL. QUALEFICATIONS - i rc HILDTARY SERVICE "CURRENT ORAFT STATUS NE@ CLASSIFICATION SECTION Vid 1. MAS VOUR SELECTEVE SERVICE CLASSTFICATION CHANGEO? z. 2, : C) ves Ci xe : , LOCAL SELFCTIVE SERVICE BOARD NWUBER AND ADDRESS i IF DEFERREG, GIVE REASON MILITARY RESERVE, MATIONAL GUARO STATUS i] RATACMAL GUARD CHECK RESERVE OR GUARO ORGANE~ [C] avy (C] Marine cones (CO) coast suaro TATION TO wHicw YOU BELONG oO navy oO AIR FORCE OQ Ab@ RATIONAL GUARD CURRENT RANK, GRAOE S® RATE) 2. GATE JF APPOINTMENT tM CURRENT RANK 3. ERPIRAT ON DATE OF CURRENT O51.1648 TOR _ CHECK CuRRENt keseeve carecory ["] eeapy arseave [7] stancav( active) ["] stanpsvy(mectivg L]xrem [[] oscuancro MELUTARY MOBILIZATION AS¢ ¢GuMENT @. RESERVE UNIT TO wHiCh ASSEGNED OR ATTACHED s€eve, Reserve Bute. of of Civilian) MILITARY SCHOOLS COMPLETED (Farended 4 MAME ANG ADDRESS OF SCHOOL STUDY OR SPECTALIZATION | DATE COMPLE PED PROFESSIONAL SOCHETIES AKD OTHER ORGANIZATIONS AOORESS (Number Streot City, State Country) SECTION 6X SECTICH & . . StGRATERE OF, EMPLOWET . Si BAe bony 30 April 1971 : . Waltoa Moore SECRET
set aoe _ (Nea Pilfed En) QUALIFICATIONS UPDATE READ INSTRUCTIONS CAREFULLY B FORE COMPLETING, TYPE ' Noig that your qualifications are a-matter of-compiiter Técord, they niust be periodically. updated. This is done auto- ‘matically for much information; however, some must be oblained dircctiy from you. This form ts for that purpose. Section I must be completed. in all cases..yYou ticed provide other information only if thére have been changes since | you submitted your Form 444), “Qualifications Supplement to the Personal History Statement,” or a-previous update form. ‘df you aré in doubt whether information has.been previously submitted, enter Ut tn the appropriate section, The signed and dated jorm;should be returned through adininistrative chanriels to the File Roum, Ogitce of Personnel, Room 58-13. Headquarters, whether information is ad “ OR PRINT, AVOID USING LIGHT COLORED INKS: ed or not. Additionaliy, a qualifications update may take place at any time! there ta information to be added or changed stmply “| by completing and returning an update Form on your initiative. Ste | stctros t. - | oe BIOGRAPHIC- SH POSITION DATA . ; {MP. SER, NO, . CARE (Last-Firet-siddie) . ~ . . Date OF BrAtH. $o 003820 | | MOORE, James Walton.” IT SECTION Tf et EQUCATEOR . . HIGH 3G1008 LAST MIGM SCHOOL ATTENDED NAME ANG LOCATION OF COLLEGE OR UNIVERSITY VEARS ATTENDED ( From-To) BODRESS (City. Seate Country} GRAGUATE (J ves : O ao COLLEGE OR. UNIVERSITY STUOY oe SUBJECT YFARS ATTENOTO | DEGREE year {MO. SEM/QTR. waso8 raow--T0-- 'eeceiveo! rece tyeo) HAS. (Spsel fy) a6 A GRAGUATE DEGREE HAS GEE NOTED ABOVE WHICH REQUIRED SUBMISSION OF A BRITTEN THESTS, INDICATE YE TeTkE OF THE THESIS AND GAIEFLY DESCRIBE 87S CONTENT. - TRADE, COMMERCIAL AO SPECIALIZES SCHOOLS “NAME AND ADDRESS OF SCHOOL “$TUBY OR SPECIALIZATION FROM eet - OTHER NCa~ AGENCY EQUCATIOR OR TRAIMIRG HOT HHDICATED ABOVE WANE AND ADORESS OF SCHOOL STUOY OR SPECIALIZATION | FRow | ro [NO. oF wonTHS] . PRESENT STATUS (Single Married, Fedoved, Separated Divorced. Annulled.Remarrded) SPECIE Y: (Facae} (Middle) (Maiden) z. SECTION Lt -! MARITAL STATUS 2. MAME OF SPOUSE (hast) DATE OF BIRTH @. PLACE OF BIRT (City. State Country) 3. > OCCUPATION @. PRESEMT EMPLOYER + CiTezenmguiP Secriog ov ‘ ) *
SECRET: ; ; . . : (then Filles tay . . GEOGRAPHIC AREA KROMAENGE aaC FOREIGH TRAVEL SaTES OF PRave pate ‘a PLACE or acs toENce OF sTuDy SECTION V - TYPE OF SPECHALIZED ANOULEOGE CAME OF REGION on counTaY - ae fae ait i osu TYPIRG AND STENOGRAPRIC SKILLS CMD ICATE SUORTMAYH SYSTEM LEEDS CHECK EX} APPROPREATE PT Ete SECTION ¥: 9. VVPENG (#PU 312. suOR ToaAND( BF eT SB. Orura (C] ceces (CU srecresstans (Ol stenorves SPECI: SECTION Vit = SPECIAL QUALIFICATIONS : PROVIDE INFORMATION ON KOODIES. SPORTS, LICENSES PUSLISMED maTT2,arS OR DEVICES BHICH YOU MAY MAVE raed4rEd MILITARY SEC¥ICE QURRCAT ORAFT STATUS WAS YOUR SELECTIVE SERVICE CLASYIFICATION CHANGED? RB. NEW CLASSIFICATION () ves. (1) xo 3. LOCAL SELECTIVE SERVITE BOARD NUMBFR AND ADDRESS - wn ie - te MILITARY RESERVE, NATIONAL GUARD STATUS . SECTION Vil 4 tF DEFERRED, GIVE REASON a aa [OD sation guano CZ] ate matnane, suaro | CHECK RESERVE Of GUARD ORGANI, (C] samy MARINE cOars - EATION TO WHICH YOU BELONG a (7) coast cuano ([] wavy EC} atm soace 1. CURRENT RANK, GRADE OR RATE/2. DATE OF APPOINTMENT IN CURRENT Bang 3. EXPIRATION DATE OF CURRENT Of 1ha Tiare. —s 4. CHECK CURMENT RESERVE CaTEcoRY ["] aeapy Reseve — [_] stanoav( athe) [i] stamayeineceivy [| scr ien tf oiscwarcan > G RESTRVE UNIT TO WHICH ASSIGNED OR ATT ASxe S. MELO VARY MOBI F ZATION ASSIGNMENT MILITARY SCHOOLS COMPLETED (futended dcrsve, Feaerve Dury. oe a@ Civilian} . - } te eacaes a AGEUTIA PH PHIAHESD PROFESSIONAL SOCIETIES AND OTHER CRGAN( ZATIONS ADDRESS (Nuwber Sereot Cute. State ,Country) SECTION 1X NAME ABO CHAPTER DATE I WENGERSNIP oave : TsacaaTure OF fwPLOVEE . Rie ee j lay J.jkalten Moore SECRET
SECRET {Bron Filled fa) QUALIFECATIONS UPDATE TYPE OR PRINT, AVOID USING LIGHT COLORED INKS * READ INSTRUCTIONS CAREFULLY BEFORE COMPLETING, Now that ‘your qualifications are-a matté of computer record, they. must be pertodicalty updated. Thts is done auto- matically for’much information; however; some must be obtained directly from you. This form.ts for thet purpose. Section 7 must be-Completed im alt ‘cases.. You -need-provide ather information only if there have been changes since you 'submiticd bour Form 444], "Qualifications Supplement to the Personal History Statement,” or a previous update forrr.. ff you are in doubt whether information has been previously submitted; eriter tt:in the ap ropriaté section. The agned and dated ‘form should be réturned through administrative channels to the Fle Room, ce af Personnel, Room $K-13 “4 Headquarters, whether information is added or not.. -- - sone . . ; ; ‘| Additionally, a qualifications update may take place at any ‘time there ie information to be added or changed simply -by completing-and returning an update form on-your initiative. mo ‘ SCCTION “| BIOGRAPHIG ABO POSITION OATA _feer, gle, wo, . ue 003820." sectioa tt. OATE OF BATH 5 Oct 1919 AME Tieet Freetvusddle) MOORE, James Walton EDUC AT! On- HIGH SCHOOL | apomess (City, State Countey) ‘LAST WEIGH SCHOOL ATTENDED COLLEGE OR UNIVERSITY STUDY ~ . suaster . MAME AN® LOCATION OF COLLEGE OR UNIVERSITY WEARS ATTENOEO waren eseas FROM» - T+ bF & GRADUATE DEGREE HAS BEEN NOTEO ABOVE HICH REQUIRED SUBMISSIGN Gf & BRETVEM THESIS, THESES AMO BRIEFLY DESCRIME EFS CONTENT. SROUCATE Tre THE OF THE TRADE, COMERCIAL AND SPECIALIZED SGQHOOLS a NAME AND ADDRESS OF SCHOOL - | _ STUDY OR SPECIALIZATION Po raow | oro | OTHER NOM-AGENCY EQUCATION OR TRAINING BOT tHDICATED aBove STUDY OR SPECIALIZATION NO. OF mONTHS AME AND ADORESS OF SCHOCL . 2. SECTION O15 MARITAL STATUS f. PRESEMT STATUS (Single warcied Widowed, Separated. Divorced, Annultod Reaarvied) SPECARY: 2 WAME OF SPOUSE (heat) (Fivat) “(eiddiey” ™ (Warden) &. PLACE OF giRtTH (City. State Country) 3. DATE OF BIRTH $. OCCUPATION “T@. PMESENT EMPLOVER B. GATE U.S. “CHPIZENS WIP ACQUIRE D - CTI REM Se gP + FORMER CETHZENSHIFP CS) CoumTAVEles? SECTION 1¥ PERMARERY BOORESS Q ado () ocvere D OrLere FORS tongs TUHN vee cereeous
