AGENCY RECORD NUMBER RECORD SERIES AGENCY FILE NUMBER JFK ASSASSINATION SYSTEM IDENTIFICATION FORM AGENCY INFORMATION CIA 104-10121-10159 JFK 80TO1357A DOCUMENT INFORMATION AGENCY ORIGINATOR CIA FROM TO TITLE PERSONAL HISTORY STATEMENT. DATE 10/22/1953 PAGES 15 SUBJECTS JFK ASSASSINATION MORALES D DOCUMENT TYPE PAPER — CLASSIFICATION UNCLASSIFIED RESTRICTIONS 1B CURRENT STATUS RELEASED IN PART PUBLIC - RELEASED WITH DELETIONS DATE OF LAST REVIEW 05/26/04 COMMENTS JFK44 3 F23 20040225-1048985 [R] - ITEM IS RESTRICTED 104-10121-10159 HW 53294 DBocld:32362504 Page 1
»>9s ot ave a HW 535294 PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question is not applicable write “NA,” Write “unknown” only if you do not know the answer and cannot obtain the answer from personal records. Use the blank pages at the end of this form for extra details on any question or questions for which you do not have sufficient room. 2. Type, print, or write carefully; illegible or incomplete forms will not receive consid- eration. SEC. 1. PERSONAL BACKGROUND wy ee eR Telephone: Miss: a Office A. FULL NAME Mr. avid Sanches Morales 12°" pop (Use No ~ (First) (Middle) it} PRESENT ADDRESS __. 23.Janct Roca (Phosaix i: Mass CUS AL (St. and Number) eCity) (State) (Country) PERMANENT ADDRESS __2Uel East Jefferson St,, Phoenix, Arizona U,S,A, __ (St. and Number) (City) (State) meee ttn nneen een ene nee eee eenne eee UNDER WHAT CIRCUMSTANCES HAVE YOU EVER USED THESE NAMES? _Family end friends oo Wooeeee nee cen teeeen eee eee HOW LONG? __o IF A LEGAL CHANGE, GIVE PARTICULARS... None. (Where?) (By what authority) C. DATE OF BIRTH 24 Auc '25_ PLACE OF BIRTH —Paoeiia A4rizong | USA (City) (State) (Country) aA a nT fp. D. PRESENT CITIZENSHIP Sr, BY BIRTH? Y€S__ By MARRIAGE? N/A . untry (State) . | (Country) HAVE YOU HAD A PREVIOUS NATIONALITY? _.Ne (Yes or No). . (Country) auf HELD BETWEEN WHAT DATES? ..N/é TO_. ANY OTHER NATIONALITY? GIVE PARTICULARS nn cence ee HAVE YOU TAKEN STEPS TO CHANGE PRESENT CITIZENSHIP? _.... ho GIVE PARTICULARS: ser i386 GOT Docld: 32362504 Page 2?
