104-10411-10088 SECRET O- Y= OTD (When Filled In) . . . DATE PREPARED ce _. REQUEST FOR PERSONNEL ACTION ° * OApril i962. 1. SERHAL MUMBER 2. NAME (Last-First-widdie) HRIST, DAVID Li. a 3. NATURE OF PERSONNEL ACTION 4. CFFECTUVE DATE REQUESTED! S$. CATEGORY OF EMPLOYMi:. REASSIGNMENT & CHANGE OF SERVICE MO eT bay VEaR v Fo v | v TO CF 7. COST CENTER NO. CHARGE- | 8. LEGAL AUTHORITY (Completed *> 8. FUNDS ! AagLe Office of Personne; . ; | CF TOV | cr To cF { 1990-1000 9. ORGANIZATIONAL DESIGNATIONS 10. LOCATION SF CFFICIAL STATION | 1 DDP/TSD Development Complement Washington, D. C. ft. POSITION TITLE 12. POSITION NUMBER #3. CAREER SEAVICE DESIGNATION v 14. CLASSIFICATION SCHEDULE (GS, LB, ete.) 115. OCCUPATIONAL SERIES | 16. GRADE AND STEP 17. SALARY OR RATE 3 (6. REMARKS FROM: IAS Foreign Field Undetermined. D 16 HAY 1963 ate - ted ot. sroval has been grant wate conompiated by this ‘reques: ne oa MW | Wescuri Agion Chief. eZ Make Sécurity Dis ec: Securi 184. SIGNATURE OF REQUESTING OFFICIAL DATE SIGNED 188. SIGNATURE OF CAREER SERVICE APPROVING | DATE SISNED - OFFICER — LOW FOR EXCLUSIVE US ONNEL 19, ACTION 20. EMPLOY.[21, 9 OFFICE CODINS 2.818 ON 23, (NTEGREE P26, HOOTES | 26. ate CF Baty 26. DATE CE GRADE 27, GATE OF LE: Cone cook Tttt COOE cease . MUPE RIC ALPrmaBeTec wt fe. “a. PO. Oa, YR, , Da, ve. 2B.NTE EXPIRES 29, SPECIAL = f3G. RET REMENT Sara 31, SEPARATION) 92, CCRRECTION/ TANCE. €7.08 3ATA 33.secunity [9u.sea REFERENCE Data CODE REQ. RC mo. ‘ . 1» CSC oo Se, . so wm glfica | ree =. te om. TE OD DATA S = MONE 35, VET, PREFERENCE | 36. SERV. COMP. DATE $37. LONG. COMP. DATE JE MIL. SERUM CREDIT/LCD 39, Fes. / eral Te INSURANCE &G. SOCIAL SELLRITY MC. cove = MOKE 0, Ba, YR, 0, oe, vr, 1» ves cope SOE Coe werveR [wEAL TH FMS. CODF i» S er, 2 = NO Pe TES 2 ~ 1G pr. RY, PREVICUS GOVERNMENT SERVICE DATA E.LEAVE CAT, | 83, FEDERAL Tax DATA Ru, STATE TAX Oata cee cope S a wO PREVIOUS SERVICE “ Form EXECUTED| CODE DS, VAN ERTMOT: IRS Fons EXECUTED cope fxo.texistate coor 1 «© MO BREAK IN SERVICE 1» VES fo. ves EREwE, 2 « BRESK IN SERVICE (LESS Trae 12 mas 2 = NO 2 © 40 | Q = BREAK TH SERVICE (Ome Yeaw 12 mS i 45. POSITION CONTROL CERTIFICATION 46. O.P. APPROVAL DATE APPROVED ! FORM (4 8.6 {(52 use previous contion. SECRET -
14-00000 Lo . SEGRE | toe tte ' (then Filled In) vf... ” EMPLOYEE NOTICE OF RESIGNATION Te 7 Fo i 1 PESIGN EFFECTIVE FOR TRE FOLLOWING REASON: (Date) MY LAST WORKING DAY WILL BE - DATE SIGNED SIGNATURE OF EMPLOYEE { FORWARD COMMUNICATIONS, INCLUDING SALARY CHECKS AND BONDS. TO THF FOLLOWING aporess (Number, Street. City, Zone. State. INSTRUCTIONS a Items 1 thru 7 The initiating office should fill in each of the referenced jtens, and ~ Items 3 thru 7 and 9 thru 18 require information which pertains only Items 9 thru 18a to the action requested, and HOI to the current status of the ex- ployee unless specific 4tems remain unchanged. Item 5 - “Category of Employment” should show one of the following entries: Regular Summer WAE Part Time Detail Out ' Consultant Temporary Detail In Military Tenporary - Part Time ‘ « Item 9 - “Organizational Designations” should show all levels of organizatior pertinent %o iaentifying the location of the pesition: tu (Major Component (Director, Deputy Director, etc.) =5| office, Major Staff, etc. Division or Staff (subordinate to first line) Branch Section Unit Item 11 - “Position Title” shoulda reflect the standard abbreviated title give in the most current edition of the Position Control Register or re- ported on Form 261, Staffing Complement Change Authorization. Item 18b - Signature should be that of the official authorized to approve for the Career Service to which the employee belongs. If more than one Career Service is involved, the gaining Career Service should apprc and the other Career Service should concur in Item 18, Remarks. ROUTING - The original only of this form will be forwarded to the Office of Personnel through the appropriate Career Service official(s). In the case of requests specified in BB 20-800-1, which require advance approval of or notification ~ the Office of Security or the Office of the Comptroller, one copy only will © sent to the Office(s) concerned. i SECRET
