157-10008-10022 2/23/201 JFK Assassinatic System Date: Identification ‘orm Agency Inform ition AGENCY: SSCIA RECORD NUMBER: = 157-10008-10022 RECORD SERIES: DOD MESSAGES AGENCY FILENUMBER: 33-26125-5 Document Infc rmation ORIGINATOR: DOD FROM: DOD TO: TITLE: RE: JOHN EDWARD PIC DATE: 12/07/1960 PAGES: 4) SUBJECTS : _ HALF BROTHER OF LEE HARV 7Y¥Y OSWALD PIC, JOHN EDWARD SECURITY INVESTIGATION DOCUMENT TYPE: . PAPER, TEXTUAL DOCUMENT CLASSIFICATION : ~ Unclassified RESTRICTIONS : CURRENT STATUS: Redact . DATE OF LASTREVIEW: 03/16/1994 . . OPENING CRITERIA : COMMENTS : box 466-2 vot “14 HW 47129 DocId: 32203530 Page i
NW 47129 Docld:32203530 Page 2 pursuaniio Pl 4: INSSRUCTIONS: Read the ce: ation at the end of this questionnaire befor: ‘ering the required data, Print or type all answers. All questions and state....nts must be completed. If the answer is “Non. so state. Do not misstate or omit material fact since the statements made herein are subject to verification. If more space is needed, use the Remarks section, item 20, and attach additional sheets if necessary. The information entered hereon is for official use only and will be maintained in confidence. t. Print) FIRST NAME—MIDOLE NAME--MAIDEN MAME (ff any)}-LAST NAME MR, C) urs. An Fdward ta - Pie C} miss Jo CIVILIAN 3. ALIAS(ES). MICKNAME(S), GR CHANGES IN NAME (Other than by marriage AC PERMANENT MAILING ADNgESS. None ; ar PLACE CERTIFICATE RECCROED New Orleans, Louisiana PLACE OF BIRTH (Crey, Cour ty, State, and Countey) New Orleans, Orleans, Louisiana HEIGHT WEIGHT COLOR OF EYES COLO! OF HaiR SCARS, PHYSICAL DEFECTS, DISTINGUISHING MARKS 6618 165 Blue Bl2ck None 6. D0 YOU HAVE A HISTORY OF MENTAL OR NERVOUS OISGRDERS? (_] ves ER) NO A te YOU NOW OR HAVE YOU EVER BEEN ADDICTED 10 THE USE OF HABIT FORMING DRUGS SUCH AS NARCOTICS OR BARBITURATES? (] Yes CJ NO ARE YOU NOW OR HAVE YOU “VER BEEN A CHRONIC USER 10 EXCESS OF ALCOHOLIC severaces: [Jves fno te tue ANSWER TO ANY OF THE ABOVE 15 “YES.” EXPLAIN IN ITEM 20. : 7. U.S, NATIVE IF NATURALIZED, CERTIFICATE RO. iF DEF VED. PARENTS CERTIFICATE ROS). gee - : a [pe N/A. N/A a /sansannonaanaan, n _ ALIEN . REGISTRATION NO MATIVE COUNTRY eo . | DAVE AND PORT OF ENTRY: . oe . QO H/A W/A N/A 6. MILITARY SERVICE 5. DATE OF BIRTH (Day, month, year) 17 January 1932 DATE, PLACE. AND COURT W/A 80 YOU INTEND TG BECOME A U, 5. CITIZEN? ARE YOU PRESENTLY ON ACTIVE DUTY IN THE U.S. ARMED FORCES DRAWING FULL 1 AY? 9G ves [-] NO IF “YES.” COMPLETE THE FOLLOWING. GRADE AND SERVICE NO, SERVICE AND COMPONENT q ZATI Tatigy - BATE CURRENT ACTIVE . - e (wit?ord’ HaltUsar Hospital .-..-.