14-00000 ECRET secrep OP ‘Mir, David A. Phillips is retiring after a _ distinguished eareer with the Agency. He has been an - -émployée of the Agency since 1951 when he initially ' jeined- as a 5 thiction’ in Mexico City,| an ) oO His excollent conmand of. -has enhanced each of his assignments in Latin Tmerica, A true DDOer, fifteen years of this glorious and. active career were spent overseas. His outstanding dedication and devotion to the cause of freedom won for him in 1956, the Intelligence Medal of Merit. liis file is replete with létters of commendation and appreciation from the DCI, DDCI, the former Ambassadors, and m ary commanders, a of whom recognized the uniqueness of his outstanding service. Mr. Phillips has been highly effective as a senior member of the Latin American Division which has heen under his immediate command since 1973. An excerpt from a late fitness report nicely characterizes the caliber of his work. “It is as a genior operations officer that Mx. Phillips has had the greatest experience, and it is not surprising that he has made an excel» lent input into the improvement of operational matters throughout the many areas of this hemisphere for which he is vesponsible." Mr, Phillips will be remembered for his initiativé, drive and imagination, and for the excellence of his representational responsibilities which in large part is attributable to his native charm, area knowledgeability and superb language skills. He will be remembered for his intent capability and desire to fulfill the neods of the Organization. It is fitting and proper that upon his retirement, Mr. Phillips be recognized with the award of the Distinguished Intelligence Medal.
a CONFIDENTIAL pai A. philips ; 5 Jun 1974 Dear Dave, You have just finished an important albeit- grueling GS-16 Evaluation Exercise at my direction. The recommendations for promction and executive development. you gave me were a major factor in my recommendations to the Director for the upward movement of officers who will be the top management cadre of the Directorate in the near future. I believe you will find that the last several weeks will have sharpened your focus on one of our most important management responsibilities, our personnel, Many thanks for a job well done. William E. Nelson Deputy Director for Operations E2 IMPDET CL BY 056788 CONFIRENTIAL
14-00000 SECRET ee, CBhen: Fabled Fa) — ot . : * Office of Personnel, T ransactions and Records Branch, Ste USE APPROPRIATE SPACE SELOW TO REPORT DATA FOR EITHER PCS OM TOY. INSERT APPROPRIATE CODE MUMYER im “CODE” COLUMN . TO DESIGNATE BMEPHER SUBMISSION 19 OF BASIC DATA, CORRECTION. Of CANCELLATION (One only). . -  P TNE MUMBER FOR THE WORTH, AND LAST TWO DIGITS OWLY FOR YEAR. REPORT DATES BY USING REFER YO OF f BO! 98. REVISED. PCS DATES OF SERVICE : TYPE OF DATA of6 i os : 1. pes (Basie) ALY om S$ - cComRECTION 3 « CAWCELLAT ION - use 2. T8¥ (Beste) [ cose | | 33-36 | 4. ComREction | _37__[selae | @ - CANCELLATION SOURCE DOCUMENT AND CERTIF “CATION TRAVEL VOUCHER “OESPATCH Out’ SvaTUS Of Time ABO ATTENDANCE AEPORT oTuca (Specify) OOCUMENT ISENTIFICATION Re. ~ DOCcuUME HT BavE/PER LOR - ray Rie {24 Ube - PW il i 3 ABOVE DATA CERTIFIED COARECT, BASED UPOM SOURCE HOCuMENT COTES © Gk Btesgren. € &@ % sizestee THIS REPORT WILL BE FILED IM THE OFFICE OF PERSONNEL IM THE IMDEVIDUAL'S OFFICIAL PERSOMMEL FOLDER Foaw sa? PS51 acetic SECRET . | i (4-108
14-00000 i oo “ Tor” SERIAL NO. icf A ad ee) Office of Personnel, ‘Transactions ani Records Branch, $ - ey Se RET Cher Filled In) . REPORT OF SERVICE ABROAD ; Caren NAME . ease Fras? . iY g y (Peiae) 88 Q ay hij - 7 INSTRUCTIONS Use aPPRopal ave SPaCt B€cow TO REPORT BATA FOR CATMER FCS OR TOY. INSERT APPROPRIATE COCE NuwaEe® te "CODE CoLuBN TO OESIGMATE BRETHER SUBwWISSIOM 19 OF BASIC DATA, COMBECTIOM, OM CANCELLATION (One only). REPORT OATES OY USING ‘ Yue HUMBER FOR Tet MONTH. AND LAST THO OIGETS ONLY FOR VEAR. atFER YO OF 4 NO. S$. REVEISTO. a PCS DATES OF SERVICE ARRIVAL O/$ _ OEPARTURE 0/8 TYPE GF DATA oe coustry - wont e €eog a av eae were Bar yeaa i. pes (Beale) caog Ont y 28-26 | 27-28 | 20-30 |. 33-32 -] 33-398 | 9-36 | a . cosaccTion 3? 384399 40-42 BS + CaececLarion , : TOY DATES OF SERVICE Oy. . ARRIVAL 0/5 SEPARTURE 0/3 TYPE OF DATA or AREALS) One ~ coor . WORT Ft oar FEAe eerts mt eas 2 . Tor (Basic) eon OnLy (CO ESTE RA ie 29-26 | 27-28 | 28-30 | 32.32 | 33-34 | 38-396 | a . coeeection 3? [38}3se 40-42 : . 6. : 4 aL CANCELE ATION Hew isphene : 2/9 3 CTs 3 ~ OFFICE OF PERSONNEL USE ONLY - PUNCH AREA SQURCE DOCUMENT AND CERTIF (CATION f TRAVEL youcHER o8sParce CAGLE OUTY STATUS OR TIME AND ATTENDANCE REPORT OTHER (Speci fp) DOCUMENT TOEMTIFICATION me. ~ poctMe at DATE/PERLOD. ie) rite = paferf REMARKS é : “ PREPARED BY ‘[ecvoet aumorarcs On ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCE peo CORTAOL OClUMEAT DOCUMENT CITED -p? * © @ bk Otvigtom, Cree. Date & € ® % Givigton é 3 2 THES REPORT WELL BE FILED 18 THE OFFICE OF PERSONNEL OM THE (MDIVIDUAL'S GFFICIAL PERSONNEL FOLOER Fors x -48 som 1USi.a sgisieas onto SECRET — t4-s09 ne Snconorecen
i -t Las? (Print) LefFhS use APPROPRIATE SPACE BFLOe TO REPORT DATA FOR CHTHEAR PCS OR TOV, TO OSIGNATE BHETHER SUBMISSION 1% OF BaStC DATA. THE MUMBER FOR Tee MONTH, PCS DATES OF SERVICE ca - . , OCPANTURE O/5 wom t ARR OVAL o/s woatee é 33-34 33-36 3 - a. AND LAST Teo O1GITS ONLY FOR YE aR, SECRET ud (GKen Filled fe Fiasy, ’ % . Fe rv . . Dav d- INSTRUCT 10NS , tNSERT APPROPATATE cont numer im tody" cotusn OW CANCELLATION (One onty). RePonE-bares DY VaING REVIBED. 7 CORMECTION, REFER TO OF? BO. $8. TYPE OF DATA ° PCS (Harte) « CORRECTION CANCELLATION amta(s) +» TOV (Basic) + CORRECTION G@ + CANCELLATEON OTHER (Specify) OACUMENT IDENTEFICATION MO. alt s- aE REWARKS PREPARED BY “y]e Bk peveston, cram, 1c & FY Gbetsioe REPOST anmOrares OF ComTHoL Sacuuget OUTY SPATUS GR VEiME ANO ATTENDANCE REPORT G Niarch od eee = eee nes H po ea ABOVE CATA CERTEF TED CORPECT. BASED UPON SOURCE OOCUMENT CITES THIS REPORT WiLL BE FILEO iM THE OFFICE OF PERSONNEL ’ IN THE INDIVIOUAL’S OFFICIAL PERSONNEL FOLDER . “ oo FORM (=e (4-10) | MERESSS SECRET
PN. gecrer (Bhen Fel led Bap Office of Personnel, Control Div INSTRUCT 10NS ULE APPROPREATE SPaCe BtLow te arvoar Sata FoR “‘ELTHER PCS OM TOV. AnD Kas? T#0 o1eits ONLY COR YEAR, @0FER THE NUMBER FOR Fug MONTH, PCS DATES OF SERVICE DEPARTURE Off t . Pes (Beste) $ . coReect ion Ss CANCELLATION 2. TOY (Basle) @ . cORBECTION $ + CANCELLATION OFFICE OF PERSONNEL USE ORLY - SOURCE OCOCUMENT AND CERTIF | TRAVEL VOUCHER BigPatce REPOST OF SERVICE AegayN” “ ision, Stutistical Reporting BF MAME: Me FO OESIGNATE ene THER suemtssi0n 89 OF, ‘BASIC Data. CORRECTION, OM CANCELLATION (Gee onip}. * woke £7 lugtet appaceeiate Cook mumere iu “copEe® REPORT OATES BY TO CFE mG. $8. REVISED, AREAGS} PURCH AREA (CATION iy aad Gury STaTus O8 Tim= aND atTEnDancd REPORT A OTNER (Specify) OOCUME NT NY LG — REMARKS DocuMENT Date r { $iGnaruRe PA SEIT ¥ ¢ & F Stwastan 7PrRIOD ee oe PREPARED SY BEPORT AumOTArED Oe ABOVE DATA CERTIFIED CORRECT. BASED UPON SOURCE BOS LwENT CITED THES REPORT WILL BE FILED IW THE OFF Fons [4Bla oesesste Paevsogs SECRET eoFt sete TONs tM THE INDIVEDUAL'S OFFICIAL PERSONMEL FOLDER ICE OF PERSORREL céLumn USES t6-tG3