HW 535294 . (2) E.IF BORN OUTSIDE U. S. WHEN DID YOU FIRST ARRIVE IN THIS COUNTRY? 2/2... ae fe va fe PORT OF ENTRY? 8/8 ON PASS PORT OF WHAT CCUNTRY? ._...2%/ 000 LAST U.S. VISA .wS8/4 0 ne (Number) (Type) (Place of Issue) (Date of Issue) Sec. 2. PHYSICAL DESCRIPTION aati Pieren HEIGHT ot io .. WEIGHT ..__: incthsth de — EYES ..5roum HAIR lack COMPLEXION _.Dark SCARS ...One BUILD  Deayy poe OTHER DISTINGUISHING FEATURES Wari mark on lef, side Sec. 8. MARITAL STATUS Baw A. SINGLE ___. MARRIED _..__..... a" ~=DIVORCED ____.. i... WIDOWED _____... STATE DATE, PLACE, AND REASON FOR ALL SEPARATIONS, Divorces OR ANNULMENTS N/A pace eee eee B. WIFE OR HUSBAND (IF YOU HAVE BEEN MARRIED MORE THAN ONCE—INCLUDING ANNUL- MENTS--USE A SEPARATE SHEET FOR FORMER WIFE OR HUSBAND GIVING DATA REQUIRED BELOW FOR ALL PREVIOUS MARRIAGES.) ware / (EE vs, a aa hat if errr TE ~ . “ NAME OF SPOUSE ........-. Josp oR None. ‘Kerrican Lo orales | Dheeenennee (First) (Middle) _ (Maiden) _ . ca PLACE AND DATE OF MARRIAGE _Hunich, Germany 3 herch 1753 bee eee HIS (OR HER) ADDRESS BEFORE MARRIAGE 53 Yanet Rd, Newton Center, hass US. (St. and Number) (City) (State) + (Sountry) LIVING OR DECEASED _Living . DATE OF DECEASE ...-.-. 7, CAUSE 7.7 7 7. PRESENT, OR LAST, ADDRESS _32 ¢aust Rd, Newton Center, lass yA “"(St. and Number) ~~—~—~—S(Gity)”~=SOtéi‘sé;~;S! O(Stateyp -""(Country) DATE OF BIRTH3C/3/265_ PLACE OF BIRTH £rookline, hess. -bSA (City) (State) (Country) IF BORN OUTSIDE U. S. INDICATE DATE AND PLACE OF ENTRY ee re CITIZENSHIP USA WHEN ACQUIRED? _- Birth _ ___.. WHERE?.. . (City) (State) (Country) OCCUPATION Housewife LAST EMPLOYER US. Government (CIA) EMPLOYER'S OR BUSINESS ADDRESS 2130 E, St, N,W,, Washington, D.C (St. and Number) (City) - .: (State)° (Country) MILITARY SERVICE FROM -29ne€_ To - BRANCH OF SERVICE _w . (Date) (Date) COUNTRY _20 DETAILS OF OTHER GOVT. SERVICE, U. S. OR FOREIGN 16—62855~3 Docld: 323627504 Page 3
HW 535294 1. (St. and Number) (City). (State) (Country) 2,NAME _Farths Janet Horales ~ RELATIONSHIP .dsughter AGE __2. 08 CITIZENSHIP USA ADDRESS -23.Senei id, ewton Center, hass USA. (St. and Number) (City) (State) (Country) CITIZENSHIP USA ADDRESS 6021 EL, Jefferson St,, Phoenix, Arig US: (St. and Number) (City) (State) (Couniry) SEC. 5. FATHER (Give the same information for stepfather and/or guardian on a separate sheet) (First) (Middle) (Last) LIVING OR DECEASED living DATE OF DECEASE __.: a CAUSE _o= so (St. and Number) (City) (State) (Country) DATE OF BIRTH 29745 , PLACE OF BIRTH _ 2205088, Yonore, hexico IF BORN OUTSIDE U. S. INDICATE DATE AND PLACE OF ENTRY vEENOwn CITIZENSHIP .2_____... WHEN ACQUIRED? UZ20%i)  waepe? BROWN ° Q QD Gq a) > | | io} Z ty im | ke 1 $43 iE i | | a > m” La | 3] s ae} a oO = le] bs] { COUNTRY Sane DETAILS OF OTHER GOVT. SERVICE, U. S. OR FOREIGN SEc. 6. MOTHER (Give the same information for stepmother on a separate sheet) PRESENT, OR LAST, ADDRESS 202] East vefierson St,, Fhoenix, Ariz. USA (St. and Number) (City) (State) (Country) > CITIZENSHIP USA WHEN ACQUIRED?_birth __ ~WHERE?. IF BORN OUTSIDE U. S. INDICATE DATE AND PLACE OF ENTRY ww (8) - 5 16-762855-1 Docld: 3273627504 Page 4