ry : SECRET (Shon Falted Par mT . TPE OF SHEL ALT LET sates OF TeauE bare @ Pace AME OF REGION OR MEREOTHCE OF SfuoY om COUNTaY aww TDR B. awePilare Sayer eany Svsiia vseo- -CHrca ind aPPmorRi are araw ot : —_ . a orca i! se€se . Cy sececenirine (C] srenorved LJ sPeettve SECTION Vil SPECEAL QUALEFICATIONS - VPROVIOE INFORMATION O8 MOBOITE. SPORTS LICarsae PUBL IGLD WATCALALS Of DEVICES GRICH VOU MAY WAVE INVENTED MILITARY SERVICE CURRENT ORAFT STATUS MAS FOUR SELECTOVE SERVECE CLASSER Gato re Tease oh 2. WEE CLASSIFICATION - + (ves - Cw - 4. LOCAL SELECTEVE SERVICE BOARD Niwas and a779ES3 ~ +6 OLFERAED, Giv€ #EASON SECTION VIE RICETAIY RESERVE, HATIONAL GUARD STATUS CHECK RESERVE OF GUARD OAGANE> Cw. wat owe CORPS" * CT eons? cuaro (C]" Marrone syaao TATION TO HICH YOU BELONG . an wast cl aie Force cq] AER MATIONAL GUARD CURRENT RANK. GRADE OR RATCLE. CATE BT WAPATMEMT IM CURRENT Rare 3. CRPIRATION DATE OF CURRENT OBLIGATION (1) stanoave scewe) STANDBY {inactive nevi [| orscuarceo, CMECR CURRENT RESERVE cATECOAY [] war aesenee - SESERVE UNIT TO BHICH ASSIGHED OR ATTACHED MILITARY SCHOOLS GOPPCETES (Furonded 4ctive. Reserve Duty. o¢ we Civilian) _ «MAME AND AQORESS OF SCHOOL Study OR SPECtagrZaTiOn | OATE COMPLETED Py yin: rine REGRET . ‘ | | AGEULE GeRETORED PROFESS Cw aL SQCLETIES AKO OTHER ORGANIZATIONS SECTION 1% MAWE AND CHAPTER DATE OF MEMBERSHIP arcess§$ (Nueber Steese City State Country) 3. SECTICN X : \ pare. " StEuaTieg GF EWPLOVEE Fe Tal en tou 12 January 1970 . Jawes Walton Moore
14-00000 # Shenae ee, 7, SECRET a (then Filed Pry QUALIFICATIONS UPDATE: . KE Au INST THE CTIONS CAREFL LY BEFORE COMPLETING, TYPE OR PRENT, AVOID? OU USEING LIGHT COLORED INKS Now ‘that your gialifications area matter of camps ter record, they must be periodically updated. This ts done auto- matmaily fur much information; however, some riast be obtained directly from you is form is for that purpose. Sectuan § must he completed in all caves. You need provuie other information only if there have heen changés since you submitted your Form 444), “Qualifications Supplement ta the Personal iistary Statement,” or a previous update forim. ff you are in doubt whether information, has been previously submilted, enter tt in the appropriate section, The stoned and dated farm should be returned thidugh admin: strative cAannels to the File Room, Office of Personnel, Room SE-13 Headquarters, whether information ta added or not Additionaily, a qualifications update may take piace at any time there is information to be added or changed simply by completing and returning an update form on sour initiative. secrigw i. __BioGmwNie IC Awd POSITION DATA : {Mr Sie, ag, © puews (Laet- Firat. @iddle) wate OF OTtATtse 903820 ______MOOPEy __dJames Walton ID "ECTicm 96 fuCaTion WIGH SCHOOL BON@ESS (Csey Slate Caunteyv) paws aVfenvro (From-Ta} CRADUBTE { jC [Je LAST miso 9¢muuL APTEMOED . COLLEGE OR UNEVERSITY STuoY : euagrer Baets Bt: LOCATION OF COLL EG OR UaivEast iv a meee eenmnans ccm § YEARS AF tennty | Od Gere oe : 7 eelne fi wisne 6 OR. Peo peecE i eED arcrtvry He, tspectfy) Fe & he eat’ DLO EL abs cheb Fae” “NOTES * ‘ABO at ira | RE QUIaED SUSMISS 10 OF A WRITT I Thesis, IMOECATE THE PETLE OF Toe “TMESIS sm ARICFLY LETCMIGE LTS CONTENT. TRADE, COMERCIM AND SPECIALIZED SCHOOLS weoutf AML ADGWESS OF SCHOOL } STUOY OR SPECT ALIZATION ae ! SIERO AGENCY. EB “EOUCATION OW TRAINING NOT inDICATEO ABOVE Sfuoyr Of SPECIALIZATION ow fenw | Td nO OF MONTHE — = | sori poneseen Sinan Bae vem an rn a a bn en tn SECTION 441 mae Ta, Starus 1 PRESET Status (Single Warriad ¥ycowed Separated Pivercsed. Anautied RPemarrred) SP CRE ©, P wawE OF TPCUSE (nae) ”””~C« ED ee itdie) ”~*~<“C~*~‘“‘s*‘ §. Pave OF BEeTe a PLACE or BIRT {Cats State Country) 9. OCCUR ATIGN ee ee ie ee ee —— — ee ce ae eect ieee pe a an 3 CETL LEM ewe G&. FERMTM CETETENSwiP LS) COUMTRYEIES) ( GATE U.S. CITIZENSHIP ACQUIRED SECTION t¥ DEPENDENT CHILDREN AND DEPENCENTS OTHER THAN SPOUSE ae % hae ft RELATIONSHIP, | vate BAD PLACE CH BIR To CHETEZEN SCP PeOMANENT ADDRESS ,. (4 ~ , 12S Sep “Sa i | ~~ FB oceere Naughter i San Francisco, Calif, US | 5145 Paxton Ln. Pallas _ . Ct aon . “ [Yorcere H rors uuu . SECRET bee : (4-5) a-¢8 an is fg: —= See oe - T ae emer
SECRET ; (thom Fellad tay ea OAS TE EE meanest eens a ARETE NANTES ASEAN HHEESOAA AERO - SECTION VO. ~ GIOGRAPHEC ARCA Keo COGE Ano FOREIGH FRAVEL PMURLE MG AL yy shEd Bees cee CR Aut AYES OF Tmave Serr ‘puacd> : NAME OF REGION TYPE OF SPECEMLIZ wee 08 COUNTRY : Rude eacr O@ PESTOEACE OF STituy feaves | stuns [asgtane * sENT . ne i ee rennet re memento nt —- eee! Sab. thu merece Nc me pee eet ae _ [stcriow vi Tine MD SevsceaPnie Sete pore DT. TYPING CEPWI]2 GORTHANCLEF YI D TMOTCATE SHOMTHAND SUSTEW GSTHosCuLCR U0) S°PROPOTATE TEER . . . Ornes ; Cl] cece rT SPrEOMTITING (] stesorvee recieve ~ a * Pseerron wit ______ SPECIAL QUALIFI ZATIONS _~ PROVIOL INFORMATION OW MORBIES. SPORTS, Lictssea PUBLISH wats REALS Of DE VETES BHICH YOU HAY MALE INVENTED. yn ILITARY SERVICE. - ; GURRENT ORAFY STATUS ae serene eter ete ete Ee RE EE EEE 1. HAS VOUR SELECTIVE SEAVICE CLASSIFICATION CHANGED? 2. NEW CLASSIFICATION : a O ves Ci xe . ee CO I HO ae A a — Lo earn Veneers Cmte eenrstternndientententintitt . 3. LOCAL SELECTIVE SERVICE BOARD NUMBER AND ADORESS @. Ff DEFERRED, GIVE REASON : MILITARY RESERVE, WATIORAL GUARD “STATUS . ESECTION Va08 CHECK RESERVE OF GUARD ORGANI: (T] anwy [7] Marine comps C] coast Guano () wariovan cuaro ae ; few you 6 [I] nave (Cl) ate force CC] Ate warronat cuaro ’ CURRENT RAnK, GRADE OM Hatt; 2 GATE OF APPOINTMENT IN CURRENT SANK 3. ERPIRATION DATE OF CURRENT OBLIGATION “4. CHECK CURRENT RESTRYE CATEGURY C) READY REST HVE Ci: STANDOY( active) _o STROEY(ingctng of J Furie [] osc ancen . 3. WILITARY MODILIZATION &SSIGNUENT 6 AESERVE UNIT TO BMICH ASSIGNED OR ATTACHED i : arn a rem enrewne neecaetcernsemeatmar-amanen nite ‘yun ; . HILITARY SCHOOLS COMPLETED (Fatended tctive, Reserve Duty, of 38 Civilian} . NAME AND ADDRESS OF SCHOOL sTuDyY oR SPECIALIZATION Dare compLeteo YY EM Lae, ; : . eESEORKT . i | - AGENCE Vs SPORROBED, SECTION 1X PROFESSIONAL SOCIETIES AND OTHE® ORGANIZATIONS OATEe OF APMBERSHIP MAME AND CHAPTER . ADDRESS (Number Steere. Cary. State Country) — an PRO to 2. 3 . eR REPT NE on SECTION“ X& . . REMARES __. DATE sey TURE OF EMPLOVEE GON abe 968 ‘ o | . . Jovember 13 . Na { lox fowy . . SECRET
— oe x. SECRIT - 22s . ‘ pa: When Flied te oe “mah Saat wannt fled vat QUALIFICATIONS SUPPLEMENT TO PERSONAL HISTORY STATEMENT Papa CR PHAE AVOID USING UGMT Coote INKS TURES TSC § -994096 3 acai IN Cewdie, Ost aE 40 INSTRUCTIONS CAREFULLY BEFORE- Commer a i : QVERSEAS CATA Goota DATE: [ITHALS: 25 MYC) TT POSTON E j ; _ be lOetonract ocs ss |sotexas! USA ECTON @ ° —_ AGENCY OVERSEAS SERVICE ; —_ atta a? ie wR IQVe ” a775 FROw ‘GRIAA FP 8 . IACI A PCS 82. dasoaras 49/08/04 I i. . ! 1 . i . ' e. i | | | { | SECTION oe . , = EouCATON 1 voecet fC a es ns are ee ac armen arteritis tennant fart eatnan 7 GaGM |PCLITiCaL SCIENCE (GOVERNMENT), The GENERAL | HART ENA STMMONS UN uUNTv TEX 46 | ! CEM ‘omnes “ash 2 way _ SECRET L.sesisecs OT OCT ENTOS fo.