ae ; = = | . SECRET i Cohen ‘Filled ta} SERVICE AGROAD AGREEMENT i. GENERAL i . ESCRIBED tT 18 UNDERSTOOD THAT YOU AGREE TO SERVE ‘THE PERIOD OF SERVICE ABROAD PRESCE ae toma 1S OBLIGATED TO RETURN YOU, YOUR DEPENDENTS IN SECTION Tt BELO AND THAT THE GOVERNMENT € } TS UPON THE SATISFACTORY COMPLETION OF THIS PERIOD. AND YOUR HOUSENOLD AND PERSONAL EFFEC YOUR ALLOWABLE EXPENSES BILL BE DETEHMINED IN ACCOROANCE WITH AGENCY REGULATIONS. {F. VOU TER TEMATE YOURS PERMANENT ASSIGNMENT OUTSIDE. THE CONTINENTAL UNITED STATES BEFORE YOU COMPLETE 12 MONTHS OF CREOVTABLE SERVICE FOLLOWING. THE DATE OF YOUR ARRIVAL ABROAD, YOU WEILL BE FEQUIRED TO REIMBURSE THE GOVERNMENT FOR ALL EXPENSES 17 INCUNS IN THE TRAVEL AND TRANSPORTATION OF YOU, YOUR DEPENDENTS, YOUR HOUSEHOLO AND PERSONAL EF-.- LF YOU FALL 10 COMPLETE YOUR PRESCRIMFD TOUR OF DUTY-ABROAD YOU FECTS TO YOUR POST. oT t t HILL NOT BE ENTITLED TO THE WETURN TRAVEL AND TRANSPORTATION OF YOURSELF, YOUR OELPEND= ENTS AND YOUR HOUSE*OLD AND PERSONAL FFFECTS FO THE UNITED STATES. iF, MOWEVER, AGENCY OFFICIALS DETERMINE THAT YOUR EARLY DEPARTURE SIS NECESSARY FOR OFFICTAL REASONS, OF FOR THEY MAY WACYVE THE RE IMAURSE> PERSONAL REASONS OF SIGNEFICANT @NTEFREST TO THE GOVERNMENT, MENT OF EXPENSES ALREADY INCURRED, OR AUTHORIZE YOUR RETURN TRAVEL AND TRANSPORTATION, WHICHEVER #5 APPLICABLE. 7 tf ELIGIALE UNCER THE TCRMS OF HR 20-30, YOU WILL BE GRANTFO HOME LEAVE AS SOON - AS tT CAN BE ARRANGED AT GOVERNMENT CONVENIENCE AFTER COMPLETION OF YOUR PRESCRIBED TOUR OF DUTY, PROVICED YOU HAVE SENVED AT LEAST 18 MONTHS OF CORTINUOUS CREDITABLE SERVICE OUTSIMNE THE UNITED STATES... MOME LEAVE AND HOME LEAVE TRAVEL ARDC CONTINGENT UPON YOUR WILLINGNESS TO RETURN, AND CONTEMPLATION BY AGENCY OFFICEALS THAT YOU WHEL RETURN TO SERVICE CUTSIDE THE UNITED STATES IMMPOIATELY AFTER HOME LEAVE OR UPON COMPLETION OF AN ASSIGNMENT IN THE UNETED STATES. YOU ARE AgVISED mad ANY MONTES DUE YOU FROM THE GOVERNMENT MAY BE APPLIED iff LIQUIDATION OF ANY INCEBPEONESS ARISING FROM VEIGLATION OF THIS AGREEMENT. YOU With BE AFFORDED ALL NORMAL RECOURSE IN APPEALING DECISIONS MADE PURSUANT TO THIS AGREEEMENT. MaAwWE CF EMPLOYEE 1 "TOUR OF DUTY ABROAD Gg 1. Name OF POST 8, Of © BFLOe PERIOD OF SERVICE ABROAD aS PRESCRIBED 9% A, X A. stanvaro fourm of outy of 26 montas 0 fe ee a. C. nowsTawoam> Tour oF DUTY OF ae MONTHS FOR THES FOUR ONLY FOR THE EMPLOYEE SICHENG THIS AGRECMENT, (See WR 20-18) REQUEST vine seem a at OPFRATENG OFFICIAL CONCUR MONSTANDARD TOUR OF GUTY OF UU MONTHS Tre wommaeeser seme wn Coemons sinner apanunmancane ae 2 vo aoe Gn CARER SERVICE OEPUTY OIPECTOR PREYVEIGCUSEY APPROVED PE@ wR 20°78, C/WH/ Pers Hit, PERMANENT PLACE OF RESIDENCE 3. YOUR “PERMANENT PLACE CF PESIDENCE™ 38 & PLACE TO WHICH ALLOWABLE TRAVEL AND TRANSPONTAPION £SPENSES WAY BE AUTMOAEZEG Fh CEMTARN FPA CUMS TANCES PURSUANT TO wR 22. irs DESIGRATION WOLe @€ HEPT §h YOUR OFF eC EAL PERSOMNEL FOLDER, . —— CLASSIFIE9 ST. er sare ween ne ee ee eee ° 4. 1% REQUESTING VOUR PEAWANENT PLACE OF SESIOENCE Ih ITEM 5S OM THE Rpytany BADE HOR IU Les pire yer be. sa HR 22-9) NORMALAY IRCICATE THE PLACE @HEHE TOU PHYSICALLY DMELULD py Sed UNSTE DR FATES, UPd PODE SED OR THE COMMONSL ALT CE PULATO NICO AT THE FIME OF YOUR PCS TRANSE R= ‘s oa eos fezoao', | “foulway drdulss ' ITEM & Tre COSIGNATEO’ CS ANOTMER PLACE AS YOUR PERMANENT PLACE O ar§ wdc CFF vOut Gam EN TanT FSH T whey YOUG PHYSICAL DAELLING PLATE 1S (or waa) TRANSIYGHY AND THAY SUCH [OTHER PRATH: FO YOR GOMIR LLL O8 aS PREVIGUSLY BEEN USES BY YOU AS A PMYSICAL CeLLE ING. INFORMATION SHAT CAN 82 PRESENTLO §N AM ATTACHED DTATEMENT AS EVEOENCE ERCLUCe S BUT i> MOP LIMETED TI, STATE VOTIN pPROPERTY VANE RSHIP AND PLACE BMERE INCOME OR PERSCNAL PESPENTY TAUFs HAVE BEEN PAID, Bee ne eee ee 8 eens ane acento tps eee . . WARHING [OTICE wie, erteee date uc esact) tt2-20-573 RPE atis Feast FIIs. FOnw 31548 wmiem fs cbSe,a te +70 COMTENYED ON Trek RE VF ASE
FuLe abeerss .” ears ie TOR UN PEACE (Fee eanene Flave of Reavter.e wnless attzesa te ates 6 28 approve? ia Fiew theresf) ° ~ : oe - SoS Stee SECRET (aken Filled Fay , OTHER PEACE BE CUESTED (Leswested Perwanen? Place of 8. “Rosedence 48 dilfovcat feoe stew 3} - "evan aaperss & Thane Ofte . RNS ey 64g? i Peer TN 7. a. RELATEONSMIP OF RELATIVE REStOENCE SNHO@N ABOVE, SUSTERS, BROTHERS: IN-LAW, tM-LAW, BROYNERS, YOU MAY REQUEST WR E0-30SC3PtH). CIRCUMSTANCES. OESTCNAT Oe FER TEM F ABOVE FULL LODRESS o Samt ag § Bo pet ee cPyTY DIRECTOR StEGuaTuae AMONG THE PLACES YOU MAY REQUEST AS A HOME LEAVE POINT ARE: AND WHERE YOUR CHILOREN, - c_. __ConcuR oneuty DIRECTOR pate PROVED” APPROVED - ate prec ton oF PERSONNEL oe ate 2ig (PF : HOME LEAVE POUT YOUR PESMANENY PLACE OF PARENTS, PARENTS < HEADQUARTERS AREA, OR SISTERS-*IN-LAW RESIDE. FOR APPROVAL SOME OTHER POINT SUBJECT TO THE PROVISTONS OF THE REQUEST MUST GE ACCOMPANIED OY A MEMORANDUM CXPLAINING THE 10. DESIGNATION PER 1t@4 8 aAgoNE, FULL ADDRESS ABovet » . _GONCUR OEPUTY SEREC TOR Dale a? wOM~ LEAVE POINT . . “APPROVED ~ APPROVED ~ — : CERECTOR OF PERSONNER pare 7L- SPLOYEE CERTIFICATION a T have rea as deseribe’d in OF EMPLOYEE eit, dj and understand my service obligations and travel entitlements his agreement. SECRET .
14-00000 vo . (then filled fn) REPORT OF SERVICE ABROAD [re] “TO: . fee . Cau sds ube APPROPRIATE SPack REL68 TS REPORT GATA FOR TITHER FCS OR TOV. INSERT APPROPRIATE CODE MUMBEA In “Cooe® eetuten TO DESIGHATE BMETHER SUBMISSION 13 OF GASIC DATA, CORRECTION, "OR CANCELLATION (One only). REPORT CATES BY USING, MiOOLE {I Fae BUMETO FOG Tae WONTH, AND LAST TEO DIGITS OwLy FOR YEAR. RATER VO OF t HO. BH.-REVERTO. PCS DATES OF SERVICE ane ivas 'O/¢ DEPARTURE 0/9 TPE oF DATA oe counTRY way oay weak o . [ress | wonte | 1. pcs (Beste) pfeet | aney « CORRECT OM | _cose posse | [ae] [sere | | | Py | $+ CANCEILATION . a ol alo TOY DATES OF SERVICE Ong DEPARTURE 0/3 TYPE OF BATA [vents | pay pace yor ¢neetey « CORRECTION | aan + CANCELLATION GEFICE OF PERSONNEL USE ONLY - PUNCH AREA SOURCE DOCUMENT AND CERTIFICATION TRAVEL VOUCHER | OisParcn on AH eaate | DUTY STATUS Of TIME ANO ATTENDANCE MEPORT j ornee (Specify) DOCUMENT OF neg ene? y ch. 4974 OOCUMENT IDENTIFICATION hu. - Mt 74] REMARAS C622 6¢L83 u — ha lida PREPARED BY Pevoay asuotatgs on ABOVE DATA CERTIFIED CORRECT. BASED UPON sCuRCE i] see COHTROL BoEpMERT DOCUMENT CITED € &@ & Dewsarom, CMA, Gare sy $i¢ Vd Tie THES REPORT WILL BE FILED 1H THE OF RACE OF PERSONNEL OM THE SHOLVADUAL'S OFFICTAL PERSONNEL FOLDER ser WNSIa gopsisas “ete? SECRET | [SS] tarney
14-00000 by SECRET Be (Oree Filled fe) ee REPORT oF SERVICE nox “lec — a. oma AEE = GE GRY GEN ST TO: Office of ‘Personnel, Transact ‘tons and Records. Branch - statu Yection SERIAL AO. UNS TRUCT 1 ONS (MGA? APPROPAtATE COOK HUMBER In °CODE* COLUin REPORT OATES BY USING USE KPPROP AT ATE ‘space @fioe Td REPORT Dara FOR fiTeen cs” 8 YoY. ‘te DESITGHATE BUC THER SUSwISEICM 12 OF BASIC DATA. comenctiog, OR CAMCELLATION (One only). aria NUMBER Foe The WORTH. and LAST Ted OIGITS ONLY Fae “YEAR. BE7ZR FO OFt RO. Be. ATvISEO. Pcs DATES OF SERVICE Hane Det ore ameova, Of¢ Tyee OF GATR _ t+ #8 (Basic) B . COMRECTION S - Camctar ation aRCaCs? 2. TOY (feele) 4. CORRECTION 6 + CANCELLATION OFFICE OF PERSORNEL USE ONLY - PUNCH AREA SOURCE DOCUMENT AND CERTIFICATION TRAVEL YOUCKTE basParcy Dury STATUS OF TEME AmO ATTEMDANCE REPORT DOCUMENT EDERTIFICATION Re. o DocuME RT DATE/PERTOD - /BESTA wa vy AGOVE Gala CEATIF VER CCSRECT. BASED UPON SOURCE COCuMERT Cares THIS REPORT WILL BE FILEO IN THE OFFICE OF PERSOMREL tH THE TRDEVIDUAL'S OFFICIAL PERSONNEL FOLDER € &@ F BEvIesae afer UUSLa gotsiszs verte SECRET (ES re
14-00000 cf of Station. | .. | : reson seta. Ldnae TE ata. PASvie) ' - - ° bf f ° . a wt vf . ; ; an . ae ; 1. As Headquatters "is well aware, a constant flow of- TDY peweseane} wan, provided tho Statiow by Headquarters during “the crisis. poriod.of the recent revolution, Obvicusly, the Statics sould have found it most difficult, if -not impossible, to perfor in the fashion it did without this assistance.” What deserves special comment, hoaever, is the generally high quality of their. performance under quite demanding, fluid, and, often, danzerous condit fons, With few exceptions, alvesdy known to Headquarters, the TOY persennel did a job both collectively and as individuals, Consid- and experience of most of these ofiticers, it assumed that this was to be expected. But, willingness to magpnigacent ering theo grade can probably be a what clearly was not predictable was their ‘ co . mecept any type of assignment resardicss of frrade or circun- ; ° . stances, their quick adaptability and initiative in an a unfanidiar and confuscd situation, and their stamina under the stress of lonw and irregular work days seven days a week, > rrnore, in spite of the close working quarters. constant tien, and strain inherent in this type of situation, or other signs of incompatability vere *y s tre : a oN associa “pervso.ality clashes” very fo. indeed. of 2. Undoubtedly, Headquarters has sensed the foregoing {pon returnees. The purpose of sending this dispatch is to mate Gif am matter of record and (to sungest to Houdauartors that their standard of performanéc under these conditiors may merit consideration of some special recognition in the personnel Liles of the personnel concerned, Continued... Distriburion; 3 - HD Attachment: . . As stated = h/w - Lees, cic teen ere i ee a CECES BEFERERCE TO DISPATCH SYATOL AND WUMLER DATE HDCT-1221 17 July 1965 ee FE RTT CEC A aan noneel She ogee err ene SRR me at eR Re A CLASSHICAMION HOS FILE Pa vee S-E-C-R-F-T gry Mav cettrtonshienee SDAP AEE ww entge Art Atetttanecth ARDMORE ODASMLE, SSSA - Peyfornance. of TOY Personne] During Recent Crisis. | ecveen aneninsenias® cant ESD CA Hy