HW 535294 (4) OCCUPATION ATHY. _. LAST EMPLOYER U+#5+ Gover mento EMPLOYER’S OR OWN BUSINESS ADDRESS __. es rar g ro (St. and Number) (City) (State) (Country) MILITARY SERVICE FROM 15 April TO e70ct53 BRANCH OF SERVICE _._-? fT. COUNTRY _U,S.00 DETAILS OF OTHER GOVT. SERVICE, U. S. OR FOREIGN SEc. 7. BROTHERS AND SISTERS (Including half-, step-, and adopted brothers and sisters) : 1. FULL NAME _ Raymond Buenaventura Horales “ AGE 25. PRESENT ADDRESS _1602 E, Sunland Fhoenix Arizone. USA -_ US (St. and Number) (City) (State) (Country) (Citizenship) ed) Ome (St. and Number) (City) (State) ~ (Country) (Citizenship) . 12, - . FULL NAME _Francis Morales Baguio. + AGE 2]. (First) (Middle) (Last) PRESENT ADDRESS Ft, 1, Box 159, Arvin, Calif., 1 USA US. (St. and Number) (City) (State) (Country) 2D ~o (Citizenship) (First) (Middle) (Last) PRESENT ADDRESS ..2126 4, Buchanan... Phoenix. Arizona USA. US... (St. and Number) (City) (State) (Country) (Citizenship) » FULL NAME _oon ce AGE __......-- (St. and Number) (City) (State) -— - - (Country) — (Citizenship) Sec. 8, FATHER-IN-LAW FULL NAME Jemes Francis Kerrigan | ee (First) (Middle) (Last) LIVING OR DECEASED Living DATE OF DECEASE 777- CAUSE. _ (St. and Number) (City) (State) (Country) DATE OF BinTH 11/9/91 pLace or BirtH __Boston, Massachusetts, USA (City) (State) (Country) OCCUPATION .Froprietor LAST EMPLOYER 16--62855~-1 Docld: 32362504 Page 5
HW 535294 SEC. 9. MOTHER-IN-LAW WPS ee ePonata Xerrd cag AAR (Middle) ; ~~" (Last) DATE OF DECEASE |... CAUSE <n. PRESENT, OR LAST, ADDRESS 23 veuet Rd, Newton Center, 12ass USA (St. and Number) (City) (State) (Country) PLACE OF BIRTH _Newton Center, Nass a] USA. IF BORN OUTSIDE U. S. INDICATE DATE AND PLACE OF ENTRY CITIZENSHIP USa WHEN ACQUIRED? _...__. — WHERE? 0. nee (City) (State) (Country) OCCUPATION ..Housewife LAST EMPLOYER SEC. 10. RELATIVES BY BLOOD, MARRIAGE OR ADOPTION, WHO EITHER LIVE ABROAD OR WHO ARE NOT CITIZENS OF THE UNITED STATES: NOT AFFLICARLE 1. NAME __ — RELATIONSHIP |. AGE _. CITIZENSHIP |. ADDRESS, — 22. n o-oo eiee nnn (St. and Number) (City) (State) (Country) 2. NAME _o ooo eee RELATIONSHIP |... AGE __0 CITIZENSHIP .._._--.- ee ADDRESS _ooo ee (St. and Number) (City) (State) (Country) 8. NAME __on one ee __ RELATIONSHIP |. AGE _.ow CITIZENSHIP |. ADDRESS oon (St. and Number) (City) (State) (Country) SEC. 11. RELATIVES BY BLOOD OR MARRIAGE IN THE MILITARY OR CIVIL SERVICE OF THE U.S. OR OF A FOREIGN GOVERNMENT: 1. NAME _.1st Lt, Heymond BR, Morales... RELATIONSHIP ... Brother AGE _.35..... CITIZENSHIP US ADDRESS 1602, Sunland. Phoenix, Aric USA. (St. and Number) (City) (State) (Country) TYPE AND LOCATION OF SERVICE (IF KNOWN) AF Jet Filot= Williams Field, trig. 2. NAME _2 — RELATIONSHIP _ AGE __. CITIZENSHIP. ADDRESS __2 none cee (St. and Number) (City) (State), (Country) TYPE AND LOCATION OF SERVICE (IF KNOWN) _ 8. NAME ooo ~ RELATIONSHIP |... oo AGE ooo... CITIZENSHIP __.