ae roumoee ¥ aaeeraa @ seat ane SEVCES wale VOW Mabe SEN 'ED AND Salk WHETEa O8 NOT Ime ARE PATE ES : NAGE'CE FEGION | | DPE OF SPECIAZRED ~ OATES OF Haves oe COuntmy * . ENOWLEDGE |” “| on aigoence. © te PON NG DWP) 2 SROR+AND fweayy UNOICATE §MORTRAND SYSTEY USE 9 CHECK OU ASSS ORG ATE HEM Kone None C]oeeso = [7] spreowarns CU sexonce SECTION ¥i SPECIAL GUALIFICATONS : 9tS? a. ra33 ES ANDO GPCRTS IN Waar You ARE ACTIVE CR HAVE ACTIVELY PARDCRAIED IND Calé YCUR PICFICIENCY IN E&CH. Handball - Good ERAVIEWG BUS NESS EQW.PMENT OR MaACNES WICH VOU MAT HAVE USTED IN HEM & SECON V,  LSP ANY SPEC AL SHLS YOU POSSESS PELALNG (0 OCKER EQUIPMENT AND MALIGNE, SUCH AS OPERATION GF RAD'S TRANSAMTTERS oa cote CW spend sanding & rocmemg OFFSET FRESS, TURRET LATHE EDP AND OTMER SCENTE:C & PROFESSIONAL DEVICES ee None abe el WO 08 HAVE YOU EWES SEEN A LITENSED O8 CEAgg ED MEMBER OF ativ S9ADE CR PAQFESHON 5UCH AS ORO! (an) ves ELESTE Tube VADIG CPERRIOR TEACHER Gam HER COR AEDT TECH NICIOM, PSYCHOLOGIST Prevsidian £9C > > i “0 ne —_——— aE a} oD ES 10 TE Ene ; ~ : ; BVT. AVE ANSWEDED "VES" TQ HEM 3 ABOVE INDICATE GNU) CE LICENSE O8 CERTFICATION AND THE SSUING STATEL 5 cigs ticrese CERIE.CATE ‘evo of vee! ea Ral Fh BIC Pease de kigaie rogams rember + haga! None . : & LATEST OCEMSECESBICATE ‘soar of sttee! FAIS ANY SONE.CAaNT POBUSMED MATER AS OF eniCd 1OU ARE TRE AUTH go NOP sebnw comer omtver swgrerted INCICATE THE TILE PUSS ATION DATE AND MEE OF WTING not terpe cw me anthe ain'an goreral meres? tetvet encelt ther? giorgt oft : Nove Rone @ PIA Phan a OND POC BAM OWS CPET ENCE a SECRET . «3-6 i
14-00000 Hoe. So SECPET en , ae oo “tWhee filled) ba? . os : “ [SECTION vin ™_ Ce ROENCY “EaLOMMENT esTOR j at - on, TINCIUSIVE DATES sPeoahsTo-by aaah 6 pearl 7 LOLATION “Cocety, Caps oo "ENT RECTORATE OFFICE C8 DIVISION, GLANCE i 1 19580--to- 1954" tt Houston, Texas USA) + dd Cat ae ce ” : ; “ vo PS GMaks PELD IN Ce ” - Contact Srecialist  DESCHDTIO™ OF DUNES _ Regular duties of Contact Specialist eae Ryyriseian catysy 1 INCLUSIVE Oaths Pram. fa- by moath & yoo) 2 LOCATON (Covatey, Cory! 3 OIMECTORATE- OFFICE OR Divi$iOny BRANCH a Sept.194%?7: to. April. 1948- Tsingtao, North chi te “6 GRE OF 308 . Ls for Darien 5 CESTRPTON OF BUTES : Assisted Consul General while awaiting transportatien to Darien, After seven months when it was obvious Darien authorities would not .permit official US représentation in that city, - I was transferred to Calcutta, India. P INCLUSINE DATES beom-to-be monk & year! 2 LOCALON Cowntey Coty! 2 OMECTORALE OFFICE OF D VISION BRANCH April 1958 to August 19489 Calcutta, Indi por a NRE OF 308 T GRADES MELO IN 108 DoP Representative SECRET o §. onee
74-90000 ’ ° 7 te . cf D { ve SECREL ; ay," ; . am ot a oo” ; Whee Billed In} ae et : a ; secrON oe . .  AARTALSTATUS. |, | : . i 1 PRESENT STATIS Seo Usv od Widowds Serorved Drored Anndied Hemenee SHICHY “NO Chanpe - a . 2. Mae OF SPOUSE howe Ree . i Rinddte sen den: “eg 3 Dare OF Biathe ~ 4 PLACE OF BIRIM Cry Dare Coens) $ OCCUPATRON . ® DATSENT EmPiGvee © ‘. 7 CHCenSnD nn : : SECTION & : OF gine & AME REL ATONSH cat anc ha : 12 Sep 4& Marparet .Lee Moore Daughter /San Francisco,Calif . . . ; 13 Apr 51 . . Marv Monicue Mocre Daughter |} po : Deborah Dallas. Meore Daughter Houston, Texas 2 Kov 58 , Dallas, Texas * hte ° - y SECTION KE PROFESSIONAL SOCIEIES AND OTHTR ORGANZATIONS Dare CH sedis hl whoo was aN CHASER BDLRESS Member Meeet Cup Sate Covetes' aCe 1D eM om ee, tans ee eB ee ee ee ee peti eee peters Cait WOMAN SE OF EMCEE : of UnNee oF. , Sa lion Arery SECRET ‘ .
‘ Soret ant Bor ot) Dm aces ~S WS Sei CPR VICR Dwar ams vumpdatons 2. bee 1, be : WT dress none Md tear BE ruta ees pe ea Tae Tt Ne ant dé otf © any othee lorena reg awed wma MS ty the eel Sl ehicn pou tle the bale ew wa ty ar er ea . : : ; — “po NOT WRITE Im tars BLOCE 8, Opttopar nde LS anes EN we eet Sanat Ses nibieet es pe ir danse Wal ton “gy” iam and Rese TEE Sates APPLICATION, No PaaNED PREPE p ALAS. RATINGS EACE CATING re a 2 _ Nites sere Ct ote wee? 2 tS 6088 10 pone. g antry) , - an Woe wl = Wate Demet ‘farteoll, ‘Toxas - Sere sar YS Cr P18 Rae at” iaaat hg 8 Oste 1919 hashing! “Tas EH oMarmei ! tise b eae - 200 peur V6) Have you even teen eb ioved Py the Foster 11 (aiveenment” Ets Be TE now org herent fo Me Festerat Caoverr ment use present grade amd skate ee fast “Aeacwye ope CAPel2, April 1944 initiate Yew cr Mey ormseer ie sancng Riv peoper cars YES Wear HL ead Ege. wee Laser tet ne merce ee en oe ~ _ | er 19. (GY Weeki you accent aut eee Gopeecteent bo odiernd for - ite Bewnthe? ., 5 1 Female - . its epats darted, SPLECTION Ri Ot ners earns ORLY, aise sovngthalee 8800 months. Lf. 6 9 12 month ' id} Wat ts the Lowen? vera e eslury ww ei acwyt  § 8805.20 per reas You will not by conentered fog pamhene gaging law fel Would gor aoc oppeenteen if atlored—- wm Wathen OCP anvesene x th Ueed Stuteee.. 2. wiwms spar ite tet lt row are woe > ee (3 Constinny [J oreo ametsz rep ttn ited Ghat, gy Ba AAT Me yeeehta LRY pe et ee Poser homme t Mart « 1S ERPERTF NCR -Yomn are ems motan te dare hk Gl infarewitive dakenf bu lee °°) gutfecsemt Seba tS eto 26 wetawa Barre scaten ff pete me for maz ae on Lye ane mrt, eet re! Pe reh mer oot b PB fat week it meets fee weet Rephag theists the prem rc ae ve ee res feta Use pwns cast ty EACH whee perth te let wiih ae wit epee avared on ser the hab Hove ware oe UE pemeh  Ohe  r e amt SEU pee Lege tamer fom Or Re ite Car eertiga reed eet vate fart fat on re arale pret awer fee Ce uunt PRESENT POSITION dares dey Pe ” haat (te sd toes pimenr o tem ? @ Fear 2B Auge 1948 Top rement tie tsmen: GOGS i Pre. Place of er caveman toe and Seve 7” _Intelligense Gffieor Preset ver ef a fame tered? (pas That shows om te a’ a ihe Set ge Cramer we + oRalare oF este tape swe cance _Bhanghat = hal, Caina npn oe eran: PSeeries cursos Gommmmmdl mg ortiesr,. Field. sees: 1 Faforat name pepsirmment Papen a eetat igi mt “eet 1 Taing tad. Duties eeasist of direeting intel talligence , operations of 6 explayess, as well aa losally - . Rated od Bacwcteee oe Ag ee a ws rate hired interpretors and. agente. Handling adainis Tpewy nip dares oe . saw tive aattere for Pield foam of 15 pernens. . - Goverment (Pedoral) . Nainteinins Liaisen with official U8 end Chinese . military am and civilian effielals. Biresting totes estivities of gab-bage at Teinen,. Ch ot ec ne or i re Ta tollicense & adzinise tra th Mawe an? Ve airse: Bexpmwi be pemrtrea tb sree ents actirent mee
- . ory . - ' ‘ * »?t ‘ » ~ . : . \ ’ \ 7 . woe . : ‘ ~ an 1 CONTINUED . - ; ; . . ue > Bosect hued Prous gemetiewn “ Thong Nites teh oiguagyieon’ AF non, re att Nie ase hy tg itp Da: a4 © canabed! Me pera U Paternal cine cbersartivenit drereneg Ral eonantehnient aan, inion | - . cea . . ny Stirores : ae - woe “haves tigation’ “of violations : et” * jirisdiotion ef the : bee Nptawe ad yoar we int ' Federal lema odaing, under the ‘Depts of dustice a Kind of Business or onganiudton tg. wiedeqale path, Treurance oegere 7 vents ads hee be ort, al Goversuent_ Nesrrabete "steht ed ud empecrmes suger vioed by you, amb Badoba Plepdrs Sen Preset title od inenes treats Sut ereveur Suter allitary service ome: fur leieing seneeeee Pertti eet eter eer ee eee erect e rt oP er een er Teer Terenas Serre renee Taree irene: Bee ee reece eens CRY Gr | Starting § bor Finnl $8 see Nites Gb eing foynwat (Moris pate Clerk. FO. Rcshtagton, Dele : Ruptne ent Patress engbsper! (hrm, organ mitten, oF pergon} it Feder, pame _Seerenant. Tnarecatg coe mah addenhereart ined STi h AEE Pel, Departasnt of Justics Rant of emsimose a? ongania then ‘ a.  wehutesale ath, Yreurince, sageency mig cf louke et nines ReGorep, Goverment} —— Jame and ile SWRA Y Ft eae fond a 8 Startins § or Ire k wpUP NST 4, Baars 2 oF person! peneart ated Po. ee ee cese rene Pee eee cere ee ero rere eres nee wreeecrecate see tanee Name and address of employer thru, tt Federal, acne departvent tureau ue wetal cbs’ Rial a Tonnes of organcokn (9g whulesle silk, imsutance pT — agency, mig ofl da ete} wee e weno wee tne ree 8 cere EEE Whenetanernes SumeMee meaner enn neee tetanus teneber see eens enre nd kind of mmplopowe supuores aed | “Ruri Wine and tile of tamadiate superna. . wees Regeun tor loav.ng MdeaEY Of sho ate BB Ewa ft tlw ed pwr faa oe Staring § gar Prom Fae ct employment (city and Sie) L final § bar Drescrgeran nf pour work: .. P Name and ackiress of emptoyer thrm urganuoton or perant U Federal mame department bureau oe estabbahment, and erence ina of Waasnese ce ongariaiPon ie g, whedessle elk immrance cnyjency, rig uf locke etc} Nur er ard bind at employees superset ty you Nimo und atte of immediate na serie | Boa tre foaving 1 Wie va oo. b sheet pour amcna, aidroon dote af sm orm f Bare og bre ws toques ase 3 Kabeentioe tha ot Porm Me 38° o¢ @ obeat of pr pes the enme mee 6 thse F Gerth eed osumiaabus bile, Atarh to taanio ut + te, ep 2 "