° . . ; eee ys Lee + 4 , o} . tee a 1 n Cn ws esa. or dotraciin any cf ihe other officers ; -. would dike to single out | an as deserving special’ comment: rites’ , exeepiionad. A rrecial-roie is atinehed tor wes witheyst wate € oreo a c fyon the poerdermaunce_ of THY assiscnment, Ube present COs aud Their perfo has 4. Also, th2 COS would Jike te register the fact that the forozoiney net only speaks highly of the TDY personnel assagaca, support. but Headquarters as well in providing this type of As a to cheék : 5. final comment,' Headouarters inay care the COS for 2a good So ; : this merorandum wi Lh] . a on part of this period, “TO°CHTaINT & especial comments he vs ; might wish to make in this resard -- cither with respect to . oo. : ‘ content oy individuals whow he considercd exceptional and who tes are not Known to the present COS, a i prerass} - Therefore, it is recemnensed that che attached mcnorandy be . -inserted initio each wl their personne files. 7 . - . : . ‘ ie / $ td é fie “f | © . = pee NE ate cect tne eet
14-00000 S-E-C-R-E-T 17 July 1965 feo » fe He of 2, : MEMORANDUM FOR Tike RECORD a SUBJECT: _.- TDY iN Santa Donings Ber a [ | was assigned to Station ‘ a ona TDY basis for the period 2 June to 1G July ne 3. uring this assignment, was placed in charge of the Station Gury program With Special cmphasis on exploiting targets of opportunity in the very fluid crisis Situation then prevalent and, Simultancously, penerating . new assets and new approaches to lay the groundwork for the OO altered situation which would be confronting the Station in . : the ‘post-crisis era. -In addition to supervising the Sy program, he handled a number of existing agents, developed some new assets, and conducted nurerous special aisy 3 : . operations, including some quite effeetive black activities. } On this assignment,[ sd] worked some fourteen to sixteen hours a day throughout the cntire period. Te 2. The undersigned is aware that 2.18 would expect a& quite 1 and dedicated perfornance from au officer of seniority, experience, and caliber; however, even taking this into consideration, his performance in every respeet was exceptional, and should merit special recognition. 3. It is recommended that a copy of this memorandum be placed in personnel folder. fg gt hh ae ‘ mo » Roe’ boa aie | | haan ae Oi: : S-E-C-R-E-T
14-00000 wns sect = tse 6 BANS 569 MEMORANDUM FOR: Director of Central Intelligence _ THROUGH .: Deputy Director for Plans SUBJECT ; : Appointment of Mr, David A, Phillips as Chief of Station, | 1, The appointment of Mr, David A, Phillips, GS-16, as Chief of Station, effective on or about 15 January 1970 is recommended. Mr. Phillips would replace Mr, Robert D, Gahagen, 2 Mr, Phillips has been an employee of the Agency - Since 1951 initially in a contract capacity, He has served in [Havana, Mexico City and most recently as Chief, Cuban Operations Group. Mr. Phillips is fluent in the Spanish language | 7 (OEFAPHIC PFOMnlée WNChaine MOM Alion FeFe nig agency experience and training is attached, Ahh “ Woe William V. Broe Chief Western Hemisphere Division Attachment Biographic Profile (Parts 1 and 2)
14-00000 a a SUBJECT: Appointment of Mr, David A, Phillips as Chief of. B Station, APPROVAL RECOMMENDED: Deputy Director for Plans Date The recommendation in paragraph one is APPROVED: _Airredbtinn f fat oF ” Director of Central Intelligence " Date
14-00000 -Piseclete in original, . nextion eres leave at gnverfment expense, over sere Outy, return to réardencetupan Sep ar etion, and for providing wee | CONFIDENTIAL ee - (When Balted I} 7 - ‘ vs tn Coterm ining Urever geyennes aits-sbia fn Cone The data recorded ca tire form 16 essential currert residence and dependéncy information required in the event of an employes erergency, This form wil be tiled ia the employee's of ficial personne! folder.- “PNMANME OF BUPL OVER (Laat? - "PF epatd “feraaien SOCIAL SE comity Pe Lstees & Pht tts ————— ews rcicence bee nM 38 G t RESIDENCE ; [ LAST PLACE OF RESIDENCE IN CONTINENTAL ULB, Cl appointed PLACE oF RESDENCE WHEN PIT IAL LY eMOLOVED oY AGENCY ateoad) euac DPSIONATED AD PERMANENT AES i wOME Le Yaahingkoas De Ca «g CENCE . . . v SUES, SEAES : MARITAL STATO ad Atet et 9 Ha 7 tPhease nore” thts ts ” Vidiaatee oT lesen eee neo pega tence heemee — Toate “OF “MARRIAGE a. sinche. MARRIED i Tel (1? MARRIED, PLACE oF manAiAGE rr sic R@rprann Mary bate Stee nat; ¢ ere had iw eI0OeEo, PLACE SPOUSE DIED ~ . ° pers SPOUSK DIED Te PRE VIGUSLY & MARRIED, INDICATE NAMES) OF SPOUSE, RE ASONUS? Fo TERMINATION, an OATLIsh Joan Hildebrant, incompatibility, cerca September 1941 Helen Naasch, incompatibility, Z2 22 Nevember 1967. MEMBERS OF FAMILY 0 TELEPHONE Peo. NAME OF SPOUSE [aooaess(ya .Sereet Caty Stata. dsp Co- ‘bb H 34 Virginia S.-Phillips— ---.8224 stone -Trali- Drive, -Bethesda Md - | 696799 am MAMES OF CRILOREN | ADORESS Maria . i Same as. above i # 1949 Navid Je | ® i | 1951 ' Christopher | i Ld / 1936 "(See Continu ed MAME OF FOUN FATHER flon cceaian ! ADORESS PHONE NOs ee Rea TT ee—— a PHONE NO. i ~ ear seer tee wt ec nn oa eee eee be en ene a — OSE ee - BHAT we eee se OF YOUN FAMILY FF AMY, ras @CEX Toro or ¥ your ASFILIATION ath “THE GROANIZATION PF COMPACT ry RE QUIRED IN 4N EER GENCY. PERE 3 Be NOTIFIED IN CASE OF EMERGENCY oe eee i ete apo oe is eee ow. coma cee ; RELATIONSHIP a, Rabe (ir, Alves, Miva)  Laat-FitatMiddte) 7 Mei Pabl) bps, Basin Fy RO nnn mn cine BR ER RENE HUME MOME ADORE SS (Yo. treet, Se ate Bank, -Didg ey ; eae emer ~~ Fart worth. Nat es See BUSINESS AGORESS (Ar aticnal: arte 3 Fort; ¥ Worth, Rerag, APPLICABLE: rausil! inown goo EXTENSION Same asa above we weer oO eect ent samme teen Oy meneame veges ae PRE INO OU aL NAMED eve WIT Tag OF Yous “PGENCY APRILIAT, TON? te ®No® dive Feine aad 3! 2 dnks arganlsa= i T ten he delieves rou work tuts { VES i Vos IS TRIS INTIVICVAL AUTMORIZED 16 MARE GCE CIHIONS ON YO éite nere art adivess of perech, ifany, sho can make such decisions in care of emergency.) i NO + _¥ ne OO Does Pee RK NG she, Mot SEMAN, Latte: SIGNATED as VG EMERGENC OORESSEE® (88 anawer ia *“No* [ves i eumem afhe m “eae 6 ——~$----f- —_ coe eee ete toe eee cene een eee a IF SUCH NOTIFICATION 1S NOT OESIRABLE BE- The persona named in item 3 above may alse be notified im case of emergency. CAUSE OF NEALTH OR OTHER REASONS, PLEASE $0 STATE in ITEM 6 ON THE REVERSE SIDE OF THIS FORM, CONTINUED OF RE VERSE SIDE ta) say Ob gates oe CONFIDENTIAL 2°! EQrrroms,
cates.the settlement of estate and finencial metters. of dttorney in the event of your di sobslity or death a) INDICATE NAME ANNO SDORE COUNTS ARE CARMED. - CONFIDENTIAL (When Fitled Ind. of employee emergencies $9 OF ANY BANKING TVGCONTARY ENTRIES hos shown that the absence of cer The inlormetion teque sted an thia section moy prove very Use ‘ad will be disclosed only whencecumstances warrant, en nienremepe annem ~ cece ern win ee aan nares ener ran eet rer INSTITUTIONS ITH WHICH Vou BAWE ACCOUNTS arn THE wags te wich Tag ac ‘sonal dota often delays ond comple ful to your basaly Checking andSaving. Fort Worth National Bank, Fort Yorth, Texas. Potomac National Bank, “Potomac, de Columbia Federal (House mortgage). © ALi in name David A- Phillips ARE VOU A MEMOER OF THE NORTHWEST FEDERAL CREDIT union? Cal vas Co NO 1 YES, OO YOU MAVE A-JOINT ACCOUNT? SAVE Vou COMPLETED A LAST WILK AND TESTAMENT? — In possession of my brother and attorney, Edvin T. Phillips, Jr. (See above). WAVE YOU PAL PLANNED AN ARRANGED ZUR RDIANSHIP OF VOUR CHILDREN IN CAS@ NG. 9 *Yes® give namel a} and addraaas Ca Cal ___ Hut... My. chiidren—-would. go- AVE YOU EXECUTED A POWER OF ATTORNEY? by -brather, scuin To PHBL b bon ME oa ees ADDITIONAL DATA AND ‘ba CONTINUATION OF PRECEDING ITEMS é > Gentinuathon of chilren: The following are my step children, who than h-lf their supoort from mez (ALL have cormmn Teall Orive)s Yashington De Deborah Anne Ahern ¢ Bryaa Moss Ahern (m) dynne Augherton Ahe Date Fal ves (_j ™O il? "Fee" shore to document located?) FP COUMONM OMSASTER TO BOTH Paments? _ gtea-children. to. their. father... —.-—. their .mochear;, @ witty pusaess the nomer uf ‘gitomey *)} (x) yes C3 nO. (ff *¥ee*. se cee merece ea live vitb/andx recelve more adfress of 822% Stone Tetgnat we 18 November 1969