14-00000 Aref ° SEORET (When Filled In) REQUEST FOR PERSONNEL ACTION 2. mawt (Leat-Firet-uiddie) 8. ATURE OF PERSONNEL ACT 108 4. EFFECTIVE DATE REQUESTED] &. CATEGORY OF EMPLOYMENT oa) a p. LESaL "AUTHOR ITY (Completed. by Office of of Personnel) | ee REASSIGNMENT & CHANGE OF SERVICE . ORGANIZATIONAL DESIGNATIONS DDP/TSD Development Complement 2. 8. POSITION TITLE » 1%. SALARY OR RATE 8). : 18. REMARKS cp ven eles Ce. OS +e ; og ASE Te. is a e's FROM: IAS Foreign Field Undetermined. EN ON RETURN TO CIA a eeaee Background Use Only eceee Do Not Reproduce -e° 8 ce: Securi a — 1A. SIGNATURE OF REQUESTING OFFICIAL $88. SIGNATURE OF CAREER SERVICE APPROVING DAcE 2 SMeD : . 3 OFFICER 5 - Heme 2 . 4 ~ : .: a 7 agp cieol a oe wees .. FLOW FOR EXCLUSIVE USE ‘Uo AE o te peers ore REO. HO. 35, WET. PREFEREMCE | 36.SERY, COMP, DATE 137. LONG. COMP. — SA MIL. SERE CREDIT/LCD | 39. FEG@I P| INSURARCE RO. SOCIAL SECURITY 80, FORM ERECUTED » Guanes rae 7 19 ACTION 20. EMPLOY, -STATION 23, HHTEGREE 26. DATE OF GRADE 27, 0ATE OF LEt cout COpE CODE code tet 5 : p2e-HTE EXPIRES =| 23. SPECIAL ee en a OATA 5 Sa.SECURITY (3%, SEx 3. Fea EOD DATA & o HONE G » KONE MEALTH 688, COOT @ 5 pt, 2 = 10 Pr. hi. PREVIOUS GOVERNMENT SERVICE DATA pee tene Cat, | 43. FEDERAL TAX DATA STATE TAX DATA 1 » VES 22 0, TAR EXEMPTIONS fore EXECUTED To YES &; 22 wm © O =- wO PREVIOUS SERVICE 1 = €O AREAK te SERVICE [2 » OREAK tm SEAVICE (LESH THAW 12 sos 9» BREAK tw SeRvice (MomE THAN 12 MoS 48. 0.7. APPROVAL 48. POSITION CONTROL CERTIFICATION FORM 6-64 1152 USE PREVIOUS EOETION. ( —_ "SECRET ° oe fj nee chete
74-90000 “ee (then Filles Jn} EMPLOYEE NOTICE OF RESIGNATION § RESIGN EFFECTIVE |. FOR THE FOLLOWING REASON: (Dete) FORWARD COMMUNICATIONS, INCLUDING SALARY CHECKS AND BONDS, TO THE FOLLOWING ADDRESS (Number, Street, City, gone, State) : : ° : . — Boe son | @eece t - - ‘ ee rr INSTRUCTIGNS : ee ae Pe er oe Oe e@ @ Items 1 thru 7 The initiating office should fill in each of the referenced iters. ; and _ _ Items 3 thru 7 and 9 thru 18 require information which pertafns. tnly Items 9 thru 18a] to the action Sear i and NOT to the current status of the em- ployee unless “specifies itemg ‘remein-ynchanged, = * geees ‘ ais a $I2e ary ° ° Item 5 - "Category of. Rmplayadit™ Showa Bhoy, one, mk the following entfiés: reer TEepse rate . Regular. Summer ~~" ‘ TOWAR ios ° cages Part Time ~~" = 0 gr Retail Out Consultant . seeee Temporary ~ Detail In Military o°°*, Temporary - Part Time asneg oa “Item 9 ~ "Organizational Designations" should show all levels of organization - pertinent to identifying the location of the. position: s “es tw [Ma jor Component (Director, Deputy Director, etc.) =a| Office, Major Staff, etc. fit — Division or Staff (subordinate to first line) Branch Section Unit . ' ‘Ttem ll - "Position Title" should reflect the standard abbreviated title given in the most current edition of the Position Control Register or re- ported on Form 261, Staffing Complement Change Authorization. “Item 18b - Signature should be that of the official authorized to approve for the Career Service to which the employee belongs. If more than one . a Career Service is involved, the gaining Career Service should approve ~ and the other Career Service should concur in Item 18, Remarks. ROUTING ~ The original only of this form will be forwarded to the Office of Personnel -_ through the appropriate Career Service official(s). In the case of requests specified in HB 20-800-1, which require advance approval of or notification to the Office of Security or the Office of the Comptronlen one copy only will be sent to the orfice(s) concerned, — som By rect ar