14-00000 - ross 2 e x a “P Date atenses Umanthe weave? Hard Sisacns- -Galloge, feuas --—-/Pale - ys Apart Pt ee ‘nen rand Sastre e they have . ‘temded no areal o¢ technical echcole,while «Pakgoe an due sanigniments showing detes 1k em ES eMIOATH oD we swrmmane det ale f rob ors tee din epee hw ant be mprwice o beast pou Kine chen tet service orhools” and sindicate in Trem fe} ol ions . af OF aH Ram GT een, . are -. + -- Lt di ea Dee Ie fae? . ay Rhat were pow taught in Pat SP NEW Se 2 ee BOE ~ Cs AB. AREB, wosing * Auge 26, °48 - Dairy Lalande! hte” Puangng give all iegeenenl 7 changes us duty asmgnment whether ao Ret you Ufended a lerrne - ved : ‘ --Bastgny uSsiE, 448048 From, Phvtes attatmd imontha prone Feewn, Ratag “pereevend 4g) Dhsty aamgrimend afer tia Tranumg GD What dad pou do ducing ths duty qamgroment? tl Give qume ane ducati id hist high ech atteated 16. EDUCATION ~Clecie higtew grate cumpisiad © . a 2 3 8 & 6 7 ri 3 vents etched prt hngh er Saul who h bein e $o pawbon seared a 10 st Hy Bork ist the appmupmow isa te uatroute puletaciors crmiehon id LD] Btementary Schad [9 peer High Sehued BB Seeewor High Sched j Semester a Hewes 1 Crete ic} Mare ang Lassner ce Ttleage or Univeraty Payor] ne ae ee 1 $6he sane aiee Laat Yous Cried Gradeate Cadege Stutrects camet slong House Heune te OXber teas Paeone 2 wer eawAal fe 22 ST HT coum een, theres tre Armas Bornes cserrite [she nome uml newt af f Si vas peers bec ce ee eta or ere we saeing te 2 Farker al agency : Subsects Studied . a Tom | Bay > Maght poe ee ee —s ae Hl . EAS oe NG UNDER 31 81, Are pe Bom OF hase you seer Leen o ser aod or sev ed meme: .¢ gay Ta.d0 os Dru 18, texbaste nee bmoetmage of SeLAR v ST Nea femecn (ah os pid electreain rata operawr, wacker lawper CPA otc) hae. RDS FIR a = we Bee Cat Pee fan Cand Pew Bet toed TI foe jg} x here Gnd of Lowsne oat State Find boscue of cert ict (pear) Lares? oo wnes op comets ase renns! Bh Goce ary ape uN Cab 6 A Cored eee Ve gs mu seh ue set) poser meee pe? PAPEL RS ARO. BOT SS egos usenet Fey eoeteet) a! Heeer Wis Sour Bm ede dU ER wang ae ou. ced? GY pece purents or invertors oe i 1 — - | travelled is China ) Pulwe speaking Gal pu.. o MARS RCE Ss CSpETENcE bea biwe we. ts pom wane tormgn « trea 2 A metinreip in peatsmoas) 7 a ehhln Benes @bT. ven | i] ‘ ' t i J TL) teats ot oR OS! Bate OTA ergth ce ne gar’ there UD rman on purr oe QC, BTA RN eRe hoe. eo ITE, LUO! eke TON, CO Ofte) TO eé ort OQu. Se mmT Foe Se Bh eh a Aeon od Bw eee Pt MIRA AOE Kaeoter gery pumch ssw! wthe RED od DebeRg MT! Jeera f Apceos mew Rugrnlwe id wits ree tee te 4 rng 1-62 880-3 + ‘ &
14-00000 e . . — ‘ ’ . . ; Pr. . ° ° wT ao . : ‘ oo reo - ' - aoe a . . + ~ . . : eects sen et nm Tyme ne sme ; . oy 49. PREFERENCES - List (bree gotrorme heing in the U ritend Lsiestere ve Teiecitrorse 4 tie Uruted tates whe are BOT talaterd te pone re Bt ec teae : . so Quubboatons and hinese bathe prehun her ahh you cre aigd ring De 4 rope naman A suimeriecte hited ureter Mark GRE ESTER ED ; .! cena Co OE ee ees a se : ante ener an — 7". a ne : Jhusuunens Ge liome avosre BUSINESS. oF OCCUPA. . zo rule NAME - , | AG ire vimpicte wbtemaa ana tyti g strowt ened teamtaery TG : ; Porro mn emnermttiowc sar ommnens « so-~ = teers Werchants Hational Bask. -| Buford Ellis. . Abilene, Toxas serene weet ee . . Drs He Ae nishardeon | Prodident of Hardin Simmons Univ. aoe in oe vee oat crear enr nie ri 7 Ch re [7] me Inte, alo" Yes on! Be anewar ty pase Hin prger column 24. Mug inquiry be meade of pour pemaent eanghvor mepsrtng pour character qual. utes etc? YES | ONO leahicate © You ot Mer unewee by placing Eon perger edumn i H : . ‘ 1 oan . . ° “ ' = : . . , . 88. Ave yuo csthamr ef the Unitert States? .. . | $8. Hasse prs any physical deters oe daa ey whatever? . ees z ane : { | Wopoue ewer te Yee ive ccetem'e fetals in iten: i : BB, Do pou advo ate op have pou ser adeansed ag are pou now | { i BB. 0 Mere pou rer iis the United Gi. an Miltary of Naeet i x | : . or Rive fin ever tren oy mender ot ane weuarrestian that i |. i , Seewice darting tine ob Ws 0 ae eee eee ee dee tpoese . +t dee saGe@ th: thew of the Ceseninemt ot the Untend Stake . . - oe ante satee te oan eae od the Ce ww cmd Xi fh) le the wort ‘hencratle ap tha wd wrabactey’ “a ! . at : - i } We pear Bie Proce cot smegers 38 tn pe H&, steour? i H . ‘ I pour anawer is “Vee” give wanpuesp demaila un Hoon 28 : I - { - aS Pout be Mean ge ce weer! ‘flenerab bie” eye ee - wt _ Sw ; 2 tap Were asewe ee perrt card rs iss ce Dem te teem font f i F. - wrth fusl mebmary pene eed teewrer mall, Yoo -.----/...-- wee eee - oe o $F, Wohin ‘the poset td rteontie howe pow Natviually ued intra | . x whores eee . vuithing tervarcs gee Ws ware. . A Tle ee eeebae oe fedy ernnnetnagncer mere wetanms mnne sewers soreness ~ 4 Hy Dhute wah wesley 567 we tree jee 1 ute ct ep rina oF separa. - . i F } : , BB, Siewe your loth iaeth fap Depa pon eee Lemont niet bred oe fF t t ad : ned, ce unprimed uf sda af un praaitee: ur maw ou | | ‘ . i { ever Lem ordered be -fegeat tant hor the wel ten dung tam | i ! 8 1 i a 19 ! - paiice regubstion or crt tachefiuar wines trealt. evdatong | 5 . 4g i i i, for which aa fitie ot $25 cor lanwg w ve nig etl” ; det Bs i dane 19 128 Auge 19460 | if your onawar td Yee "Het all such Aaane umber dine Mate ft H i PBeanen 6° wmrsare | Circe fe srai ur rat | Serial Meo H Jow Gove tn aes be cutee (1) the diate (ot tse matin uf Ces tare | i i ' fArn eo Meawy, MO, | pug at ie 14 ompsters- ! aa vigkthea (UE the name and be ator ad the curt a) the peoalgy i pe ee) ane ' H tinged abany of other tapmation ad the sae lt apquarteng : : i £45046 j your tamperprinta will les vaben , ! : Havy } Enai ga j H : ‘ . = : ! : | oer wt USER. foe we va wena seenee st a : , 28. Have you ever been dis banged of tered he tes un tur ina? ie a : IF YOUW AN DARED TO THE, Oli. TION i, tel INDICATE THAT YOU aay ' eeeusct cg tse ttbedea tory ames IZ wae Sete Ce alte eee ot wet AME ENTITLED POD VETER AM Frid ec i, ICH PEPER RM E WHILE BR . . + ' z eal PERDUE THE RY AMINA TI ot iF APPOINTED, YOu WITT Be BRUNET EP pee eres os Len gives tie Tere 1M the sais eed bdcens ¢ PTC RURM OCH TOD THE AB, (oN Tins CFF ¢ PRIOR PO ENTRY ON DUTY. . cA senploye: date rad reseun in mith Cie , p Orbe tA "BEDE: OF. bear ALON la YOUe LATED PthtOt ce AS - . . . . } TIVE OFEWE F TH Fb AbMty Pole, ih Hs UNITED STATES : ~ etd a . . i TIME tok WAR DO MOT SUBMIT PCO OF DISLHARGE OW SLPADAT! : ThA, 30 DG you reco an annudty trou the US or DC Gerernment | ' OWI THIS APPLICATION - : oe ie under any rotiramantan Cor ony pena oe ther ore perre son * i a . : oe TE for milotary or navel anrve oF 6k ke eee rs ee] cat Enediceate Vers ne No answer ies cer Re estan edu, | VES [NO : ; If your answer is” Yeo, geveie Item When for retirenant | ' i : ‘ é that ie age optional dies fty oe by reayaw ot vob nture ar une i SI. fal do pou servertin the Uo ue. of Meel Seece dure t . H valuntery aagestaliat: afer" yours STV OOO ot patie ent + : ' + th pea et ne ONLY, ba -. parkcipeie in @ carn: i Hy fray amb ureter wheat tolerement aot and ratty a ratse§ druen 3 paign oF eapedition on. Or sere, etait pessegtt Lebge OF i ne ditery at naval service t : ' service ride? |. nak en ewe ees ee sen I cee ef ce : ' : ' j fry Are yng a daatied veterans . eaneee T H , : t t i i BH. Are you an ott tal or amtbirae ufany State Torntery, aunty, | || act Rre yuu tha unmaitins aide A tara? cee eh ccecee fe aes . ! OF IUCN Ta coe eae ee ena ne seth vores ar hraned sonst fa) Are you the wile ef water an ake i . . ' It pour newer ie” You ° give detain in teen tt i ' : ete fipeatul ty rete seer . ’ . ~ fi : iF YOUR ANSWER TO G1 Sita ta fe, OR IIS VEG AND FOU g FA Dews the Uo Governrent employ i a ciedian copan itp ary | ‘ HTO: LAM VEOERAY 2 ATTACH [O THI APRIUATION ' : reiatve td yours Ry bled oe marrage! wit mbeom yuu bea © " WRYIUAN PREFERENCE CL Aud rs PEACE COMMEIGN bore 14a) . : ‘for tuve bivesd within the gaaat & manthay 22... -- te | TOX ETHER WiTH Tk NEC “ AKT PROOF UPECIFIED THEVEIN i : Hf pour unawer ta’ You ‘show nm ttom 4s EACH aah pels | ; i ove (1) full naire, 2) present cchtewss 0 recitatietg 6. oie . ssrtnen’ oF agen F bp whut wnploym? ved cyt bend of apgent- ; : pene wom ry her THIS SPACE FOR USE OF APPOINTING OFTICE ONLY ' : , ° : The inturniution contaited on tne anaeacs te Question ‘6 abore tuas hewn veri , . 