-, ADDRESS oo ee . (St. and Number) (City) (State) {Country) TYPE AND LOCATION OF SERVICE (IF KNOWN) ._____...--_----- . (5) 16—S2855-1 Docld: 32362504 Page 6 Senietdlllatientmtieneneeananatreamememsentznend Ce re seen werent an
, (6) Sec. 12. POSITION DATA (You Will Not Be Considered For Any Position With A Lower Entrance Salary.) C.IF YOU ARE WILLING TO TRAVEL, SPECIFY: OCCASIONALLY FREQUENTLY 7 , CONSTANTLY 2 ee _ D. CHECK IF YOU WILL ACCEPT APPOINTMENT, IF OFFERED: IN WASHINGTON, D. C. Wes ANYWHERE IN THE UNITED STATES S&S , OUTSIDE THE UNITED STATES _Y@S. E.IF YOU WILL ACCEPT APPOINTMENT IN CERTAIN LOCATIONS ONLY, SPECIFY LOCATIONS: Europe or South America SEC. 13. EDUCATION ELEMENTARY SCHOOL Monroe School appressPhoenix, Arizona __ USA . (City) (State) (Country) DATES ATTENDED 1936 - 40. _GRADUATE? YeS. HIGH scHooL Phoenix Union ADDRESS _Phoenix, Arizona USA (City) (State) (Country ) DATES ATTENDED .1940-1944 ._GRADUATE?..yeS. COLLEGE Arizona State College  appress...Tempe, Arizona USA , (City) (State) (Country) MAJOR AND SPECIALTY ..Pre-Legal . YEARS COMPLETED_l yr... DATES ATTENDED 1944-1945 0000000 DEGREE no. COLLEGE Univ, Southern Calif. .. appress Los Angeles, Calif. USA (City) (State) (Country) MAJOR AND SPECIALTY Pre-Lega]l _ YEARS COMPLETED_1/2.. DATES ATTENDED 1945-1916 _ DEGREE no. CHIEF UNDERGRADUATE COLLEGE SUBJECTS Political Science and History CHIEF GRADUATE COLLEGE SUBJECTS — 20002022 ee eee eee eee oe 16~—-62855-1 é ra HW 53294 DBocld:32362504 Page 7
‘ ew t a” (Country) (Service) (Rank) {Dates 2G_Sumcort Gp, €700 AAU, Nesh},DC RAl922309 honorable es (Last Station) (Serial Number) (Type of Discharge) REMARKS: ee 5 645 W, defferson St, Fhoenix SELECTIVE SERVICE BOARD NUMBER 2. ___ ADDRESS O87 Ne SELLEPSON Oly PHOENIX Arizonée IF DEFERRED GIVE REASON ooo ence INDICATE MEMBERSHIP IN MILITARY RESERVE ORGANIZATIONS Active Reserve SEC. 15. CHRONOLOGICAL 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 OF UNEMPLOYMENT. LIST LAST POSITION FIRST. (List all civilian em- ployment by a foreign government, regardless of dates.) CLASSIFICATION GRADE sri 1 g I, R Jun : rrom April 1943 tro Yune 1943 (IF IN FEDERAL SERVICE) __..... EMPLOYING FIRM OR AGENCY #rizona Ster Flour Compangy ADDRESS 901 B, Jackson St., Fhoenix, Arizona USA oe _ (St. and Number) (City) (State) (Country) KIND OF BusINEss Flour kill NAME OF SUPERVISOR Er, Cruz TITLE OF Jop.Fart Time SALARY $...220 PER_h:our _ your puties .Weilities REASONS FOR LEAVING....5CH00) . - 4 CLASSIFICATION GRADE From July 194k To September 1944 (FIN FEDERAL SERVICE) Horrison & Knutson Comp, EMPLOYING FIRM OR AGENCY Contractors & Ensineers, Inc, ADDRESS £0:8¢, Tdeho (St. and Number) - (City) (State) ; (Country) KIND OF BUSINESS..