| Setavcestanteo set AF 239 ___USAF Reg E ARE YOU PRESENTLY A MEMBER OF A U.S. RESERVE OR NATIONAL Guano ORGANIZ, TION? oO ves) KO IF ““YES."" COMPLETE THE FOLLOWING: GRADE AND SERVICE No. SERVICE AND COMPONENT C RGANIZATION AND STATION OR UNIT AND LOCATION WAVE YOU PREVIOUSLY SERVED TOURS OF EXTENDED ACTIVE DUTY, DRAWING FULL ‘AY. FROM WHICH YOU WERE DISCHARGED OR SEPARATED TO CIVILIAN STATUS? fa VES i] Lie] (F “VES “" COMPLETE THE FOLLOWING: |___CCuUNTAY [SERVICE| COMPONENT | FROM (Dare) | 10 (Date) TYPE DISCHARGES OR SEPARATIONS—GRADE AND SERVICE NO. 3LJen56 | Honorable, HIT 275-92: A RecA i Rahs &é 15Se5 fi USA | 3A recs anS6 1 5Sen6 Hong : Sotea a 9. EDUCATION (Account for all civilian schools anc’ military academies. Do not include service schools) MONTH AND YEAR : ‘ GRADUATE ; NAME ARD LOCATION OF SCHOOL OEGREE 11937... | 1944 ...|Public Schools, New Orleans. La. Sle 285 | Davy Crockett Eler., Dallas, Texas Ha pamberlain-Hunt Acad,, Port Gibson, Miss. 1949 1949 Arlington its. High School, Ft. Worth, Texas 1949 |: 1950 -- | Pesechall Hich Scheol, Ft. Worth. Texas 10. FAMILY (Lise in order given, parents, spouse, guardians, steppare :ts, foster parehts, parents-in-law, former spouse(s) Gif divorced give date _ and place), children, brothers and sisters, even though deceasec Include any others you resided with of with whom a close relationship oxuiated or exists. ft the person is not a US. citizen by birth, give date and port of entry, alien registeration number, naturalization certifieate aumber and place of issuance.) i FATHER ‘ EDWARD JOH! PIC UNKNOWN { ¥ oO 3 o ttt a MOTHER (Maiden name) SPOUSE (Maiden name} ¥, MARGARET DOROTHY Ay i ‘ | beh [+ [> TEL LL I ~ a 0 i i ’ te i & 4 rn Nn. Form 2 Cy FQ _—Co Previous EviTtons ane OBSOLETE. . “ Excaption to Standard Ford) Mo Do eblervian? ne CiSCsura ae (3) : ° cs ae ven a 2 ‘ ow oo Fy pe
RELATIONS@UP AND NAME OCCUPAT ite Fe COUNTRY VISITED | ee er Eecdaameesce ne " OTHER RELATIVES AND ALIEN FRIENDS LIVING IN FOREIGN CO UNTRIES brothers- and sisters-in-law, and other persons vith wh FOREIGN TRAVEL (Other than as a dire:t result of Uni (List, grandparants, first cousins, aunts, uncles, oa a close relationship existed or exists ADDRESS ted States military duties) PURPOSE OF TRAVEL i HB. EMPLOYMENT (Show every employment you have had and all periods of unemployment) MONTH AND YEAR . ‘ NAME.AND ADDRESS OF EMPL YER ‘yerybody Department Stcrs I Orta Lexas Bert's Shoe Store. o Wey ‘ave FA reste DID ANY OF THE ABOVE EMPLOYMENTS REQUIRE A SECURITY CLEARANCE? [(] ves GOVERNMENT, SIRM, OR AGENCY? Cl ves +3 no £2 NO IF THE ANSWER TO ANY OF THE ABOVE 1S "YES," EXPLAIN IN ITEM 20. United States or its Territories. : NAME : YEARS (List 3 credit and 3 character) KNOWN rf £3 Srtgetensin be CS ob “ CREDIT AND CHARACTER REFERENCES (Do not include relatives, £) NO 80 YoU Have ANY FOREIGN PROPERTY OR BUSINESS CONNECTIONS, OR HAVE YOU EVER LEEN EMPLOYED BY A FOREIGN HAVE YOU EVER B EN REFUSED BOND? CHARACTER Ts ed _ NAME OF iMMEQIATE ‘ SUPERVISOR REASON FOR LEAVING SOCIAL SECURITY NO. 452—-40-74,70 (© ves former employers, or persons living outside the STIEEY AND NUMBER STATE OR (Bush ess addvess preferred) ~ 7 city TERRITORY Ue * 0 _s in Antonio exas ute Fairfield Calit te i . Q : + t e HW 47129 DBocld:32203530 Page 3 ae tis | - u ot