14-00000 7 a aa caren titied Ia) 2 BR mene REPORT OF. SERVICE ABROAD ee wiDore UNSTRUCTIONS | . IMSERT APPROPRIATE COOE mUwDEe sm “COoE’ COtLUMR Bee aApraopatate sPace ‘petoe To RePoRt ara FOR Seveae PCS or Tey, J Vo OESIGHATE Bed THee SUBwISSFOM 14 OF BASIC OATA, CORBECTION, oF CABCELLATION (One oaly). @EP ORT DATES BY UBENG Tee MUMOEe Foe txt Onto, aed LAST THO OIGITS OMLY FOR VEaR. GEFZR VO OF FE HO. BB. REVIGTO. PCS OATES OF SERVICE PEerPanvund o/¢ PvPE OF DATA 4 . Pod (Basic) B + comercTion B + CARCELA ATION DATES OF SERVICE TYPE OF DATA ae . - TOY (Gaelic) . . = : » CoRmECTION . + CANCELLATION OFFICE OF PERSONREL USE ONLY ~ PUNCH AREA . - TS x TRAVEL VOUCHER cased ante ent | ormee (Speed fy) CIC VMENT COEMTIFICATI OM Rue OOCuUMENT DATE FERICS : Wh TaeTQ 5.2 8 Ag QEWARRE PREPARE® SY sreset anserates oa above BATA CEATIFIEO CORSECT. BASED urOB SouNCE . Ra comraot POCuME ET OoCumea? cires aveag. SUGRAT URE fe C PLE “Se, “—— ‘ THIS REPORT WILL BE FILEO UR THE OFFICE OF PERSORMEL tM THE ERDIVIDUAL'S OFFICIAL PERSOHREL FOLDER € @& wtvtsion, te mr Bietston aver EMSES ereraas teens SECRET | (=| rerres B- a?
14-00000 ' — . NAME . SERIAL NO. . —— : ecto ne Last cs FURST MIbOLE “ot Bo 8G” . ey. , / west APPROPRIATE sPact otLow TO REPORT Hata ror Eiteae PCs on Tov. te _ SECRET | ee (Phen Filled Bay REPORT OF F SERVICE ABROAD ortice of Personnel, ‘Transactions and Records Branch, Status INSTRUCTIONS INSERT aopaorRiate Cook muUMBER ER “COOE® COLUMN PO GESIGHATE -BHETHER SUBMISSION 19 OF BASIC DATA. COMBECTIOM, OM CANCELLATION (One only). REPORT OATES BY USING - The MUMSEH FOR THE MOWTH. amo LAST Teo OIGITS OMLY FOR YeaR, REFER TO OF1 BO. $8, REVISED, : PCS DATES OF SEAVICE OCPaRtURE Of8 wears bay ane ival “O76 t . pes (Baeic) . 3. Comaection 8 + CAMCEALAT EON & . TOY (Basie) 4 5 CORRECTION 6 . CANCELLATION OFFICE OF PERSONNEL USE ORLY = PUNCH AREA SOURCE OOCUMENT AND CERTIFICATION | DisPaten | QuPY STATUS OF Pie AnO ATTENDANCE REPORT | oteere (Specify) : . . OOCUMENT IPEMTEFICAT ION add SocuMt NT BATE /PERICS . b V. 7 ra A REMARKS PREPARED BY aE BEPORT awaGTAIES Of ABGYE OATA CHEF LED CORMECT. GASEG UPON SOURCE pis et etetsses af a’ el 7 ae THIS REPORT WELL BE FILED IM THE OFFICE GF PERSORREL Im THE INDOVIOUAL'S OFFICIAL PERSOARER FOLDER ia. 3o) mee a soey EMS ceresere ceeveows SECRET © lee | Le
14-00000 i : LP ee By secReT a * (Phen Filled fay PA TD AT Nt clin Sy san A NN REPORT OF SERVICE ABROAD FILE Office of Personnel, Transactions and Records Branch, Status Spetion BY e« SERIAL NO. : ee NAME - : ; cast - * . FAReT : . sr OOL y ee (Print) ” - cary) : ce ‘ = . PHILLIPS . CAVED . Re USE APPROPRIATE SPACE BELOW TO BEPORT SATA vos Givete PCS OR THY, "REERY APPROPRiaTE CODE NUMBER FN “CODE” CoLunN VO GESIGHATE WHE THIR- SUBMISSION 8S OF BABIC DATA, CORRECTION, O8 CANCTLLAT 10% (One onfiy}. REPORT BATES BY USING Tee MUMBER-7OR THE MONTH, AND LAST Teo OFGITS OwLyY FOR VeaR, REFER TO OF1 HO. 86. REVISEG. . pcs DATES OF SERVICE . ~ _amatvay o/s DEPARTURE O/¢ Tvee OF DATA oe : CouNTRY es & Tot Oat . veae . woe Pe Bay weaa ts pce (Baele) CORE OntY COoeg . 20-286 | 27-88] 20-30 | 31-32 | 33-36 | 35-36 | 3. comeccrion 37 38/30 40+ 2 . ~~ & + CANCELLATION TOY OATES OF SERVICE ARRIVAL 0/3 DEPARTURE 0/5 TYPE OF DATA aoe AREACS) woura pay vre® Oe Tar Bay viae cOoE ONLY COE 2. TOY (Baeic) 29-26. |] 27-86 | 28-30 | ab-32 | 33-34 | 35-38 | 4 . connection 3? 36/30 40+ 42 : y | & + canceecarion WH 01S} 1] 91 6] 9} O;S5 421116! 9 ; 2 2/0 OFFICE OF PERSOMHEL USE ONLY - PURCH AREA SOURCE DOCUMENT AND CERTIFICATION TRaves voucuer ‘ orsPatcw caeLe OUTY STATUS OM TEME AND ATTENDANCE REPORT orneca (Specify) DOCUMENT IDENTIFSCATION Ru. —_ DOCUMENT DATE/PERIOD thru 21 1969 REMARES PREPARED ov REPORT ANHOTATES OM ABOVE DATA CERTIFIED CORRECT. BAITED UPOM SOURCE pee COnvGOL OecuMERT BOCUMEMT CeTEO XK je @ & eevisiew. evar CATE GMAT <— ‘ . 4 S1GHA . ¢ @ fF @tviseon K$ 4% 1% “ ‘ THIS REPORT WILL BE FILED HT FE PERSOKH ER THE {HDIVEIDUAL'S OFFICIAL PERSONNEL FOLDER Cho OQ) scar [NSba setengas veeerees _ SECRET [ates | janine
14-00000 " , SECRET (Bron Felted Ir} 1WH Division - INSTRECTIONS = -- Me, . _ 0 USE APPROPRTATE SPack SELCE TO REPORT Data FOR ETHER PCR OR TOY. INsEaT APPROPRIATE CODE NUMBER Im “COOE® COLUMN TO DESIGNATE BmETHER SUBMISSEOW 15 OF BASIC DATA, CORRECTION, CR CANCELLATION (One only). REPORT DATES BY USING THE fuMaeR FOR THE WONT, ANO LAST TWO DIGHTS ONLY FOR vEaR, . . FCS DATES OF SERVICE CEPARTL RE ARRIVAL Pes (Basic) 27.0 ¢ 26.28 30-38 [32-33 | 34-395 | 36-97 | 38-99 1. 3. CORRECTION . 3 . .CARCERLATICN || FOY OATES OF SERVICE « TYPE “OF DATA DEPARTURE RETURS AREACSD “ OMET 40.42 2. Tov (Besse) 2? | 26-28 | 30-31 94.35 | 36.37 | 39.39 & . CORRECTION cer - 6 - CANCELLATION [countrys 2 | 5 | 22 5] 28 | 68 | - Nexico 450 SOURCE OF RECORD OOCLMEAT . an TRAVEL FOUCHER | [ptseazen Cage | OuTy STATUS CR Vite AHO ATTENDANCE REPORT OTHER (Specify) - Loe . . COCUMENT GATE CPER EOD DOCUMENT ADENFESRCATECH BO. WHT Og 68 22=25 Nay 1668 REMARKS ABCYE Data VERIFEED CORRECT, BASED UPO% SOURCE DOCUMENT CITED SIGNATURE ra - a . fo Paeg ~ 14.19) REPORT ANNOTATED ON SOURCE COCUMERT PREPARED 3Y |] oss x | C RR Die Ps ice TPT BT RevEsicw ' S August 1°48 FooM 1WSia vid Porseses SECRET oo Basco 4-86 cottece. tw ceo ae Seangreeng ond dou carte who | iar c
14-00000 } A _ a } 43. 02-13 co ; | . OR OY HF eee ee wien Se GF- OY | SS  o3- 33 Lown oy og vo — GSS-0Y¥-0/ — | Timyour - Sesh oc i SER VCE \ \ eae be Sime Gen T $6- 02-087. \ : ¥, ‘ “70 ae EM bien Den Conte mey se. c&. To 7) ~2.. GO- G63. IF. ard qx KE a tant “. ~ STAFF | ERGAWEE mm O38.-f bf tee..... 7a Se PRE seat O2d- oF 19. MikiTARY SE e 08-13 . we GH ee t§ JO FY. OP bY 7 nop 4G of ~-o-A4F po ee at ep rear - _ . . S.C, D. SBMS Cty 7-61-66
sranane murs 18 __ DESIGNATION OF BENEFICARY IMPORTANT Mae > Read, instructions UNPAID COMPENSATION Or on back of dupticste DECEASED CIVILIAN EMPLOYEE . before Gling in thia form INFORM ATION CONCERNING res Ext LOVEE: NAME (Lait) a Burst} (Middle) ° 4) Date of Biarnt (Month, day, year} Phillips David | Atlee October 31,°1922 DEPARTNENT oR AGENCY IN Waact EMPLOYED. oe LATER AED —§ SRERECTTENS ARSE TOMOEEO tes RE REMENEMORETEDOTROOSOETE — REnScETEUEs enema neon ees Hee esesouDeense. Saeeehawscee ‘ - (Burveaut . + (Division) ¢ (Denartment @ or ager} i. the employee identified 2 Barve, . cancelin ay and all j previous Designations of Revie fictary heretofore mada by me, de now desige nate the bencAewry or bene fcures named Keine to receive ary UNPAID COMPENSATION due and payable under existing law after oy death. 2 unde rstand that tias Z ~estgnation of Beavfctary relates soicly to Unpaid © fomperisatios as deAncd in section @ of the ‘aet of Aucust $, 1950, Public Lev ste. and in nowsse will ateet the desposition o any benefit which may become payable under the Retirement Act applicable to my Gyvern mend service, 8 furthes understand that this Designation of Bene feiary will remain in . force and fect, undess or until sovivled, by ame ‘ts ie wreitingy: 9 so long us 1 am continuonsly employed ¢ i the above department ¢ or ayency. InroaM LATION CONCERNING TRE SENEFICLARY oR ReNEFICIARIES! erin Hy Puttiipe | 8234 Stone Trait Drive _. ee David Ar Pot psy $0 | Bethosday Ary dand 20024 122". 2 nenfowts Christopher C, Philtips | 8224 Stone Trail Brive, | | son co | one-fourth f hereby direct, unless otha ravsa ctdicuted abure, that, if more than one ben ficinry ie named, the share of any deecased bunefl- ciary who may predecease me shal ra distributed cquaily among the surviving bene fewrics, or entirely to the survivor, understand thet ,this Designation of Bene foiary snali be void if nuxe of the designated benefciancea is living at the time of my death, 4 keredy specifically resere ita riyht to cancel or change any designation of beneficiary atany time in the manner und form prescribed by the Comptroller Gexsrul “Of the United States, and without knowledge or consent of the benefciary. - 1 December 1967 - Z 2 Vm Serer (Date of execation—month ame. var) : . (Signature of employee} Wrtnesses To SicNaTuRe: , Leas ailee et fyi Q. 2400 So. Glebe Rd (Suenature of (Number and street) | . 3 Chins, * (.- ] 8137 Prescott Dr Vienna, Va 22180 “hg s Le oneees iret oi es 4. ae i “(Signature of ‘Wikeree~ me “(Number | ned “Areet) . Vee oF hone number, and | Stator, PRINT OR TYPE NAME AND ADDRESS OF EMPLOYEE THIS SPACE RESERVED FOR RECEIVING DATA OF EMPLOYING AGENCY _ David A. Phillips d 8224 Stone Trail Drive 03 wee 1867 Bethesda, Maryland 20034 L i (Indicate date and by whom rocelved) “J 26 Hearne ate ee ee terenmetnnnnt DELIVER BOTH COPUSS TO THE PROPER OFFICER OF YOUR AGENCY~-DUPLICATS WILL BE NOTED AND RETURNED