“Uilding NAME OF SUPERVISOR _Unknown.... TITLE OF Jop__'ngineer Assistent -_ saLARY$.1,10 PER hour... _ To set up and operate plene line and locate topographic YOUR DUTIES -dgtails; To plot distance and topezraphic features on plane. ' table sheets; To scale the projection using conventional signs and symbols, sketches, and contours indicated by elevations; Directioning _ of rodmen by verbal instructions or conventional arm er hand Signals; To hold stadia or level rods and range poles at desisnated points; The ee a ae ee Re ee Te Tk hae Oe establishing of horizontal end vertical: control area by taped or stadia HREASONS vOHLEMARREEtAL Levering SENS OY Sepoe oe Seca HW 53294 DBocld:32362504 Page 6
Sec. 18. GIVE FIVE CHARACTER REFERENCES—IN THE U. S._WHO KNOW YOU INTI- MATELY— (Give residence and business addresses where possible.) yee Street and Number City State a+. _arEr, Frather (Dean of Boys) pus. app. Phoenix High Phoenix, —Ariz,... BT ome RES. ADD._.._Unknown. ence a . ok _-@ br. Russel tackson. BUS. ADD. Unkn. wo eceee ene eeeeeee nee nee RES. ADD. 611 North 19th Ave, Phoenix Ariz. a3 Mr, Joe Carbajal BUS. ADD. Unknow. mo eeeeeeeeeenteneee eee . RES. ADD. 121 9, 22nd St Phoenix _ariz “ Oy a f H | 4 UG 4 Mr, Lalo Angulo. BUS. ADDI rizsngle Produce Co} Phoenix Ariz. - RES. ADD. Unkn. eeceeeeee ee an wae wi gee “5, Mr, Reymond Martinez __ BUS. ADD. American Legion Fost_41.. Phoenix,.ériz RES. ADD. 208. eee an SEc. 19. NAMES OF FIVE PERSONS WHO KNOW YOU SOCIALLY IN THE UNITED STATES. NOT REFERENCES, RELATIVES, SUPERVISORS, OR EMPLOYERS—(Give residence and business addresses where possible.) } a . ; . Streetand Number City State ty” Geno, Mr, Mike Baca BUS. ADD. 404%. Washington Phoenix... Arizona RES. ADD. —ynkn cnet eee ween gals 2 Mr Ted Olea BUS. ADD.Fire Station #1, Phoenix... Arizona. “ . , RES. ADD. __. 8. cena ceteeneeeee neces ween pe 8 ir, Robert J, Stimpson. BUS. ADD.CIA. ne eee eeneeeoe , a efi fe _--_ RES. ADD. 7420..01d.brandenburg.Rd.Silver.Springs, hid, roe a . 4 Mr. Donald Hefner BUS. ADD.CIA meee a aN RES. ADD. Unknow meee wee pape » _Sister Mary Rase. BUS. ADD. Immaculate Heart-School.-Ehoenix-Arizona 0 ASB RES. ADD._Unkn, eececeaetncneee ee SEC. 20. GIVE THREE NEIGHBORS AT YOUR LAST NORMAL RESIDENCE IN THE U. S.— - (Give residence and business addresses where possible.) ’ ta Street and Number . City ; State ae al . . 1 . . : ZA 1, Mr, Joe Carbajal oo BUS. ADD. _.Unknown......-.. ae weenie ar RES. ADD. ...121..S,..22nd-St.-Phoenix.... Arianna. fod 2. Mrs, Sierra. BUS. ADD. __Unknown......--- we neers Co eee Bd ow RES. ADD. _..1905-4,.-badisen--Phoenix..... 4rizona.. ce BUS, ADD. 00 neces ween RES. ADD. oon wee SEC. 21. FINANCIAL BACKGROUND A. ARE YOU ENTIRELY DEPENDENT ON YOUR SALARY? __- yes..... IF NOT, STATE SOURCES OF OTHER INCOME B. NAMES AND ADDRESSES OF BANKS WITH WHICH YOU HAVE ACCOUNTS... _ alley National Bank, main branch, Phoenix, Arizona (11) ; 16-—62855--1 / ee LS St Oe HW 53294 DBocld:323627504 Page 12