330 Mave you ever had a nervous byenksfoen cee of wees hed by wsmpurace wrh the dach gripe c@itiecatm un oo. ig eeccsee wees at . ° ‘ : pour anewer is Yes give compote etude in Tem i H i : : Hl ‘ 34 Have pou ever bad turerculoss?. cat geen e eee se bepeeneee . ; It your anuwar 1a "Yea" give cumplete detoule in Herm Be ! 2 3%. Npuce fur dotuied onswers touther qumshwe Ladue er fumbers to which answers uppty). wf ITEM No y ITEM No . . . ~ - 0 mr rer coe seen ae cedeelaeenniaees ' t : ro - Tf more aruice im reegu.red use pore: ine sume are ce tus cage Whim on each shent your Ram address date efturmn, and examinahon tide Attach to inade of thie opthushor FALSF STATEMENT ON THIS APPUCATION LS PUNLSHABLE 3Y LAW (US COLF NILE id SECTION a, i certy hat the macerments mode be axe un fe nei caten are tree complet cmd current ts tne tee! of ny anos e@tge and ialet and are mma sein gonad traith Taecersamer af eed Chgn pur tame iN © nein va te. sate 14 eran 9 » Mire ref af tr arriaeb toro ur even yew © sone ‘wes L Taw 8
14-00000 : ok. tiny fy DEC , a a PERIODIC SUPPLEHENTR. 4 a 7 [Fwee pare f~O3 FAP? PERSONAL HISTORY rere . zs) Janmary 1957 Even though (2 duplicated : this. fore probides. the means whoredy your offacial personnel records watt be Regt current, snYormation pos have furnashed pteviowalp. g@ weil be necessary for pou te coaplet® Sections | through YE im thede --déntieety. You neod compiete Sections: ver through Salt onty af there haa boon @ change aince you satered oa duty wdeb the organisation oF. af you believe the stem requires sore.  coaplete coverage than you Aave proviouely reported. SECTION | $. PULLS mame (Laeea 2 MOORE, James. Walton 2. cuanewt agortss (MNo., Street, Caty, Fane, Siete) 5145 Rexton Lane, Dallas, Texas: | RO Ch AG BE SIBENCE STATE, TERRITORY, POSSESSION OF COUNTRY IN WHICH FOU t 4. WOME TELEPHONE wuweee EMeraon-1.-0749 . USA st 2 SECTION, 14 PERSOM TO GE MOTIFIED Im CASE OF EMERGENCY “t, wage (haatePicatetiddie} PREFERASLY RESTOURG Ih U.S. Moore, Patricia Ansle Mome aonarss (No... Street, City, iaae, State, Country}. 5145 Rexton Lane, Dallas, Texas, USA a. GSUSINESS ADORESS (Vo., Steeet, Caty, Fone, State, Country jo NA REL ATOGN Sett Wife 3. iF APPLIC AOLE ERDICATE WAME OF Fim OR EMPLOYER, BUStMESS TELEPHONE NUMOER BUSINESS TELEPHONE EXTENSION IN CASE ry; EMERGENCY, OTHER CLOSE RELATIVES (Spouse, Bother, Father) way aso of KOTIFIED. $9 NOY OLSIRAGLE BECAUSE OF HEALTH OR OTHER REASONS, PLEASE $0 STATE. Z | Mra. M. F. Moore, 711 So. Sth St., Waco, Texas MARITAL STATUS P. tf SUCH NOTIFICATION OIVORCES OA ANNUL MENTS PLACE ABD REASOM FOR ALL SEPARATIONS, SURMESH DATE, NA Tf you have been warrted wore than once, including annulaents, wae @ separate sheet far foraes a4 fel WFR OR HUSBAND: ff aarriags s¢@ contowplated, provide same dats far fiance. jor hueband giving date below for all previous maresagoa. . (Frese) (@iddiey Alice Patricia 5. PLACE OF wARRtace (City, State, (Hasdeny Ansie Country) &- DATE OF MARRIAGE 12 April 1941 aif decaasedy 40. CURRENT aOCRESS (Gave feet addreas, 5145 Rexton Lane, Dallas, Texas ft. DATE OF BIRTH 22. PLACE OF GtATH (Caty, State, Country) 28 Nov 1919 : Houston, Texas 23. 18 BORN OUTSIDE.u.$--GATE OF ENTRY 04. PLACE OF ENTRY 8. ima (Country) eri ACQUIRED ‘27. WHERE acquiago (Carty, State, Counter) OCCUPATION th EmPLoveR (Also geve foraer eupleyer, of 2f epouss 18 decossed of aneaploged, last two eaployers} “Housewi 20. CMPLOVER'S OR BUSINESS ADDRESS (Ne., Street, NA En . SECTIOm #04 COmTINUED TO PAGE 2 QcPRRCES FORM BPE SECRET . far a ¥ City, State, Country) 4 SEP 35 HN oven 6 Sapeagrs.
~ . . SECRET. 4 “ , he pe ; . . (thea Failed my os . 7 "os - . 7! + SECTION Ett ‘COMPINUEO FROM “Pact i . ~ bd oR Fan) pe MONTY atin YAP . , 20 “netic or wir traey sgaeicg SP roe 23. COUNTRY Witw merce WILE TARY SERVICE abe tas ateo - : OR FORTIGH a6. DETAILS OF OTHER GOVEPmMENY SEQVICE, U.S. t. RELATION SH Ee NA @. ADDRESS OR COUNTRY fy opel RELATIVE RESIDES ® CUTEZENSHEP (Country) 2. RELALIONSH TP f. Pyle mama (Leat- Piratemiddiay @- ADOUTSS OR COUNTAY IM Swit RELATIVE RESIDES 8. CErarimanip (Country) . Far quency OF CONTACT . DATE OF -LAST CONTAC? een nee” nd 4. AGGRESS OR COUNTRY IM MHIGH ALLATIVE RESIDES S$ CITazensnie (Countey y 6- FREQUENCY OF CONTACT . DATE OF RAST ComMTact + . 1. FULL name (LeateRirat-Msddiay )* RELATIONSHIP 4. ADORLSS OR COUNTRY FN MeICH RELATIVE RESIDES NA : % Citizensner (Country) §. Y. DATE OF Lagt Contact FREQUENCY OF CONTACT S- SPECIAL REMARKS, IF ANY, CONC SNinG THESE RELATIVES NA FIMANCHAL STATUS © [ section ¥ t. ARE vOU EMTIRELY GEPENDEMY Gm youe Sat aaye Ix res Re 7 STATE SOURCES CF OTHER inCOmE 2. 1F YOUM AMSWER 3 "NO" TO Tate ABDVE, RA 3. BANS ENG ENSTITUFIONS wETe meiCH VOU HAYE ACCOUNTS aAporess (Caty, State, Country) MAME OF ENSTETUTIGH Republic National Bank SECTION V CONTINUED 70 PAGE 9 . . SECRET ™
e MA > “SECRET Ce ' . "m4 - oe aan oo ° vite : . , . t thes Filled in}, >! ~ : : . co. 7 SECTIC® ¥ CONTINUED FROM PAGE 2 .. ‘a. HAVE VOU EVER BEEN IN: OF PETATHONED foe, Bann ovF ves ‘bx [ se. {PF YOUR" ANSBER 1S "VES", 10 THE ABOVE QUESTION! CH¥E PARTECUARS, INCLUDING COURT AND DATES) te te 3- &. @ [Section vii | furas Teas HEGH Scmoot Gaaoua re 4. 4. 09 YOU RECEIVE aN aNNUTTY FROW THE Unt TEd states o# GISTRICT oF cOLUMBTA GOVERAWENT UNDER ANY RETIREWENT ACT... PENSTON, OR COMPINSATION FOR WILTTARY O@ RataL SURvICe [TJres {x} °°, : mo 1F- YOUR AwSwER. 03 “vas” 10 Te agove Question, Geve COMPLETE OETAULS ‘DO VOU HAVE “ANY FIWANCH AL PMTEREST EW, GR OFERCHAL CONNECTION wt « MOMTUSS. CORPORATIONS OF BUSINESSES OR IN OR wit vy. $e CORPORATIONS ‘OF SUSINESSES MAWING SUBSTAGTEAL FOREIGN INTERESTS? Cl 16 YOU RAVE ee {x]*° . a ANSHERED "VES". GIVE COMPLETE. OLTAILS OMA SEPARATE SHEET AND ATTACH "NH A SEALLO ENVELOPE. » COTE ZERSHIP . PRESENT CETizenswiP (Countey) CETALENSHIF ACQUIRED BY © CHECK (xP ONE: . [_] easerace [Jermes (Specify): WAVE VOU TAKEN STEPS TO CHANGE YOUR ™ PRESENT CETIZENSHIP? (]res “EF YOU WAVE APPLIED FOR U.S. CETIZENSNIP, INSECATE PRESENT STATUS OF YOUR APPLICATION (Firat paper, etc.) E0uCATICN . t. CHECK (ub “Wt GEST Leven oF EDUCATION ATTAINED CvEeR Tee VER OF COLLE SE © MG SEGREE REG BCH OO Seanuat SRAQYUATE FTUOV LEASbus To wmiseds ot oaEe “eustwessy Yaaoe, OR COMMERCE RL FCMOOL BSeageea rg © COC FoR’s BLGaEE Yeo VEAAs COLE CE OR LESE Pare Seu/ gra. Date HOURS “Hardin Simmons University, Abilene,TexSclenck Eng 1936 | 1940. 3 - (night school) George Washington Univy.,Wash. D.C. | Law 1940 1941 3, VRADE, TOwwERCH AL AND SPECEALE ZED ScHOoLS DATES ATTENDED TOTAL . MONTHS NAME OF SCHOOL 1 r Feo Quantico, Virginia FBI. Special Agent School ' ‘ MILETARY TRAtnING (Fuld tsme duty im specialized echools auch a8 Ordnance, Tneeddsgence, Communrecations, ee.) DATES ATTENOES ] Tora . Bd ToS .. wAME ‘OF SCHOOL ; : race oO California | Oss School at Catalina Islan STUCY OM SPECIAL IZaTion Intelligence Apr & mos. OTHER COUCATIONAL TRAINING NOT INOICATED ABOVE NA , . i SECRET ‘ ‘ 3 Ns