we, . . . SECRET ow . _(G5en Filled fa} REPORT OF SERVICE AGROAD TG: Office of Personnel, Transactions and Records Branch, Status Section SEREAL NO. INSTRUCT 1GNS USE APPROPRLATE SPACE GEL Oe TO REPORT CATA, FOR EITHER FCS OR TOV. INSERT APPROPRIATE ccom mumecR am “cont? Cou yn TO UEGIGMATE GHETHER SuUBwMIsSiom 1S OF BASIC DATA, CORRECTION, O8 CANCELLATION (Gee cely}. RerORT OATCS OY USING THE MUMOER FOR THF MONTH. AND GAS? THO DIGITS OMLY FOR YEAR. REFER TO OFT NO. BG. REVESED. _ PCS DATES OF SERVICE Counraey OLPARTURE 0/3 . TvPa OF Data wonta BAY pseu | GME Y | cone | 1. pcs (Basic) 3+ consection [37 pele =m $ + CAMCELLATION : iy. TOY DATES OF SERVICE ARRIVAL 0/8 ARRIVAL 0/9 OePanTURE O/3 TYPE OF Gata vse AREA(S) fwowrn | veaa [ wowre | Day dat coor Cue ~ — 2. TOY (Baste) 20-30 33-34 4. coarection [37 [salss | aa — || OFFICE OF PERSOKNEL USE ONLY - PUNCH AREA VRA¥EL VOUCHER OOCUMERT IDENTIFICATION he. : DOCUMENT DATE “PERIOD “oe DY ce ‘ spinosa oma DS. aos REMARKS ABOVE DATA CERTIFIED CORRECT, BASED UPON SCURCE DOCUMENT C#eTED SEPORT ABBOVATED OB COmPRaL AGCUWAANT © & & Givegtom, CTBR. € &@ F G@tvigian THIS REPORT. WILL | BE FILED IN THE “OFFICE OF PERSONNEL '8 THE TMDIVEQUAL'S OFFICIAL PERSORKEL FOLOER roa 1U5ba cosccers Pagvions ECRET eS 14-10) 387 | SECRE [se |
14-00000 ; CusscaTiOns ; PROCESSING ars ; on) iSPATCH ——— Chief, Western Hemisphere Division NO INDEXING REQUIRED ONLY QUALIFIED DESK ~ “77 | CAN JUDGE INDEXING fw ehief of ‘Station | DO | micaorius ; . | SUBJECT ° ° = SS ee : Letter of Appreciation trom | | . a ACTION REQUIRED - REFERENCES Action: See para two Attached find an original and two copies of a until 1. letter of appreciation from| 18 January, | ; 2. It is requested that tho original be placed in l the personnel file of Michael C. CHOADEN, The first copy. marked "4" should be placed in the personnel file of Stewart R. PATAKER. The second copy, marked "B", djto Franklyn D, MALLEK for his information should be passe and disposition.| *y | Michael C. CHOADEN -_ Attachment: Letter Distribution: 3 - Chief, WHD w/att h/w# OISPATON SYMEO AND NUMBER HDCT 1359 CLAISIFICATION CROSS REFERENCE TO ary 1966 HOS F118 NUMBER SECRET
14-00000 HEADQUARTERS tho : We ria UNITED STATES FORCES| i lobe vorvead fats APO New York Osi7s eee | a , 17 January 1966 SUBS ECT: Letter of Appreciation THRU: | TO: (- a . - ,  Pavip 9 PHfci iPS oF. an “1, lL wish to express my sincere appreciation for the outstanding contributions . mo you and your staff have made in the accomplishment of [___limettigence missions from 1 May 1965 through 17 January 1966. The first intelligence contact nl May was a representative from your a mutual respect, cordial relationship and a unity of icrisis, upon our arrival at office, From that day on a effort prevailed throughout the many trying days in the _ Without your assistance we would have realized a serious gap in the intelligence picture, a gap which would have made intelligence evaluations and the development of tactical estimatcs most difficult. 2. My [_]nas frequently mentioned the close association and coordination he has had with you and the members of your organization and repeatedly expressed the-high esteem and respect he has for the professionalism and competence displayed by you and your subordinates. ; 3. The intelligence unity of effort in lnas been exemplary and a prototype for future operations. This cohesive atmosphere is directly attributable to your efferts,
14-00000 nat eates on 7 17 January 1966" te SUBJECT: Letter of Appreciation . 4. Aguinl wish to express my appreciation and congratulations ‘on a job ‘well
fee NAME OF EMPLOYTE * ee EMPLOYEE SERIAL SOL Cc TELEPHONE EXT. : a ; ~# | SECRET ° , ‘ wi vemee Fauee ne y PAL Ips , DA vID A. : i 2 % . TR CTIONS en SONOTE wre eenvice t Ter? i oe od sor ” ARETE ID pment 7! “CINE AN TY ort hearts tnt 9 COLUMN | BAS PERFORMED Rone Le eG VA MILEDSHY (2) guaguner — (COLERIN B[ THIS FORM MUST ME RETURNED fogy) bocce ad Serna geet ape. S SASS SUES ONT TL ©] WHETHER YOU HAVE HAD OVER. ly ; (ed [> i . ad 5 6 | AAVAWA, Crsdé HG) - 167 Cra Be ‘6| | BEAS SERVICE OR NOT. t c 4 PLEASE READ CAREFULLY IN- My ar bas rv] Lr Aiy é “3 at & 2] structions ON ACCOMPANYING SAMs lis a iy: i i i CARD; THEN FILL, OUT THIS FORM = ' | 1 vn . ne Se ne nS AS ACCURATELY AS POSSITLE, Poet | po | ee a ne es : : P| | : . 23,_- ae one een pene Nn ae ae one i a ae) UF ADOITIONAL BRACE Bs NES DET, CALA TITER. j aAstP ADA YOUR ADMD AGMINISTRADVE OF FB1CKH $008 SUPPLEMENTAL CARS - Z|
14-00000 \ t \ i 1 CONFIDENTIAL : (When Filled In) MEMORANDUM OF UNDERSTANDING : I herety acknowledge that [ have read and understand the contents of Handhock 20-4, Employee Conduct, dated 29 August 1961. a 2 Oct oBth [PI Signature fate .-, DAVID a. HILLIPFS CONFIDENTIAL
14-00000 REPORT OF Hu : AWARDS BOARD (COWERFD PURSUANT TO WLUGLATIONS ® 20-635 AND AFR 20-635) The “Honor Awards Board having considered a recommendation that: - waWES thease) sPreetd (Midgsted POST ftCm TEE ; PHabet £P Sawhd Atice -ovort Asevclate Pacsem? GRASE OFFICE AS$SIGHED TO siation,.. b7209600 20a _ | 4 tvisten _ | OE agaRgceg: . = .datinzulshes inteliicence Medal (Ca ror mercie acrion, on CAT} roa weairomsous aAcwi€vewews OR SERVICE DURING THE PERIOD Ja-vary @ July 3954 (CTlhaeraoves ter wecomecugation COT oi saperoves tae Meccumenoar ton (BT aeraowes, evr tn Lieu THEREOF, RECOMMENDS THE aeano GF: Intelifivence “edal of serit CiTaTion CAVI. ATLEN CHIiLLi t is nereby awarded tre intelligence Neial ef cierl¢ for bia cubetanding ueilesticn anc uevetion to trae cause of freesoa. nile asaisned a sesitlen of reapunetLility in creating a psyenolegical agulum €o furlner too efforts of renoving a serious tires, te the security and weifare of nis -overnnent, 16) pervoneliy, wits superior talest and soncen- tration of ener.y orocegucu to ievelop a pro¢vrsa wnich greatly centrivuted t@ the ultimate ellsinetion of tne tarest ealen concurrently orougnt alsterical relief to tae oppresas 3 poopie of an entire ocoulatlon. Tae peycholozical aedlwa Jevelove: and sustained by Mre P.uaLi. was airectad anu operated wita such incesuity, resourcefulness and Zercefal dmacination that he wau aule to creste and maintain a cosa .etaly sotional altuaticn for a: extendes geriod theresy asking it -ossible to acileve 67 - @ojectives of his government. Tals e:niewement nag no pasailiel in tne history of psychological warfare. REASOKS FOR DISAPPROVAL OF RECOMMENDED AWARD | ‘ SIGNATURE APP ROVED GineICN TYPED MAME OF CHAIRMAR, HGCOR AWARDS BC ARh Pavaedt-& “Sg vtdedsor > SIGNATURE - Crpern, CEOEep - CER 7 OURECTOR OF CENTRAL IRTELLEGERCE BSED cag sit TYPED WARE (af REC ORGER Le ive foe 933 37-276
Ts EWPLOVEE SERIAL RO. [2438 [eg ys LSE APPRLSPRIATE SPACE BELO@ FF REP CRT Dara FOR Crees PCS Of TOY. Orfice of Personnel, Statistical Reporting Branch, ROOM 162 Curle Hall bast > SECRET. (Bden Felted Pa) VERIFIED RECORD OF OVERSEAS SERVICE (Preise) SAVE OF EVPLOYEE riast Fe 2@ INSTRUCT FONS OF F LCE /CONP ONE NT werpoLT aA TNSEMT BPPROPMIATE CODE NUMBEM Ie “CODE” COL Uem TO TESTGNATE GWE THER SUBMESSECN 29 OF BASIC MATA, CORRECTION, Cf CANCELLATION (One ondy). REPORT OATES SY USEING Fue e,WEER FOR THE MONTH, AND LAaSt THO OIGETS ORLY FOR VE AR, a te @ i 3 . $ 2 teszo | so-s1 | 32-33 COMRECTION - ~ . Te ame EOL AT ION $0 TRAYEL VOUCHER - i case oTece (Specafy) TOCLWENT TOENTEFICATION MO. fi 4 3 ‘ PET, =e SIC LS Ses DATES OF SERVICE Pos {Basic} SUSREC TT On CAaRTELLATION YyPE OF OATA tor (Basied. Se wares PR CPAPEO BY fFIST AL SEvtsGON a eyuance OHV ES EON rae o 36 i§5ia cone DEPARTURE wosts | sas TOY DATES OF SERVICE COUNTRY DEPART CORE eet URS wou pay ! "va ae won rH Bat erae nna on nao a 1 ge. 33 34.33 26.97 | | i the thm @ssoLire eee sioud ORT iaws, é a SOURCE DOCUMENT LACE OF RECORD COCLAEAT ne meee ree om ence en me cee “aREA(S) outt 40.42 WH. DISPaten BOcuMENT TATE PERIOD (3 6:0 bee REPORT AWNOTATES | ABOUE Tata velar SbGmAP GRE DUTY STATUS OR Tite BNO RTTERDANCE REPORT CLEC TED CORRECT, BASED JAPON SOURCE OOc mer CEES SECRET fa. 16)