HW 535294 -, - (12) C. HAVE YOU EVER BEEN IN, OR PETITIONED FOR, BANKRUPTCY? ___ he wn ne nee eee GIVE PARTICULARS, INCLUDING COURT: 2 D. GIVE THREE CREDIT REFERENCES—IN THE U.S. 1.NAME Valley National Benk ADDRESS _Phoenix, Arizona . (St. and Number) (City) (State) 2, NAME oo ADDRESS ooo ee — (St. and Number) (City) (State) 3. NAME oo ADDRESS _ oo (St. and Number) (City) (State) SEC. 22. RESIDENCES FOR THE PAST 15 YEARS FROM 1°40 To..Present 2021 East Jefferson St. _ in, Arig. Us BE tren nnnne neces ae cn nae (St. and number) (Gig OF tag Ehoen: ty Bouncy POF - he Sm > + Land oy FROM 1929. TO 19LG _.h20 Bast Washington St., Phoenix, ariz USA (St. and number) (City) (State) (Country) FROM _ PO wanna nnn a een cence een nec cence eect eee epee (St. and number) (City) (State) (Country) FROM _ww PO wenn nnnneennenee aaa nec c eee ee cent nneeeea te oeeneeene (St. and number) (City) (State) (Country) FROM _oow PO nnn aaa encanto ene nent eee (St. and number) (City) (State) (Country) FROM _oow ee (St. and number) (City) (State) (Country) FROM _ow re (St. and number) (City) (State) (Country) FROM ___ PO nance ana enn cance nape eee (St. and Number) (City) (State) (Country) SEC. 23. RESIDENCE OR TRAVEL OUTSIDE OF THE UNITED STATES A.FRom Feb '49 po 14 September 1953 Munich Germany _ US Army (City or section) (Country) ( (Purpose) FROM oo PO nn nnnneenceeecnnee anne nn pe nent ceeeennee neeeetneeenttee eee (City or section) (Country) (Purpose) FROM ow PO anne en e a een nn encneeeeeeneecne nee cece eee (City or section) (Couniry) (Purpose) FROM PO nanan enn acne nn teen cnet ene cee (City or section) (Country) (Purpose) FROM 20 PO anne cece ee eee nen « (City or section) (Country) (Purpose) SEc. 24. CLUBS, SOCIETIES, AND OTHER ORGANIZATIONS LIST NAMES AND ADDRESSES OF ALL CLUBS, SOCIETIES, PROFESSIONAL SOCIETIES, EM- PLOYEE GROUPS, ORGANIZATIONS OF ANY KIND (INCLUDE MEMBERSHIP IN, OR SUPPORT OF, ANY ORGANIZATION HAVING HEADQUARTERS OR BRANCH IN A FOREIGN COUNTRY) TO WHICH YOU BELONG OR HAVE BELONGED: . . American Legion Post 41 Phoenix Arizona USA 1, “Wnerican “e Boece enoende Arizona UA (Name and Chapter) (St. and Number) (City) (State) (Country) DATES OF MEMBERSHIP: ..2746 to Present 2, Los Consuistadores Arizona State College, Tempe, 4Rizona USA rr (Name and Chapter) (St.and Number) OT  “Gity) (Statey 7 (Country) DATES OF MEMBERSHIP: _2LIALRLILS wanes Torre n naman anna nnn nnn neenne teen nee nenee eee ennn ene eeeee ee 3, Newman Catholic Club niversity of Southern Cal, T9745, LA, Calif, , USA 16—-62855~-1 Docld: 323627504 Page 13