NW 47129 TTT enn NUE Fk ithe, OS LEL OF ty pe ali § answers. All questions and statements must be completed If the answer is “None,” so state. Do not misstate or Omit. faatecial 15. ; LIST ALL RESIC ENCES FROM 1 JANUARY 1997 1 fg MONTH AUD YEAR STREET AND AUMGBE AR . erry STATE OR COUNTAY i rig To . i i J:.| Alvar Street New Orleans Loulsitina G40 |1944 - .] Bertholomew Street coe Now Orleans Lousiic: 1944: [1946 ..'] Victor Street . - _ Dallas Texas 946+ {1947 ¢ .| Unknown Covineton Louisiana £9475 012948 0. | Urimnow Ft Worth Texas 943, [1951 .. | 7408 cywing FtVorth Texas : 951 -. 553° ,| 325 8. 92d Street ° New Yor New York 9543.6] 195% 3 oO St. Harks Place ftaten Islan New Yor' 956". | 195s -- Oi, Avenue C East Meadow New York 5S yom | 2achikawa, Japa Tachikawa apan 062°. | 193 Ferncroft Street  |San. Antonio exas i ; . .| Present 16. . . PAST AND/OR PRESE? T- MEMBERSHIP IN ORGANIZATIONS NAME AND ADDRESS . Te . OFFICE HELO MEMBERSHIP i (Social, fraternal professional, ete.) FROM ro cademy of Model Aeronau- Ons it cs, Was on, D.C. National Rifle Association None esenc Was ton, DdC. i a7. ARE YOU ROW OR HAVE YOU EVER BEEM A MEM@ER OF THE COMMUNI: T PARTY U.S. &., OR ANY COMMUNIST ORGANIZATIONS AMY WHERE? ntti mse x j at | ARE YOU NOW OR MAVE YOU EVER BEEN A MEMBER OF A FASCIST ORt ANIZATION? . i » ARE YOu NOW OR HAVE VOU EVER BEEN A MEMBER OF AMY OAGANIZ (TION, ASSOCIATION, MOVEMENT, GROUP OR COMBINATION OF PERSONS WHICH ADVOCATES THE | OVERTHROW OF OUR CONSTITUTIONAL FORM OF GOVERNMENT, OR Wi ICH HAS ADOPTED THE POLICY OF ADVOCATING OR APPROVING THE COMMISSION OF ACTS OF FORCE- OR VIOLENCE TO DENY OTHER PERSONS THEIR RIGHTS UNDER THE COt STITUTION OF THE UNITED STATES, OR WHICH SEEKS TO ALTER THE FORM OF GOVERNMENT OF THE URITED STATES BY UNCONSTITUTIONAL MEANS? : - oe _ x ARE YOU NOW OR HAVE YOU EVER BEEN AFFILIATED OR ASSOCIATED 4 ITH ANY ORGANIZATION OF THE TYPE DESCRIBED ABOVE AS AN AGENT. OFFICIAL, OR EMPLOYEE? ARE YOU NOW ASSOCIATING WITH, OR HAVE YOU ASSOCIATED WITH . NY INDIVIDUALS, INCLUDING RELATIVES, WHO YoU KNOW OR HAVE REASON TO BELIEVE, ARE OR x HAVE BEEN MEMBERS OF ANY OF THE GRGARIZATIONS IDENTIFIED AB VE? , HAVE YOU EVER ENGAGED IN ANY OF THE FOLLOWING ACTIVITIES OF . NY ORGANI PARTICIPATION IN ANY ORGANIZATIONAL, SOCIAL. OR OTHER ACTIVITI S OF x TRIBUTION OF ANY WRITTEN, PRINTED, OR OTHER MATTER, PREPAREL al ZATION OF THE TYPE DESCRIBED ABOVE: CONTRIBUTION(S) TO. ATTEMOANCE AT OR SAID ORGANIZATIONS OR OF ANY