Vette mormegrerncembetn 29 June 1¥el MEMORANDUM FOR THE RECORD . SUBJECT: David A, Piillips On l4 June 96h ine undersigned reviewed with Mir, David A, Dhillips his carcer development prospects for the neat five year v i period, We arreed that tue following represented A uesiraple and ‘fasrly uirm yoalan tnis reapect; ; a. In neneral hie future training and ireld experience gnuuld place sulficient stress on the Cl and 'I inelds to avoid the Career confinement vi sicigit CA specialization, b, His next agsrenment would be a normal tield tour in “Mexico City, Upon return from that assignment, he would receive up to 61x months training to ne followed by an asssanment tu tae CA Stati (or the organisational successor thereot), Cue of his primary undertakings in the CA staff would be to develop wnal might best be termed “ideolouical warfare” (e.g., a gearch for baci ideas ana concepts with wide appeal) as oppoaed to tne normai propasanda approach (e.f., a running ‘iebate on current everis). * _ RICUARD M, BISSELL, JB. Deputy Oirector (Plans) ces “ASSA (Pers) Attn Panel A Mr. Phillips Fares CAWHi OPsRID- SECRET
14-00000 an | pel sll | ET TIC Complete " duplicate. The seta recorded on this forms essential in dejermineng travel eapenses allowable in connection with léave at government expense, overseas duty, return to residence upon separation, and for providing current residence ond dependency infos- mation requited mn the event clan employee emergency. The original of this form will be filedin the employee’ s officiel personnel folder (Masi) SOCIAL SLC URITY NUMBER | i NAME OF EMPLOYEE (haar! o~ CFevet) “Pe a Pepa fe ANID RESIDENCE DATA Os : Place OF RESIDENCE SHEN NITIALEY APPOINTED SO LAST PLACE OF BEDIDENCE th CONTINENTAL Udo (f oppomted abrval) - . . saan At f é LAS: hor - TIS AAS. tng 2 eee eaten | perce ee ee ee ne ne ne sentation etme , PLACE IM CONTINENTAL U.S CESIGN ATED AS PEQMANE NT RES | MOME LEAVE RESIOR NCE . 0 DENCE be ae . - Regt ae el a Ae , i ee Lad aor a a ae a : . MARITAL STATUS (Check one) : _ SINGLE ;MARMED want SEPARATED vivonces. . I wOOKED L J Arr uULe ED weed —_—- [jwasaco yo] se eee ee Oe hI eb ONIN oo tf MARHIED, PLACE OF MARMIADE 7. DATE OF MARRIAGE Jhefey WOOK a ees DATE OF DECREE iP DIVORCED, PLace oF OWA DECREE 2 ee eee tee ee wae eee ne ee NN ee et nO One necann pera Mien an an een feenenteme oe - " € Spouse MEO 16 WIDOWED, PI PLACE SPOUSE HED v3 PREVIGUSLY MAR RED, INoe ATE NA MELS) oF SPOUSE, RE “ASONIG) OR TERMINATION, AND DOaAYEts) . : ow — wo ¢ TeRy WAP Seas TH ips Drees a ot ed seg Fe (tA a MEMBERS OF FAMILY , | TELE PHONE NO, NAME OF SPOUSE e ADORE SS (Ho., Stroot, City, Zune, State) AAGLEN_N ER they: s Bias DHAin atid ho AR Me, box A NON EFXthengs te dae Dakin ted fo take Te NAMES OF CHILORER | ANDRE $4 DATE OF . , * " IMA ALA - ce 4 te AA Dolio, Te AT Oe , ; “ : . Ctl ise Teoyrd 77 a | NAME oF FATHER (Or male guwntiant | AODRESS TELE PHONE NO. me heel ns mmemwemtem mere me cena tree ae pee ffm cnn nm one + as ee meen nae ter herent Sa cee miee eeeemat + ‘ ADORE SS TELE PWONE NO. | . . - ZATION IF CONTACT (3 RE- tb cee ee meee SeAT ME MAE 4 MY, HAS BEE QuUIREO IN AN EMERGENCY. ve - . - . ; ; wore L2M oT ME fee TE niheigg fh PERSON TO BE NOTIFIEO IN CASE OF Ex OF EME OMe sone eee! BUSINESS ADDRESS (No, Stree, Cem. fe {Nox Street, ‘Mo® give name a and adda ns ‘of organiza- | ves 8S VYHE INDIVIDUAL NAMED ABO tran Ae belfevea pus work fon) 1S Tees INDIVIDUAL AUTHO@IZED TD MAKE DECISIONS ON YOUR BERALES “UE * 4a" “give ame and addres any, WhO can Make euch dectarons ur case of emergenct ) { “ GOES THIS INDIVIDUAL KNOG THaT WE MAS “geen OesiGNATED AS TOUR EMERGENCY ADDRESSEE? {lf anawee tg 9No® eamain why in item 3.3 ; wenden oe be The. persons nomad in item 3 above may also be notified in case of emergency. Hf such notification is not desirable becouse of health or other reasons, please 30 state in item $ on the reverse side of this form. ; CON TINUED OW RE VERSE SiDe CURRENT RESIDENCE AND DEPENDENCY REPORT aso 61 yoieas oY" CONFIDENTIAL ROITEONS,
14-00000 . aalary of “pent with to as “your cover” ¥y 4 Aucuat ren ® You will, insofer as consistent with your basic responsibility r) : consiate of a period of a four SECRET. Supplenent to Staff Ewployee Personnel oa, Action for ‘David A, _ Effective 23. Anguot 161 * e -t i memorandum. je to call your attention to existi policiea which are. jarticularly ‘material t® you wiile you are and to set forth ce tea and obligations vhich are incident to your . status- |. 3% is. hereby agreed and understood thats . “of this organization, at the present grade and accept cover employ- (hereinafter referred organization, abide by all the rules, regulations, practices and policies of your , cover facility, in order to a ras a conventional member of that establieheent. Your ee Pe your cover facility ie being offected at and salary of f° anml. You are atersiasa eset ag. specifically authorized herein, retain- ing emoluments paid by your cover facility. 2. It ie understood and agreed that the minimum period of your overseas tour of duty ia governed by and coincident with the prescribed tour of duty of your cover creantration. Currently, your prescribed tour from the date of your arrival at your oversea Your assignment may be terminated earlier -for the conventence of thie organization and the lengta of your tour of duty, ag currently specified, my de unilaterally changed by this organi- tation in order to conform with subsequent changes in the prescribed tour of your cover facility. If you request termination of your overseas -assignment aolely for your own convenience, unless it is for circum stances that are congidered by this organization to be beyond your control or if you are terminated for cause under the regulations of this organiza- tion before you have completed the mintmum period of service prescribed above from the date of arrival at your overseas | ls you will not be entitled to return travel or transportation for yourgelf or your dependents to the Unite? States at Government expense. If you request termination of your overseas assignment solely for your own convenience, unlees 1¢ fe for circumstances that are considered by this organization to be beyond your control or 1f you are terminated for cause under the regulations of thia organization before you have completed_one (1) year of service from the date of your arrival at your overseas you vill be required to reinhurse the Government for all of ita expenses for your travel and transportation, and that of your dependents, from the continental United States to auch overseas F Obsolete Previ | ; susp was NEC SECRET ue)
14-00000 SECRET “36 Grave. to your: overseas and your return travel to ' the United States, y 68, wellas ‘travel performed overseas vhich ie consie- Sent with, your. cover “@esignation;. will normally be at the direction of « your cover facility. Such. travel will be accomplished in conformance . “with applicable: regulations. of your ‘cover facility except vhen you are - directed for operational reasons ‘to perform travel in accordance with the regulations. of this organizations i _ 4. Salary and (except as provided in paragraph three (3) above) allowances paid by your cover factlity shall be retained by you to the extent that they are less than or equal to the salary and allowance payments due on the tasis 6f your. grade. level with this organization. If auch cover paymente are less than the amount due, the difference will be credited to your payroll account with this organization. If such cover yayments exceed the amount due, the overage will be remitted to this organization at designated intervals, presently Computations hereunder vill be mde on the tasis of the aggregate gross due and received provided, however, that in computing remittances for overage Federal and, if applicable, District of Columbia income taxes " withheld by your cover facility against the overnge my be deducted. To assure timely accuracy in your payroll account with this orgnization you are expected to immediately report cover facility payroll changes. 