HW 535294 if : tC “(Name and Chapter). ~—~—~S~*«W(Stuaand Number) SSSSSSOS™S™:SCGY (State) tsSs~—~S (Country) DATES OF MEMBERSHIP: ..20 W222 ooo nn nnn “(Name and Chapter). —~—~—~S~*~S~*«StuMG Number) SS (City) (State) t—~—~—S (Country) DATES OF MEMBERSHIPS -02222 2222.22 nee “(Name and Chapter) —~—~=~S*~*« St. and Number) ee (City) ~«*(State)~—~—S~*~*~*~=<CS~S~*~™S:”:*S« Cntr) DATES OF MEMBERSHIP: 2.2 o-oo “(Name and Chapter). ——~—~—~S*~*~«MStu and Number) (City) S~S (Stae)S~ (Country) DATES OF MEMBERSHIP? _. oon SEC. 25. MISCELLANEOUS A.DO YOU ADVOCATE OR HAVE YOU EVER ADVOCATED; OR ARE YOU NOW OR HAVE YOU ' EVER BEEN A MEMBER OF, OR HAVE YOU SUPPORTED, ANY POLITICAL PARTY OR ORGANI- ZATION WHICH ADVOCATES THE OVERTHROW OF OUR CONSTITUTIONAL FORM OF GOV- ERNMENT IN THE UNITED STATES? IF “YES,” EXPLAIN: _22otnnnnenn B. DO YOU USE, OR HAVE YOU USED, INTOXICANTS? ..__..... Yes. IF SO, TO WHAT EXTENT? .Moderation 9 C.HAVE YOU EVER BEEN ARRESTED, INDICTED OR CONVICTED FOR ANY VIOLATION OF LAW OTHER THAN A MINOR TRAFFIC VIOLATION? IF.SO, STATE NAME OF COURT, CITY, STATE, COUNTRY, NATURE OF OFFENSE AND DISPOSITION OF CASE: D. HAVE YOU EVER BEEN COURT-MARTIALED WHILE A MEMBER OF THE ARMED FORCES? IF ANSWER IS “YES,” GIVE DETAILS BELOW: No E.LIST BELOW THE NAMES OF GOVERNMENT DEPARTMENTS, AGENCIES OR OFFICES TO WHICH YOU HAVE APPLIED FOR EMPLOYMENT SINCE 1940: U, S, Army Docld: 323627504 Page 14
.- (14) F.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: ive Arie Reason: Sensitive Fosition handling classified meterial ae Type: vomplete bachground, Yate comnleted: 2& July 1947; Report filed oSBSOUSrEers Suh Ary eee eee STA 230 Yenuary 1950 - Limited Provisional Clearance cece S#A3 Full Security. snd Crypto Clearance completed 29 dune.1950: cove tee SEC. 26. PERSON TO BE NOTIFIED IN CASE OF EMERGENCY: NAME Mrs, Joan K, Morales RELATIONSHIP wife. _ ADDRESS ..23.Yanet Fd, Newton Center, Mass (St. and Number) (City) (State) (Country) SEC. 27. YOU ARE INFORMED THAT THE CORRECTNESS OF ALL STATEMENTS MADE © HEREIN WILL BE INVESTIGATED. Yes 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. IF NOT, ANSWER “NO.” SEC. 28. I CERTIFY THAT THE FOREGOING ANSWERS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF, ANDI AGREE THAT ANY MISSTATEMENT OR OMISSION AS TO A MATERIAL FACT WILL CONSTITUTE GROUNDS FOR IM- MEDIATE DISMISSAL OR REJECTION OF MY APPLICATION. SIGNED AT __Washington, D.C, DATE ..22 October..1953... (City and State) “Oo . USE THE FOLLOWING PAGES FOR EXTRA DETAILS. NUMBER ACCORDING TO THE NUM- BER 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. ~ WU. 8. GOVERNMENT PRINTING OFFICE 16—62855-1 HW 53294 DBocld:32362504 Page 15
HW 535294 SEC, 13, Callege: College: Toe 33 xe - . University of haryland, European kxtension Courses, Attended: October 1949 to Spring of 1953 Docld: 323627504 Page 16