PROJECTS SPONSORED BY THEM: THE SALE. GIFT. OR DiS. EPRODUCED. OR PUBLISHED. BY THEM OR ANY OF THEIR AGENTS OR INSTRUMENTALITIES? IF VES."” DESCRIBE THE CIRCUMSTANCES. ATTACH ADDITIONAL SHEETS FOR A FULL DETAILED STATEMENT. IF ASSOCIATED WITH ANY OF THE ABOVE ORGANIZATIONS, SPECIFY NATURE ANG EXTENT OF ASSOCIATION WITH EACH, INCLUDING OFFICE OR POSITION HELD. AL 6 INCLUDE Oo: ATES, PLACES, AND CREDENTIALS ROW OR FORMERLY HELD. iF ASSOCIATIONS HAVE BEEN WITH INDIVIDUALS WHO ARE MEMBERS OF THE ABOVE GRGARIZATIONS, THEM L 5T THE INDIVIDUALS AND THE ORGANIZATIONS WITH WHICH THEY WERE OR ARE AFFILIATED. N/A a net M8, HAVE YOu EVER BEEN DETAINED, HELD, ARRESTED. INDICTED OR SUMMONED INTO | OURT AS A DEFENDANT IN A CRIMINAL PROCEEDING, OR CONVICTED, FINED. OR IMPRISONED OR PLACED ON PROBATION. OR HAVE You EVER BEEN GROERED TO DEPOSIT BAIL OR OLLATERAL FOR THE VIOLATION OF ANY LAW, POLICE REGULATION OR ORDINANCE (excluding minor trafic violations for which a fine or forfeiture of $35, o less waa imposed)? INCLUDE ALL COURT MARTIALS WHILE IM MILITARY SERVICE. ves EJ no IF “YES.” LIST THE DATE, THE NATURE OF THE OFFENSE OR VIOLATION, THE NAME AND LOCATION OF THE COURT OR PLACE OF HEARING, AND THE PENALTY IMPOSE OR OTHER DISPOSITION OF EACH CASE. “ a ren ; ! . 7 - a wee TM he Ab ae oa om Hind eee ee item Ae Loca DocId:32203530 Page 4
nS ARE THERE ANY INCIDENTS IN YOUR LIFE NOT MENTIONED HEREIN WHICH MAY REFL CT UPON YOUR LOYALTY TO THE UNITED STATES OR UPON YOUR SUITABILITY TO PERFORM THE DUTIES WICH YOU MAY BE CALLED UPON T7 TAKE OR WHICH MIGHT REQUIRE FU ITHER EXPLANATION? [[] ves Gg NO IF “YES.” GIVE DETANS N/A 20. REMARKS ITEM No, 10 (cont'd) 9 ee re BROTHER : a cones Po ROBERT EDWARD OSWALD American eitizen LEE HARVEY OSWALD 18 Oct 1939 ‘Deceased "New Orleans, la. Addreas of mother and father is unknown to me. I do not nor have. not corresponded with then. © aan | CERTIFY THAT THE ENTRIES MADE BY ME ABOVE ARE TRUE. COMPLE’ E ANO CORRECT TO THE BEST OF MY KNOWLEDGE ANO SELIEF AND ARE MADE IN GOOD FAITH. | UNDERSTAND THAT A KNOWING ANO WILLFUL FALSE STATEMENT ON THIS FORM CAN GE PUNISHED BY FINE OR IMPRISONMENT OR BOTH (See U. §. Code, titie 18, section 1001) a . oo . . SIGNATURE OF PERSON COMPLETING FORM 34 , 7. : . TYPED NAME AND ADDRESS OF WITNESS g cap) Be 0g0n St OF WITHESS (/ . : Wilford Hall USAF Hosp Lackiand AFB Tex \— ce a brn, THIS SECTION TO BE COMPLETED 1 AUTHORITY REQUESTING INVES NGATION BRIEF DESCRIPTION OF DUTY ASSIGNMENT AND DEGREE OF CLASSIFIED MATTER (tog socrot, secret, etc.) TO WHICH APPLICANT WILL REQUIRE ACCESS SECRET clearance required for oversea assignment (Project TOP DOG) RECORD OF Ft IOR CLEARANCES © . mo . 7 CATE OF CLEARANCE ‘ * TYPE OF CLEARANCE * . ’ | AGENCY THAT COMPLETED INVESTIGATION REMARKS, NW 47129 Docld:32203530 Page 5