5. Your status as an employee. of this orgnization will contime . in full force and effect during your period of duty with your cover facility. and you will continue to be entitled to all rights, benefits and emoluments of such status. ‘Certain variations in procedure will be required, however, to preserve the security of your cover position. . a. Upon . b into your cover facility, you will continue te be covered by the provisions of the Civil Service Retirement Act, as amended, and at your personal expense you will be subject to pay- roll deductions for retirement purposes (now six and one-half per cent) on the basis of your cover salary or your salary from this organization, whichever is the greater. >. If you receive taxable income fram both your cover facility and this organization, necessary adjustments for Federal, and if applicable, District of Columbia income tax purposes will be mde in conformance with instructions received from thig organization. e. Consistent with your cover activity, you will continue to be responsible for compliance with the rules and regulations of this organi zation. ad. You are not assured upon the completion of your period of duty with your cover facility of any status with your cover based on your services performed with that organization at the request of thie organization. SECRET
14-00000 SECRET yi ee Te ALL anniml and oick: ‘leave which ie. accrued to your credit . ee so at the time of integration will be transferred to your cover facility. . 7 ~ While integrated. you will be permitted annusl leave, sick leave, . home leave, and leave without wey in accordance with the regulations ,of your cover facility in liew o fits of this organte vation. Upon- completion ef your sur accrued ahtiuml and ; . sick leave vill te transferred to your credit with thie organisation. . “ re. security condi ti ots ‘weqaire that your cover facility mke a luzp- . Po glia payment” ‘for accrued anmnl-leave, you will be required to may the . ; ar Eg wR ~ _ grése amount thereof to ‘this. organization anoluding. any income taxes . a ot wee “withheld by your ‘cover’ facility. Ge. “You will be required to keep forever sacret. this agreenant and all other: informtion which -you my. obtain by reason hereof, unless :you aré released in writing by this: organization from thie obligation. i Violation of such secrecy my subject you to criminal] prosecution unter ~ - : os the Espionage Laws, dated 25 June 1948, as amended, and other applicable - - Jaws ar’ regulations. fhe termination of your employment with this , orginization will not release you from the obligation of any security oath. you my be required to take. Form 15350 Obsolete rrevious SECRET (be12)
ts . * a) S49 357 11 January 1961 mie i Ureetes of Personnel ; PR; Shief, HO. _ f . . i - SUBJECT: - Alditional Correnastion in Liew o” Overtira thynent “87: Kero dated 11 Jenusry 19/1 fror, SSA/3)S to 39/S, arreoved by 13/5, Subject: *snployee Hene“its for da? Personnel"; on! ie o dnted 22 Docerber 1660 feos 2DUC) to Deruty “eestor (blans), Subject: *"Surloyee bene“its for Personne] tssiene! to dlats", In accordance with referenced merorunde:, if is requasted that the rersonnel listed below be authorized to receive additional conmrenss tion a effective § Jenurry lytl, et the cite of 194 of treiec resrective cates of baste annusl conrensation (but not tc exceed the tigekaane cate for & AV, ,).-2Wer) G5=G) in lieu of rayment of the regulsr overtine rates for irreruler, _ unscheduled and Srequent overtire. ENPIOYESS BAPE dental No, TITLE | wah th o *. sepgibeictes Gren ooo RPS oP eet tee Tmo sees - WHS7345,-Rebore 4. 509360 Or. uff ices | 226350 urS Ufficer dv 005 PULLS, Savi A. 65500 UPS ofthcer 12,720 Cfficer a 14,216 “NA.CLI, Lonis &, C2514 G YUADUY, “é.lter P. 064733 OPS Cfficer 12,730 52033 O”rS ufftcer ; _ 221,575 Pst sis, John J. ; SO794 Instructer (67S) - 36555 Bros, “alvin @, $6341 Unerrill: Wartrre Officer Gye 5 RILEY, daves £ou71 OFS officer : “I23a0, Anthony L, 5§01297 CPS officer . 46218 Instructor (OFS) A955 YET OATT, Stdrer 3, O50517 oF. Officer 11,255 RAYNCLUS, Vobert 55407 Crs Officer ‘ 12,470 TRA US, Urnest “. 422A5 Instructor (OFS) 12 470 BPG, Arnvel S, 61901 OP. Officer S475 CARTHUGHT, Sectl J. 57840 OF Officer $9215 CHULE IVa, Senuel J. §$622 All. Office- 7 820 PORALSS, “avid ©, £3385 Urs Offices ; : EeMP, wilidan f. § 54193 Cr8 Cfficer 5,215 All the above employees are on Allotnent 25§35-50C0.3021, £3 Lith BTT J, STHGLS
14-00000 STANDARD Form 61 REVISES sUNE 1957 gw 8 oe ce COMM ESOR , CHAPTER AB APPOINTMENT AFFIDAVITS IMPORTANT.— Befote swearing to these appointment aSidavits, you should read and understand the attached information for appointee WASHINGTON, D.Ge _ GBNTRAL INTELLIGENCE ‘AGENCY WASHINGTO co ee Beaparteneat at page) see (Hureaa ct division) ———SSS”S*S”S*~*~S~S*SR mc egret | D AVED ATLER PRELLEPS 0 — » do > solemnly swear (or affirm) that—_ A. OATH "OF OFFICE I will support and defend. the Constitution of the United States against 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 advoeste nor am I knowingly a member of any organization ‘that advocates the overthrow of the constitutional form of the Government of the United States, or which seeks by force or violence to deny other persons their rights under the Constitution of the United States. I do further swear (or affirm) that I will not so advocate, nor will I knowingly become a member ‘of such organization during the period that I am an em- ployce of the Federal Government or any agency thereof. C. AFFIDAVIT AS TO STRIKING AGAINST THE FEDERAL GOVERNMENT I am not participating in any strike against the Government of the United States or any agency thereof, and I will not so participate while an employee of the Government of the United States or any agency thereof. I do not and will not assert the right to strike against the Govern- ment of the United States or any agency thereof while an employee of the Government of the United States or any agency thereof. I do further swear (or affirm) that I am not knowingly a - member of an organization of Government employees that asserts the right to strike against the Government of the United States or any agency thereof and I will not, while an employee of the Government of the United States or any agency thereof, know ingly become a member of such an organization. ; D. AFFIDAVIT AS TO PURCHASE AND SALE OF OFFICE I have not, nor has anyone acting in my behalf, given, transferred, promised or paid any cone sideration for or in expectation or hope of receiving assistance in securing such appointment. E. AFFIDAVIT AS TO DECLARATION OF APPOINTEE The answers given in the Declaration of Appointee on the reverse of this form are true and correct. (Date of entrance on aay * igdanay a of Wposinece) } March Subscribed and sworn before me thie Lt CE gk | ne A. DBD. 19T7, at ASHTON Bet ene ceccessectceeseseceeeveseeveseggeeeteeeeeseettesnonesoeteeete t . (ity) a (State) , eel Com Od ar i <n : [seat] aa iit of officer) . PERSONNES CLERK ncaeecsennenerenseee cesanneecvoaes (Title) NOTE. — The osth of ofice must be administered by a person specified in § U.S.C. 18, or by a person desifnated to administer oaths under Section 306, Act of June 3, 1943, $ 21.S.C. I6a. If by a Notary Public, the date of expiration of Sis commission ahould be shown. So SaMare