i apeak- ‘bp “pee , _Caleutta, India ©} Section x SECRET - es fa | (Shen Felted ta) WOM ACQUIRED “CQMPE Teme im ORDLR LISTED Wourvarent FAUENT < aig | ‘ a . ac cave opon | |e poet | kiweren matt . conrace | Acaotwic which you poktees any vi WATIVE [OSVIOUSLY) or amen taave, [RPOReCOGE YE Jowdiomeed (wate study od competence, “Indicates. your FauEwCY | FORET GH ° ro a PARENTS Cale aM coun ray [RESIBENC mt ia a i , are.d Laver ss pro fliciency te reed, ‘erate ar aga check C4). fa the eppropeiate ‘bouea ste . sete e+ aeite ¢ ira ates 1f YOU HAVE CHECKED “ACADEMIC STUOY” uNOER “HOW ACQUIRED". INDICATE LENGTH AND INTENSEVENESS OF stuoy * nwo year high school . . One year college ; ; DESCRIGE YOUR ABILITY TQ BO. SPECIALE SEO LANGUAGE BORK INVOLVING VOCABULARTES ant TERMINGLOCY ON THE SCEENTEFIC, ENGINEERING, TEL ECOmmUBICATIONS. MELUTARY OR ANY OTHER SPECIALIZES FEELD GEOGRAPHIC AREA~ WROWLEOGE CEST BELOW ANY FOREIGH REGIONS OR COUNTRIES OF BHICH YOU HAVES ‘RNOBLEDGE GAYNED AS A RESULY OF RESIDENCE, TRAVEL, Study “or WORK ASST GHMEHT. UNDER COLUMN "TYPE OF SPECIALIZED KNOMEEOGE” tNOICATE TYPE OF KROWLEOGE SUCH AS antung Province - ‘North China fe DATES OF RESTOENCE. TRAVEL, ETC. PeDt CATE “THE “PURPOSE oF ‘yesir. RESTHEMCE OR TRAVEL FOR EACH OF THE REGIONS OF COUNTRIES RSATED ABOVE” In China with parents - 1920-1936, with OSS 1945-1947 In India with CIA - 1948-1950 TYPING AND STENOGRAPHIC SKILLS f. TRING (9.7.4.9) [ 2. SHomTMaND? oP. mM. 3. SPURid AMD SYSTEM USED ¢ CHECK (4) APPROPRIATE HNDICATE GTHER BUSINESS MACHINES WEFH WHICH you WAVE HAD OPERATING EXPERIENCE OR TRAINING (conptoneter, ineo~ Seraph, Card Punch, ete.) HA SECTION Xf SPECIAL QUALIFICATIONS $. &997 ALL HOBOIES AND SPORTS IN WHICH YOU ARE ACTIVE Of HAVE ACTIVELY PARTICIPATED. in fate = =Randball - Good Tennis, Swimming, Soecer, Ping Pong - Fair MESULTING FROM EXPERIENCE OR TRAINING, WHECH MIGHT FIT YO FOR & PARTICULAR ites &. IMOdCATE YOUR PROF ITEENCY 2. UNDICATE AMY SPECEAL QUALIFICATIONS, POSITION OR TyPE OF WORK Qualified as paratrooper with 06S LEST ANY SPECIAL SKILLS YOU POSSESS RELATING TO OYMER EQUIPMENT OR MA~ VURAET LATHE, SCIENTIFIC AMD PROFESSIONAL DEVICES, ETE. 3. ERCLUOING EQUIPMENT NOTED tm SECTIO’N &. CHINES SUCH AS OPERATION OF SHORTBAVE AADIO, MUL TILE TH, NA 4. 1% YOu ARE A LICENSED Of CEMTIFIEO meweta OF ANY TRADE Ga PROFESSION (Pilot, Electricaan, Lasyer, CPA, Wedscal Fachaicdam, ete. ), INDICATE THE 49m0 OF LICENSE OR CEMTIFICATE, Nawe CF ISSUING STATE, REGISTRY NUMBER, IF BHOUR. Teacher, amo Radsa Operatar, @. LATEST LeCewse€ OR CHATIFacATE (Yeer of sasuey NA S$. FIRST License OR Ceavagicare (Year of issue) ” : , SECRET : - 8
14-00000 . 7 4s a SECRET —— 37 2 . . . - : a . (ohen Filled fad. , oot oo . 7 _- a . : a SECTION a COMFIRUED FROM Past 8 7 oot a3 to -"UNOECATE TETLE, PueLICati 10% DATE, AND' TwRE OF ni ttae (Non. fectaon, ectentalie articles, general: interest’ aude - fects, _aorefs, short storees. ete.) . . RA : , , v7 . . ; 7 - . . . > ~ my 8. LEST ARY PUGLIC SPEARING AND PUOLIC RELATIONS EXPERDENCE ACADEWIC OR NHOMOMARY ASSOCIATIONS OR SOCRETIES te wascy YOU ARE now oR BORE Fomwemiy a MEMBER. LIST ACADEMIC HONORS YOU HAVE RECEIVER. - 10., LEST ANY PROFESS FONAL, e SECTICH XI1 ORGANIZATION WORK EXPERIENCE - SINCE LAST COMPLETICH OF A PERSONNEL QUALIFICATIONS QUESTIOMMAIRE” e - §. INCLUSIVE BATES (Fro. and fos} 2. GRADELS. QFFICE/DIVITION, BRANCH OF ASSIGNMENT Jan 1950 -April 1954 - 12 00/c 14. NO. GF EMPLOVEES UNOER VouR DIRECT | 3. OFFICIAL POSITION TITLE . . . . ' SUPERVISION "Hone Contact Speclalist ; ; - i¢ DESCRIPTION OF DUTIES . - oy : Duties of a Contact Specialist . . . . : }2. ENCLUSIVE CATES (Proe: end Tow) | 2 GRADE | 3. OF FICE/OIVISEON/ BUANCH OF ASSIGNMENT . April 199% - Jan 1957 i c0/¢ . . oie MO. OF <EMPLOVEES UNDER YOUR-DIRECT | 9. OFFICIAL POSITION TETLE 7 . pose us a ! 2 SUPERVISION ~~ One Contact Specialist and Resident Agent in Dallas re ‘c DESCRIPTION OF DUTIES : - | Duties of a C/S and RA © - ; is EMCLUSIVE GATES (From- and Tox y 2 GRADE |S. OFF ICE/DIVESTON/ BRANCH OF A557 GAMENT : - i NA ‘ Var NO. OF EMPLOVEES UNDER YOUR OLAECT |S. OFFICEAL POSITION TITLE SUPERVE SION ey 5 i* OESCRIPTION OF OUTIES ' - : (. ENCLUSIVE OATES (From- and Fo-} 2 GRADE] 3. OF FECE/OIVISION/GRANCH OF ASSIGNUENT : NA . j 4 NO. OF EMPLOYEES UNDER YOUR DIRECT S$. GFFICEAL POSETION THTLe , SUPERVESION : 14. GESCRIPTION OF DUTIES — 2. EMCLUSIVE DATES (From and To-) RA m0, OF EMPLOYEES UNDER YOUR GERECT } - SUPERvisiON @- BESCRIPTION OF BUTIES {Use addatsonal pages §f tequiredy : .  . SEGRET 3
14-00000 ected NS Me . "SECRET i. hl . . . (Phen Frifed Fey and adopted chsldren)y ano ant UNMARRIED, unore ‘et years OF AGE, AND ARE MOT SELES . nuM era OF “CMILOEER (inctudeng ctepehtidren _ SUPP OMTING., Bp A ion F_AEC OHI_ABE MOT Shit SUPPORTL + PROVIDE THE FULLOMING GINS ORWATION FOR ALL CHILDREN AND OEFERDENTS LL Se ——S = ADOITIONAL COMMENT AND/OR CONTINUATION OF PRECTOING ITEMS Jan 1950 - Jun 1950 2600 Pemberton, Houston, Texas Jun 1950 - - Apr 1954 .. 35902. Underwood,.Houston, Texas Apr 1954°> Jul 19548 ~ 3406 Dartmouth, Dallas, Texas Aug 1954 ~- Present 5145 Rexton Lane, Dallas, Texas Dave CowPr eres SEGRATURE OF EMPLOYER pareria, atepearents. “seeter, ote Bed OEPERD OW VOU Fee aT LERST soe tf THELE SUPPORT. CR, ch toe es OvER gt years”
14-00000 ‘PERSONAL HISTORY STATEMENT - ; _ . Instructions: ay Answer all ‘questions compietely lf tiestion does not apply write “not applic- : or cone able.”’ Write “unknown” orily if you do not know the answer and cannot o wk ie = ~ ~ ¢-the answer trém, personal records. Usé tie blank pages at the end of this form “+ for extra: details on any question or questions for which you do not have suffi- Sideration.. 22° - a ' HAVE YOU READ AND DO YOU UNDERSTAND THE INSTRUCTIONS? i _ = SEC. 1. PERSONAL BACKGROUND oe . . . : Telephone: . 7. iss Janes Halton Noore ome ; & FULLN . _ . t. (Vee No ‘First - Middle . Last ; Enitiaiey = ETS. Ce Home: ; ‘PRESENT ADDRESS 8500 Pembérton Avee, Kouston, Taxaa USA PERMANENT ADDRESS »._ SL OWi4d Step Abilene, Texas : St a Ne. oe Siate Gountry Jim » Jimie . B. NICKNAME _ WHAT OTHER NAMES HAVE You vsEp? _ "008 :_.._. UNDER. WHAT CIRCUMSTANCES HAVE YOU EVER USED THESE x ° Not applicable. : HOW LONG? _____ 1 A LEGAL CHANGE, GIVE PARTICULARS By What Authority Ware? -. ; Rartwell decr aia Usa . Ost 1919 Cc. DATE OF pinth ‘mona PLACE OF BIRTH ug city State Country D. PRESENT CITIZENSHIP saa BY BIRTH? BY MARRIAGE? BY NATURALIZATION CERTIFICATE § ——-_.._... ISSUED BY . Date Cours Se TT nDEEEEEEEEnERERERIEEEIaentaeneetinenennmae str aieenmemmnaemeen ~ State County Ro 3 A PREVIOUS NATIONALIVY ? eee Tes or Ne Countey 4 WHAT DATES? TO ——-___. ANY OTHER NATIONALITY? Country LARS EN STEPS TO CHANGE PRESENT CITIZENSHIP? GIVE PARTICULARS: APH OSB Gr Write careftilly; tllegible or incomplete forms will not receive con _ TT eB + me We aepeceme memeeee : - sem ete At ate Oat a a we Rede cancun aese eaten or vine _ : , : : alte es TMDLS peer ee imme ome pore q
14-00000 eet te ‘ nase senehanenteserttn teeta WM CE LeuP wera ioe aee te Bie Wah aa eM et te ‘ t \ SEC, 2. PHYSICAL DESCRIPTION - ‘\ OF 39 Beg = HEIOWT gp WEION |G 35,—$— BYES cope ———— HAT epg ———- COMPLEXIQM jeep ————- SCARS prpyg———— 4 BUILD varege OTHER DISTINGUISHING PEATURES SEC. 3. MARITAL STATUS ¥ Me the A SINGLE WWW. MARRIED, ———___. DIVORCED ...__.._.._., WIDOWED ~ . STATE-DATE,-PLACE, AND- REASON: FOR SEPARATION, DIVORCE OR ANNULMENT © _— (PF YOU HAVE BEEN MARRIED MORE THAN ONCE — INCLUDE ANNUL- ‘ B. WIFE OR HUSBAND MENTS — USE A SEPARATE SHEET FOR FORMER WIFE OR HUSBAND GIVING DATA REQUIRED BELOW FOR ALL PREVIOUS MARRIAGES.) so err ene eet nnn en emer ee cena $ Ste eee ma atin erect acon onetime snerenneentt gEmeiaE PLACE AND DATE OF MARRIAGE rede Dr Gy Aetd-3 1944 . HIS (OR HER) ADDRESS BEFORE MARRIAGH)S? Regs IF BORN OUTSIDE U8, INDICATE DATE AND PLACE OF ENTRY CITIZENSHIP .¢§.——.....- WHEN ACQUIRED? WHERE? ciey State Country OCCUPATION _peugewif'@————__-—___. LAST EMPLOYER __ppT ‘ EMPLOYER'S OR BUSINESS ADDRESS Star So, State Country MILITARY SERVICE FROM —__._. TO ____._.___... BRANCH OF SERVICE Date * Date COUNTRY eee ns DETAILS OF OTHER GOVT. SERVICE, US. OR FOREIGN e @ Fotis ans at lon
