Released under the John F. Kennedy Assassination 
Records Collection Act of 1992 
(44 USC 2107 Note) 
NW 53216 6/17/17
104-10215-10213 D a = HIS MICROFORM EAL PROCESSED FOR THIS FHE MAY EE OSTAIN 3 fy AATE ‘FROM I?/FILES. GS , 2 . LSAT IEG LMT ENE SS aT who ta rw madd
104-10215-10213 7 ee 8 aa Dp Ba Min . " SEBRET PERSONALITY 2 19 RI/ANALYSIS SECTION FROU ; IO/S23 | rd et ee INSTRUCTICHS! Forn aust be tyted or trinted ix block ictters. SCCTICH Is edet 261 muster, nena, acd identifying deta in the apacee provided. All bnown atizoes end vacients (including naiden nase, if saollcobiey runt be isoted. Ji the identh fying dtic veries sith the. olias weed, ao Socarate fore auct,te used. Crit UNENOSS for iteas you ore unsble to ecrplets.. SESTION WEE baet cryptonya of pteudsnys EF assigned. If truenane issenaitive, Hil ia the 508 nvaber and wa Section fr only. If true nave is non-eensitire, both Sections f and If nas: be completed. SECTIOH PELL re be ceapleted in of! cores. NE VAR PANT con a “ewe | (Lovr) (Fiesty) | - (Middle) : (Titley iH x i P : - —_— rg nse ee ; PHOT? a. BINH DATE BP cousTAY OF DIATE A TP CIMER IDCA ESF ICATICN [ves [se er ener SCCUPATION/SPOSET ICS ee PCRUPTONTHM C8 PSE VOONYM eM - SECTION ttl COUNTRY OF RESIDENCE 10. action corsa | tothe USA | tefss : (NTERCST 82. BUD CITT EMLEREST™.- Covent ss ¥ a? “No folder nec i of is! it 7 Forward yellow 5 A Cate pe ta Dee Pw 77 rs 4 ose baie s ~ . Se re rr re ee TR ee eee ee eee “6 -& . ald a eat a bent dent ah seen, eel e ° e. @ ry) » @ 6 ® ® a a @ ft hes : e “® e e: >. -@ * o..D ® -@ = e a - - ° Syaireot—_*—— sR BR Ms Me Beals Dicer Mncra Bire aE eee tae hares .4 “t & °o, .e: © ’ a 3 ¢ or Lene te, ore Bo 2 fon
104-10215-10213 ode “6 , “¢ . Ps Re a “e “s _ a . . : % ° ; Ml ge are ca e -¢ © es s af” ws. ve ee @. «{ oa? oan “gf oo ~ = _ mae « 7 a ~e » “ Ae E § : : 7! e ~ . Py 3 - so “ . e ’ : t pO SEF ‘ : SECRECY AGREEMENT ‘ig 4 woe 1: I acknovledge the fact enatepeenice of the cenfidentiel relations 6 1 H . * ghip between myself ani the U. S. Goineeneeue, I will te the recipient | d . of information witch, in dtself, or ty the inplications to be Crown: i | therefres, will te such that its ualsvful disclosure or loose ne handling ray adversely affect the interests and cecurity of the : a United States. I realize that the ncthods of collecting and cf using Po ; this inforcaticn, ac vell es the identity of persons involved, are a3 | , ; secret as the sucstantive infcrzaticn itsel? end, therefore, much te | | treated by me with cn «qual degree of secrecy« ; an . ; 4 2. I chall always recegnize that the U.S. Governnent has the sole | | ; _ interest in all infcraatios which I or my orgtaiceticn may Fossesa, ” : _ eoapile or ecquire pursuant to the und erstanding. Ho edvantsge or . 4° gain will be soucht by me as a result of the added significocces or ! 4 value euch inforzaticn may have, dus to the Coverrmzent's inisrest in q° it. . ; : to | i 5. I solecnly please cy word that I vill never divulge, publish, nor. 4 _ -yeveel either by word, conduct, or by any other ceans cuch information | . i “4 ; "or knowledge, os indicated above, unless 3 specificsity authorized to do te j | so, by the U.S. Goverment. 7 a 2 wit - . j : : 5 « . x ° oo a te Te 2 &, Nothing in this understanding is to ) be teken es imposing eny ye Ee Bay, - restriction upon the normal business practices of myself or xy crgan- = oe é i: dentica: 4.e., inforcatien rorcally possessed by us or gathered in. coe t ms the regular course of business will continue to be utilized in : fh i Co accordance with cur no roel nragtsces. 2 Bot . “ Fepressmtative or “T. S. Goveriaent a a ors mV, 7 1\ G2 me Boe, ; . eed ,, lé C4406 47 BT ye LZ PLL WBE p 7 an Date — ma i Organization bd 2 : Da MICROFICHE. Ml ine ne eel eee ae ee ee - is _ . ; 3 . td > a @ ¢ ° * SP AERATED YOM EY RE ARNE LAH el NR DAWES am cate a RR. a, ee Ce