14-00000 ‘ | Ly @ . @ | t ; i > Bt. & No. city Btate Country * SEC. 5. FATHER’ (Give the same information for stepfather and/or guardian ona separate sheet) FULD, NAME —— gg a is 7 te . LIVING OR DECEASED pegeaged — DATE OF DECEASE Degy-3.939— CAUSE —gengagy— PRESENT, OR, LAST, ADDRESS- SEE Be Sirah noer dees Shea DATE OF BIRTH — 3999 _. PLACE , OF BIRTH IF BORN OUTSIDE US. INDICATE DATZ AND PLACE OF ENTRY. ..__ WHERE? CITIZENSHIP eee WHEN ACQUIRED? OCCUPATION -Blasionary——_ LAST EMPLOYER EMPLOYER'S OR OWN BUSINESS ADDRESS _prvprttie, fpateoleges He MILITARY SERVICE FROM 1937. TO -173.3__. BRANCH OF SERVICE —+8-Arey— DETAILS OF OTHER GOV'T SERVICE, US. OR FOREIGN. j COUNTRY SEC. 4. MOTHER (Give the same information for stepmother on a separate sheet) FULL NAME — 8s 800 tr Middle LIVING OR DECSASSD Living——— DATE GF DECEASE —___. CAUSE PRESENT, OR LAST, ADDRESS Tl Siuth Sth St. 5 Foooy fenng —— 884 — DATE OF aIRTH?__. PLACE OF BIRTH —¥eLeany-fesag————______—_- CITIZENSHIP US. WHEN ACQUIRED? WHERE? 2 . cus rate Country IF BORN OUTSIDE US. INDICATE DATE AND PLACE OF ENTRY ‘ i : cd 6 @ |
SME peueMehyty ot, + ‘ Be A Latah . 4 . Houses: fe So OCCUPATION __.. LAST EMPLOYER vie — EMPLOYER'S OR OWN BUSINESS ADDRESS — : at. & Ro. "i Countey MILITARY SERVICE FROM: TO BRANCH OF SERVICE : DETAILS OF OTHER GOVT SERVICE, US. OR FOREION! COUNTRY BEC. 7, . BROTHERS AND SISTERS (Including half., step-, and adopted brothers and sisters) ; Hartha - dene Butehins 3 -. i FULL NAME WW _ eee : AGE “Honna Carroll, Ufthots i) UG PRESENT ADDRESS . . dlidtiries a0 inion Prarg = a 2. FULL NAME a" : AGE oo vt PittetuMy, Pann. taa “= PRESENT ADDRESS. , Batty*s ors meee Paliee % FULL NAME AGE WR G. Sth 8t., Wau Texas nae PRESENT ADDRESS : St. & No. Cry State cuaaiy 4. FULL NAME near AGE 2 . - : Firat Maddie PRESENT ADDRESS : . 8t. & Na, Cir State Svuntry Citizenship | & FULL NAME WU AGE “ . . - First . Middle PRESENT ADDRESS * : at : : . 8. & Na, ~ City, , State . county Citizenship SEC. 8 FATHER-IN-LAW Billie Ge Analey FULL NAME : "Living Middle Lass LIVING OR DECEASED DATE OF DECEASE Seno a 557 Rosa Avee, Abilens, Texas (Sa PRESENT, OR LAST, ADDRESS - abd ae We ister, Tete Saunt DATE OF BIRTH ..._..__+__. PLACE OF BIRTH IF BORN OUTSIDE U.S. INDICATE DATE AND PLACE OF ENTRY ccc eee ee , CITIZENSHIP ee. WHEN ACQUIRED? —._-__. en Hoffnan “foffaan Hoctrioal BipolyGo Couney famtoneTofsRaftaen Klact 6d ES Ey & “= — i
ee ae ‘ + SEC. |.9. MOTHER-IN-LAW . . Bargeret Middle LIVING OR DECEASED _ DATE OF DECEASE CAUSE DATE OF BIRTH ——_______. PLACE OF BIRTH —__ San Ante " San Anteniog Texas IF BORN OUTSIDE US. INDICATE DATE AND PLACE OF ENTRY CETIZENSHIP cee ee WHEN ACQQUUREDD ccc, WEEE? ae ne City = Stete = Country OCCUPATION : LAST EMPLOYER -_Rousenifa "SEC. 10. RELATIVES BY BLOOD, MARRIAGE OR ADOPTION, WHO EITHER LIVE ABROAD OR WHO ARE NOT CITIZENS OF THE UNITED STATES? SEC. 12. 1. NAME — eg esr gpm > ————— RELATIONSHIP AGE e CITIZENSIIP._____________. ADDREAS oe 7 St. & No. City State Counwy 2 NAME RELATIONSHIP _______-=AGz |, CITIZENSHIP Ws Ress “ . Bt. & Ne. Cley State Country 3. NAME RELATIONSHIP —___-----_- AGE CITIZENSHIP ADDRESS St. & No. Chey State Country RELATIVES BY BLOOD OR MARRIAGE IN THE MILITARY OR CIVIL SERVICE OF THE U.S. OR OF A FOREIGN GOVERNMENT. i. Sanioeene BE meen me NAME cl lt GES ei a ga RELATIONSHIP CITIZENSHIP _W..- =. ADDRESS err re reece toe 8t. & Ne Ciey State TYPE AND LOCATION OF SERVICE (IF KNOWN) NAME . RELATIONSHIP weer AGE CUTEZENSHUP emer ARS ne Bs. & No City @tate . TYPE AND LOCATION OF SERVICE (LF KNOWN) .. NAME woe RELATIONSH EP AGE WW. CYTIZENSHID a A a ne Se & Ne. Cue State TYPE AND LOCATION OF SERVICE «IF KNOWN) .. ne $ ® Nes! "D6 foes Hretyraate, Faas HA .
14-00000 SEC. 12. EDUCATION : DATES ATTENDED __ Poblie School | . GRADER EET? Stattung, We"China : HIGH SCHOOL ————— = r Ae? ADDRESS ee ea -. 1930 = 1936 ADDRESS Tos BATES ERR Fomor Calvert : Shinto COLLEGE’ _ 1936 = 1939 ADDRESS RP rrr ras a DATES | SER Mahia Lew ma School peonex ‘adhingtén D. Co" Ysa . . SEC.- 13. MILITARY, NAVAL OR OTHER covT SERVICE U.S. OR FOREIGN egy Rantgn Jan 65 ES eS" Dine 6 : cnteinaaa REMARKS:. - SELECTIVE SERVICE BOARD NUMER ADDRESS IF DEFERRED GIVE REASON INDICATE MEMBERSHIP IN MILITARY RESERVE ORGANIZATIONS SEC. 14. CHRONOLCGICAL HISTORY OF EMPLOYMENT FOR PAST 15 YEARS. ACCOUNT FOR ALL PERIODS. INCLUDE CASUAL EMPLOYMENT, INCLUDE ALSO PERIODS - OF UNEMPLOYMENT. GIVE ADDRESSES AND STATE WHAT YOU DID DURING -PERIODS Or UNEMPLOYMENT. LIST LAST POSITION FIRST. - ~ |. FROM TO dane 1956 Pregent EMPLOYING FIRN OR AGENCY CIA EDDIDRESS en . Ss Gathingten D. Ce City State Coun egg KIND OF BUSINESS ____________. NAME OF SUPERVISOR TUT LE OF SOB es SALARY So PER ry imp YOUR DUTIES REASONS FOR LEAVING 2. FROMO- OL Jen 6 I9h5 dune 1946 “EMPLOYING FIRM OS AGENCY US Ravy
KIND OF BUSINESS ________ NAME OF SUPERVISOR —__ “TITLE OF JOB “BALARY So eeeneninme PER cerengeeeneienione ’ + ADDRESS “aye cip. ee ee : ", SRUBRIRGON We Ce ciy : Stale C1? YOUR DU REASONS FOR LEAVING : : 1 gene : S. FROM —y yong es EMPLOYING FIRM OR AGENCY <a AD DRESS Vashington De Ce city * State USgusiry KIND OF BUSINESS __.._ -.-_-_. NAME OF SUPERVISOR SALARY $__.______. PER ______- CAF-1i YOUR DUTIES REASONS FOR LEAVING 4. FROM . - TO “Kpr ll 1540 gan 19h2 EMPLOYINO FIRM OR AGENCY 00 OO ane Washington 0. 0, ~ ciy _. State Usgery KIND OF BUSINESS ____.____—___. NAME OF SUPERVISOR —— TITLE OF JOB ~scetal straggiex Searonay ~ SALARY 3 ppp PER ——————_ YOUR DUTIES REASONS FOR LEAVING _. & FROM ______.____. TO EMPLOYING FIRM OR AGENCY ADDRESS St & Ka. cup State Country KIND OF BUSINESS __________.___.. NAME OF SUPE2VISOR NITLE OF JOB SALARY $____.__.__.. PER —_.__. YOUR DULES .~ REASONS FOR LEAVING etteney
14-00000 SEG. 15. HAVE-YOU EVER BEEN DISCHARGED OR ASKED TO RESIGN FROM. ANY FOSITION? : HAVE YOU LEFT A POSITION, UNDER CIRCUMSTANCES WHICH YOU DESIRE TO : EXPLAIN? GIVE .DETAILS: - ; : Noe Me ‘ . He whem ere tae ape A 5 SEC: 16 GIVE FIVE CHARACTER REFERENCES —IN THE U.S.— WHO KNOW YOU INTI- : 7 MATELY — (GIVE RESIDENCE AND BUSINESS ADDRESSES WHERE POSSIBLE.) ; ! oo ; 2 Street and Number ony Stato ; 1, BUS. ADD. i RES. ADD. ; x 2 BUS. ADD. RES. ADD. BUS. ADD. RES. ADD. een 9 enero BUS. ADD. ce ene , co TRESS, AID, nn . BROS. ADD a soe sete ts CE SEC. 17. NAMES OF FIVE PERSONS WHO KNOW YOU SOCIALLY IN THE UNITED STATES — NOT REFERENCES, SUPERVISORS OR EMPLOYERS — (Give residence and business ad- dresses where possible. ) - Street and Number cuy Strate i BUS. ADD, RES. ADD. 2 BS. ADD. ee RES. ADD.  _— ee BUS. ADD. ' RES. ADD. | ns Lo: | 2): ise . iS RES. ADD. Ww : Bo BS. ADD. . RES ADD. nner q@ (a
SEC. 18. e ’ GIVE THREE NEIGHBORS AT YOUR LAST NORMAL RESIDENCE IN THE U.S. -— (Give residence and business addresses where Possible.) Street and Nusiver ” ety : Bieie 1. _ BUS, ADD. ‘ _ RES. ADD. Mc eeeennn a > BUS, ADD. —eeneennemaen — emaeenmme RES. ADD. coeur %. BUS. ADD. cee iny Sumi _ RES. ADD. ——————_ SEC. 19.- FINANCIAL, BACKGROUND A. ARE-YOU ENTIRELY DEPENDENT ON, YOUR, SALARY? —tea__. IF NOT, STATE SOURCES OF OTHER INCOME B. JNAMES AND ADDRESSES OF BANKS WITH WHICH YOU HAVE ACCOUNTS amers & Merehantg Natl C. HAVE YOU EVER BEEN IN, OR PETITIONED FOR, BANKRUPTCY? Bigger GIVE PARTICULARS, INCLUDING COURT: D. GIVE THREE CREDIT REFERENCES — IN THE US, 1. NAME ADDRESS nese coer een gee State . St. as No. eny Be NA cc een ADDRESS : 8. & No. Clty Btate bn 5 1, 9,\:) ne, | 8) 0): 4): |: ieee ° Bt. & No. 7 City State SEC. 20. RESIDENCES FOR THE PAST 15 YEARS rRowse es) ggg ene _____texgen——_——_—+gg.-— to a Sune cuy tate ve rrotfl?_ ro AZ ggg oT ree pro? TO AS sce SB Frame lan, Cal 4 fornia —_94——— | 19bs St. Ne. 19h? North Chine FROM - TO — ‘St. Ho. City State Country roe? fpr 9u8 rq Tang too____ ing ——______— St. Ba. city State Country FRge 2908 Sept dois St. Ne. Che Siate Country BROOM een Ne mY . St. No City State Ooustry FROM ~~. TO SEC. 21. RESIDENCE OR TRAVEL aw OF THE UNITED STATES A. reo? — 36 9 nes yor iaaieg Be Ca -——wtth pert Crefen te CX) a and annals FROM — ———— Cy oF _Citna Country FROM —___. TO ______. City or Section & ? wv
“omen tare cea atten en se Neto ae ‘ANNA albeit metettne onesie nts Yee Lee awe ester meee nome © eer ASSEN Rae et Pew an NMR R BUS Tn wk ta , Fi Bere RE nee At TB -e hoe =~. SEC. 23. GENERAL QUALIFICATIONS’ , c. FOREIGN LANGUAGES (STATE DEGREE OR PROFICIENCY AS “SLIGHT” -FAIR" OR “FLUENT*) LANGUAGE — gptnogg—- SPEAK ee READ —..-———— = LIST. ALL SPORTS AND HOBBIES WHICH INTEREST YOU: INDICATE DEGREE OF PROFT- CIENCY IN BACH: HAVE YOU ANY QUALIFICATIONS, AS A RESULT OF TRAINING OR EXPERIENCE, WHICH MIGHT FIT YOU FOR A PARTICULAR POSITION? . LIST BELOW THE NAMES OF GOVERNMENT DEPARTMENTS, AGENCIES OR OFFICES TO WHICH YOU HAVE APPLIED FOR EMPLOYMENT SINCE 1939: IF, TO YOUR KNOWLEDGE, ANY OF THE ABOVE HAS CONDUCTED AN INVESTIGATION OF YOu, INDICATE BELOW THE NAME OF THAT AGENCY AND THE APPROXIMATE DATE OF THE INVESTIGATION: . FBI mm IGhO Se MONTE Beye noe
t Seay ey ody wo UGB ILIA eer ies Qardt tat « z ates ores bas tet ae seawe we ae Seam oh ahs wade eee ae ae . ‘ be net dae To te anata na se aeentnte 6 made meee sonnei wa crane ae BA Phaedra, Se cae os pate’ Praca bea Sela 4g Ve Pee eRe a SoBe, 5 , SEC. 24. MIS ;CELLANEOUS i f i os ADDRESS rn er 2608 Salberten Steg “’ Horston S“Poxas connury CSA 12 § A bo you ADVOCATE oR HAVE you, EVER ADVOCATED: OR ARE YOU. now: OR HAVE YoU oo EVEN BEEN A MEMBER-OR, OR HAVE YOU SUPPORTED ANY PO! ITICAL: PARTY OR ORGANT- . ZATION WHICH ADVOC ATES THE ov ERTHROW OF OUR CONSTITUTIONAL ‘FORM OF Gov- ERNMENT IN THE UNITED STATES? IF “YES”, EXPLAIN: ‘He asomeeste 1 nae FF SO, TO WHAT B. DO YOU USE, OR HAVE YOU USED, INTOXICANTS? Yeo EXTENT? Slight extent e ©. HAVE YOU EVER BEEN ARRFSTED, INDICTED OR CONVICTED FOR ANY VIOLATION OF LAW OTHER THAN A MINOR TRAFFIC VIOLATION? IF 80, STATE NAME OF COURT, CITY, STATE, COUNTRY, NATURE OF OFFENSE AND DISPOSITION OF CASE: t Ko HAVE YOU EVER BEEN COURT-MARTIALED WHILE A MEMBER OF THE ARMED FORCES? IF ANSWER 19 “YES,” GIVE DETAILS BELOW: oe Bo SEC, 25. PERSON TO BE NOTIFIED IN CASE OF EMERGENCY: RELATIONSHIP Lirse Patricia A. loore SEC, 26. YOU ARE INFORMED THAT THE CORRECTNESS OF ALL STATEMENTS MADE HERE- IN WILL BE INVESTIGATED. ARE THERE ANY UNFAVORABLE INCIDENTS IN YOUR LIFE NOT MENTIONED ABOVE WHICH MAY BE DISCOVERED IN SUBSEQUENT INVESTIGATION, WHETHER YOU WERE DIRECTLY INVOLVED OR NOT, WHICH MIGHT REQUIRE EXPLANATION? IF SO, DESCRIBE. LF NOT, AN- SWER “NO.” —e
“SRC. ae of CERTIFY THAT THE, FOREGOING ANSWERS ARE TRUE AND. CORRECT TO THE . .! “BEST OF MY KNOWEEDGE AND.BELIEF, AND I AGREE THAT ANY MISSTATEMENT ~ . OR OMISSION ‘AS TO.A MATERIAL: FACT. WILL CONSTITUTE GROUNDS FOR IM- MEDIATE: ‘DISMISSAL-OR: REJECTION ‘OF MY APPLICATION. _ Neyotony Taxes 2 darmary'1950 BIGNED AT 2 are . : Cig. ang tate . i -,) ve a ft f iN é 3 / + y- f r Witness : a 7 . | ture of Applicant ‘USE THE FOLLOWING PAGES FOR EXTRA DETAILS. NUMBER ACCORDING TO THE NUMBER OF THE QUESTION TO WHICH THEY RELATE, SIGN YOUR NAME AT THE END OF THE ADDED -MATERIAL. IF ADDITIONAL SPACE IS REQUIRED USE EXTRA PAGES THE SAME SIZE AS THESE AND SIGN EACH SUCH PAGE. “tg @ . . cr renee eee tS er od Pst De HL ne
re @ . .. STATE OF GEORGIA , DEPARTMENT OF PUBLIC HEALTH oe arvana CURTIFIED-COPY . - wee ‘ . Ere Eu Ee se 2 = ree aan eee asin eae s Sey pil eacee Ra! . ao Baer eo a anes Rp eres . ~ we care C8 tang Raeee ay etre mera.) ppeeranrs: Sertich snd a NA Vis aa Cites eaters woe? aro etal yee Att been BRAY SATB FE. Wom ane. if / / Se
74-90000 a 2 act, TO - + Chief, Communications DATE: 25 Mareh.1953 FROM 1 Chief, Security Division SUBJECT: MJuR:, Janes walten #22h ._ In reply to your memorandum, thie ia to advise that Subject meets the current requirements for Cryptographic clearance and {s approved for such duties as of this date. OO Sf fee coe . EB. P. Geiss
14-00000 OSS Farm 2304 ° | : a) - @ wy Lo 2. (Rev. 12/30/93) ; . . ; we CONFIDENTIAL , 4 SECURITY OFFICE ‘ / Investigation Report ; ; . . Sabjeet: “MOORE, Janes Walton Date: § Vecember 1944 Te: . CG. Be Grandy FE/SI- Number: - 220267 Le ae Investigation directed by: HhB a. Sources of iofurnation: ae Remarke: SO Devmer tay & Recommendations: a7 Deen e- ¥ ep POV, CECI, 02 Sus, to the receipt of derogatory informatica « . future date. Interview valved, Final interview is in this case umnes:ary af originating official will pravide tee (unsigns? possport sige photographs and completed finger- print card of Subject. _ ¥. 7 tee Security Officer fp, . HK. %. BoyStield : cc: Civilian Personnel . : CONFIDENTIAL (30243)
14-00000 tlk "eq UNITED STATES OF AMERICA” fy cr , oo | GENERAL SERVICES ADMINISTRATIOW _ National Personnel Records Center i se, DATE: REPLY - * (Military Personnes Recorus) ATEN OFS NOEL. 9700 Page Boulevard Po . St. Louis, MO 63132 - sueuecr: Service kaformation on Hook, Sars LO. 4f G50 he The militacy service iaformation provided os this form has bees extracted from records on file . “at this center asd may be used for any official purgese, iacledisg application for and edjudi- ‘ cation of veteran's desefita. . | This method of reply ie the routine procedure used to respond to requests such as yours. If additionsi laformatioe is required retura your reqseat with a detailed statemeat ouzlisisg the specific data seeded a2d the parpose for which it-is to be waed. - ° C) Subject person served ia the to : e from Type and character of separatioa: e to ° xed St. Sate Active service: te 9 epee Cl ES was honorably retired by reagoa of pertaneat aT ysical disabiliecy iecarred ia line of duty, bot aot as a reselt of armed coallict or an isstromeatalicy of war. The percestage of disability is r Report Of separation physical ia attached. The medical racords you teqsested: CJ Are enclosed. Cl Are not te file. CC Have deen teat te ) tte Veterans Admialstration and CI Will be forwarded usder C] May be obtained fron the VA office ghowa below. (Please srefar te VA Claina No, Co _ ‘ wo separate cover.’ . . . A statement of service ig stowa on the reverse side. “Chef, LiL) Ase se ee ee LO oP) : , Sc » i ry € aa ~ . - Keep Freedom in Your Future With U.S. Savings Bonds : a GSA Fonm 6898 (Rev. 1/77)
14-00000 , PEUS SEFERERCE Dor, Ara -f 4 . ase YO of. 265° fate CRVICE AUPEER os “eaue (Lass, fi tet, macd &) _ SERVICE DATA Tp RETINE SEBNICE (Asterisks after dates in columns . Cand Ddencte ACTIVE DUTY FOR TRAINING ONLY) THiS $PaC£ FOR ADDITIONAL IBFOR. - MATION AS APPROPREATE, SUCH AS REASON FOS SEPARATION, GRACE, Rann, OR. RATING, PLACE OF - action, etc. _ NATURE OF ACTION G0, {Show component fer. seree a . : cach eninince ints 1 ere’. serviceland type of : each separation.) Mew bisa Lar oy bY VS Cir Ft | * . - 1 : seer die 00 me nese F J ' 1 H Shonen ncrnaees caine cera phe th mene roasts fa cance net ee te KEY TO ABBREVIATIONS NTS $2 Naval Trainirg Statroa ops - Receiving Ship . sg Av ~ Acuse Dew APPT 2 Appeared Umeeal AUS =e Arnv af the US, - BCD. . Bed Coméurt Secharge cc « Costenence et Gant CR . «Chenge of Ratag Do » Pishanoredle Dhecharge DEMON . Dero hrtect.encea) DISCH - Discharge Re + Expiratea of fa stment EOS . Eapizetion of Obligated Sernwe BRC - Entisted Reserve Corps ETS « Fepiranos Term of Sersice GD «General Diecharge HON - Henorable IND « Induct(edMion} NAS « Naval Ait Station XG "aticne! Guard . AY aval Recrusting Station NTC » Neval Treining Center ORC » Oheer Resene Coms OFH » Uther Than Honerable PROM - Prometlediion) . R » Recened RA o Regular Aray RAD «Released fruw Active Duty RECSTA - Heceiving Station *REENL « feenbecter a2} REPAD ~ Reported § ctive r + Transfertred) TERM. TeeminatledHion) ua «leasutherised Absence UD .Uncesitable Discharge UHC .Urder Noncrabte . Conditions YOHC .t ndes Chher Thea Honcesble * Cond:tione USAH » US. Navel Hospital ~ ENE ° « Ealraried temas 3! Bute ‘coarsest ntti erties EAS Oe OOo Cee OAH ee Hee crce ASG fory 1/77) were
sHE psn qa, eas Ee. yfireise) Mee HVE uf) pparvccnhion of? pn Dy tHicenue fet JAMES ‘WALTON KROORE, ENSIGN, USNR bE... hive hily ¢ “wt Me bari "y Ploy fey Fh aé fi: Senin f° theve C™~ fhe “? Oprtitic Mie fey l HW | 4 att ats Satisfactory uf the p United's States af. Ait t 4, 7 a b hy United Males Wary fy / hap fi - f Sonn prvileged te fe: hoe is Sortrice f . wy Aenem Mw hth yt Y, Ve athe aw pone C7. U) y/, Mba “aj (28th javier wad for Sy eix . f ity of Kugust ; “Mie hee w Oo a “inn ldig fiernary