14-00000 DECLARATION: -This form is to be completed before’ entrance on duty. Answer all questions. OF APPOINTEE Adinitted unfavorable information about such matters a3 arrésts of discharges will be considered together with the favorable information im your record in deterinining your present fitness for Federal employment. However, a false statement or dishonest answer to any question may be grounds for dismissal after appointment and is punishable by. law. &. PRESEN? ADOHESS (afreet and number, crey and State) & at cate OF BIRTH OcTeain 3 34192216 ET. LQaAat fa) 1 Case OF euiace PLEASE MOT UY qa) RLLATIONSH OP HELEN A. Pi ILLipe (mite ALGAN Tow ERS A FTO MASS, Ae. (8) PLACE OF B: ate festy and State ar cup ‘ind forogn country) (Des tinge wie OM, Pe SM, TEXRS (c) ster and RUMORA CITY AND STATE ALSBAD Tomar | asco Mess. AVE. MWD eS 1 (0) TELEPHOME 169. & OOLS THE UNITED STATES GOVERN: WLAMPLOY, IMA CIVILIAN CAPACITY, ant RELATE OF Yours (Teta BY R006 Ost WARAIAGE) WITH WHOM YOU Live OF HAYES Gives wile Tug past zemonrase [7] vis [p} 80 i Fé ao, for gach euch relative hifin the blank below if additronal J apace ia necessary, complete under [teas 2. . * wAME POST OFFICE ANDRESS 1 INDICATE ANSWER BY PLACING “X" IN PROPER COLUMN mes | no | & (A) ARE YOU & CUTZE OF THE UNITED STATES OF J AMERICA, OR (8) AS 7 ATIVE OF AMERICAN SAMOA DO YOU OWE ALLEGIANCE TO Tek UNITED . SYATES oF AMERICAT 6 ARE-YOU AN OFFICIAL OR € MPLOVEE OF any STATE, tt RAITORY, COUNTY, OF SEUNCIPALIT YE | re (Give street number, uf any} 8 POGOe CYT mapa? OR NOT SP OLPART MGMT OF AGENCY IR WHICH Wak ] Sim. RELATIONSHiP | azo | Gur —-. | SEheck one) EMPLOVI o vio Le veceres ceeacarece eeeestueeeee svecerernes Be ence cee n eee n cee eeteasceneeowee taeee INDICATE ANSWER BY PLACING “X° IN PROPER COLUMN | YES NO Do ne ce if 10 (A) HAVE YOu EVER MLED & WAILEA OF LIFE inSumARCE COVERAGE - UNDER THE FEDERAL EMPLOVELS GROUP LIFE INSURANCE ACT? wv (8) fF YOU HAVE FILEG SUCH A waiver, HAS UT BEL CARCILED OR { i ‘ “ if he VUREDT _if your answer (a *' Yoo," give detaily in iter #2. _ — jo—f-—i.—.. peewee tone were nme eevee te anna nt 9, 00 YOu RECEIVE OR HAVE YOU APPLIED FOR AN ANNWITY FROM THE UMITEO y SINCE YOU FILED APPLICATION RESULTING IM THIS APPOINTMENT: wv” STATES OR DISTRICT OF COLUMBIA GOVERNMENT UNOGR ANY AETIAT MENT A. HAVE YOU BIEM DISCHARGED FROM EMPLOYMENT BECAUSE: R ANY PLN F MPRA "i a - ° ACT GR ANY PENSION O2 OTHLR COMPENDATION FON MILITARY OR MAAR oti (1) Youn CONDUCY was NOT SATISEACTOR YE _ | —if sour anewor ig "Yes," give detatein tem tt oj —| (2) YOUR WORK WAS NOT SATISFACTORYE cn Kalle @ SINCE YOU FILED APPLICATION AESUL TING IN THIS APPOINTMENT HAVE YOU . BEEN ARRESTED CHARGED OR HELD BY FFDERAL, STATE OR OTHER Law {LB RAVE VOU RES‘GRED AFTER OFFICIAL NOTIFICATION THAT: ov EMFORCEMENT AUTHORITIOS FOR ANY VROLATRIN OF ANY FEDERAL LA, STATE LAW, COUNTY CR MURICIPAL LAW, ALGULATION UR OROINANCET BO (0) YOUR CONDUCT WAS BOT SATISFACTORY? mee | oe MOP GNCLUCE TRAFFIC VIOLATIUN’ FOR With ed A BINE OF $25 OR LESS WAS ra IMPOSED ALL OTHER CHARGES MUST BE INCLUDED EVEN UF THEY WERE , i (2) TOUR WORK WAS NOT SATISFACTORY? — {a CISMISSED iH i? yaue anewer is Yea”? give im frean 12 for each case: i] 6 HAVE YOu BEEN DISCHARGED FROM THE ARMED SERVICES UNDER UY approx mate date, (charge, (3) place, (4) actiun take: I OTHER THAN HONORABLE CORDITIONS? . WI SL “Vee” ai, , B SINCE YOU FILE APPLICATION RESULTING IN THIS APPOINTMENT, HAVE Aa Et igi ret CL ar LT VOU BEEN BARRFO BY THE U S,Civit SERVICE COMMISSROM FROW TAIING va rime and addrarnt cf eaiploren, aaprosimete date and EXAMINATIONS OR ACCEPTING Civil SERVICE APPOINI MEATS? i is Plover, GPDF . , -Femeuhe 10 each case as . ff your answer is “Ves.” give dates of and reasons for it . ce . so 5 4 WN eeteenoren ne heceeenetnetidliehetaeaneieinaneiniadinemnenedeibeamememeinamad shembetmateen anemtenatenmercet such deharmens in Stam if 12. SPACE $uR LE FAILED ANSWERS 10 Ginca GulStTONS (le dicate sie Aucrberas to which anawers apply >, iTTAd FO, oe ce anmawnrecethecnemerenerne ces ssets snarreneeetercnentasrmemerser i sua Sur otflevanmasere seas pasees Rar arnt oe Te mee RSE R RE FEA ; yl f-+ a _— _ . INSTRUCTIONS TO APPOINTING OFFICER. You inust determine that this appointment wouhkf be in conformance with the Civil Service Act, applicable Civil Service Rules and Regulations, and acts uf Congress pertaining tu appointment. This form should be checked for holding of office, pension. any recard of recent discharge or arrest, age, citizenslip, and mem- bers of family. @gaingt the application and ‘or other perunent papers and (2) bis ch 1) Oo 4h ron Also, to establish the identity of the appointee, you should particularly check (1) hia sgnature and handwnting physical appearance again.t the medical certhhcate. i6—S31O)-S web hee
14-00000 \ . 7 rs “ STANQERS FORM 144 - BEVAED SETTENSER I . ts STATEMENT OF PRIOR FEDERAL Ci@1AN ANO MILITARY SERVICE - FP CRU TARS LEA AND D wo AND DETERMINATION OF CunfPETITIVE STATUS ‘UMPORTANT: The information on this form ell Se used aD in “determining creditable service for leave purposes and retention credits for reduction in foree, and { nea tTencding agency determination of.campetitive status. The employee should complete Pais Ef and ihe Peswanel Orhce should complete Parts HI through V. ; RARY {THIS COLUMN I$ ; PART L—EMRLONEES STATEMENT FOR PEASONNEL OFFICE USE “TA. NAME (Looe, feet, snidate inatial) a 2 ATE OF ont "] & RETENTION GROUP PHILLIPS, DAVID ATLER OTsaen FL in an os 3 LIT Tee FOLLOWING INFORMATION CONCERNING ALL FEATS A, AND CISTRECT OF OMUMBIA SERVICE YOU MANE NAD a PRIOR TO YOUR PRESENT APPOINTMENT (De rot inchede seoktace soretons 1A ACSC STATUS tyes (le B TYPE OF PRESENT APPOINTMENT : - rae © T= Tre OF 8, SERVE MAME AND LOCATION oF AGENCY pose ~ APRN TUERT — vee sem | Da | wear | WOE +e ROON d 1 a . 2dA (Hyped Mlepey AX. seve * 8. LIST FESICCS OF ACTIVE STRVICE IN ANY BRANCH OF THE ARWID F FORCES OF THE UNITED STATES IF YOU NAD NO ACTRE MILITARY SERVICE, WRITE * NONE, . . YERR | WORTH! Sar fy ARMY AIR force of 2 3 Te bes te | el ew. DISCRARSE in DAY (Hoan. a deadowt. °} ~ B & BUSING PERIOUS OF EMPLOYMENT SHOWN IN ITEM 8 8D YOU NAVE A TOTAL OF “CRE THAN 6 MONTHS ABSENCE a a ee 4 WITHOGT PAY, INCLUDING PERIODS OF MERCHANT MARINE SERVCE_ CURING ANY ORE CALENDAR YEAR? [7] YES ae “3f GPa “YCS." LIST FOLLOWING INFORMATION, 1}. NONCATOITAGLE SERVICE (Loare purge .gea only): TYPE IF KNOWN (LWoP, Furl, Susp, AWOL, Mer Mar) 1& NONCRECITARLE SERVICE (RLF gurpoors ong): 6, DURING THE FEDERAL SEAVICE LISTED | ifs ITEM 3, DID Woe? ACO. iRe A PERMANENT COMPETITIVE ClVIL, SERVICE STATUS? Cy) ves [7x0 Uf anewor ig Yoo, in what agency were pou tence at the tiene eraraa waa acquired?) 1% REEMPLOYMENT RIGHTS 2, ARE WOU: A The ee oF a pisamieo veteran? [] ves [go . U7. EXPIRATION DATE OF RETEN- : tON RIGH B THe MOTHER OF A DECEASED OF DISABLED VEVERANT Cs vas je} sg 1S ©. Tad UNALMARRIED WIDOW OF A VETERAN? ai ves vw) ™ — & TO RE ENTCUTED BEFORE A NOTARY PUBLIC OR OTHER PORSAG AUTHORIEG TO ADMINISTER OATHS. swear (or affirm) that the above statements are truce to the best of my khaowledge and belief. ya : . is t rs - fet Ag eft a ? _ Lng? £2 PF ht adabt (DATE) {SeGna TEAL aay of ______. 1980.__ at_ WASHINGTON t UT) (Qty) sSTaTH) Subscribed and sworn to before me on this . SEAL NOTE: U oath is taken befOce 2 Notary Publix. the date of expiration of his Commission shoufd be shown. INSTRUCTIONS, § File this (omed the permanent ode of tha employre's official personnel folder immediately before or alter the penonnel action lave (OVER) fore |
' Part 11l, —- DETERMINATION OF COMPETITIVE STATUS. (Cainntete. foe noncompetitive Aitea hased on conipetetie status a8 re- quired by instrdctions in FPA Chapter 82°) Employee hase competitive status. This determination ls based Gpoa the’ following - evidence: . -9 NAME OF AGCNCY HONCREDITASLE CREDITABLE ENTRANCE ON LESS CREDITABLE SERVICE COM. SERVICE SERVICE. DuTy DATE SERVICE PYTATION DATE dfteam if) (Leave Purposes) (Prewar Agency) (Leave Purposes) | (Leave Purposes} PART V.~-DETERMINATION OF CREDITABLE SERVICE ANO ‘SERVICE COMPUTATION DATE FOR REDUCTION IN FORCE PURPOSES. (Complete only in those cases when the amount of creditable service for reduction in force Purposes differs from the amount creditable for leave purposes.) . MONCRECITABLE CREDITABLE ENTRANCE ON LESS CREDITABLE SERVICE COM. SERVICE SERVICE DUTY DATE SERVICE - PUTATION DATE® (frorn £7) | (tem Ty . (RIF Purposes) | (Present Agency) (RIP Pus paeea) (RIF Pur posse) pn TOTAL SERVICE * Enter os the “Service Computation Date” ua the employee's “Gerwice Recard Card,“ SF 7? REMARKS: pew ° SS CE Bees aT PETG CEFCT HY OBR New”
14-00000 4 CONFIDENTIAL es _- 7 cBhen Filled tmy . . Setter. 8 a SD AE SR a STAT ANA OEE tee LA ae pene Oo 8 aera emg mae sie Re? INSTRUC Troms - COmPeg te th ouPA Cate. Tee Data RECOROLO Sal twee CoRw 1s ESSEnete ae ite DETERMINING” TRAVER ERPR@SES Pees 1a at a ‘COnBTCH Om BIfH Ledve at. Gout snare? ERPENGE, CUEBSEAS DUTY, BETURY To REST OERNCT UPON SEPARATION, and FOR Pedy ese cimeent ba seoruce - ano DEPENDENCY INF ORWATICS quigno 1" Tre Event OF At cerrovct twractncy, Te Oa Gimat, or teas a Caw Sta. er” “pace 1% mili euplover’ 3° oes say PewsonnEe- rovore, * : (First) (eddies teem T aL U.S. OLSIGHATED “AS PERMANENT arstotece WJeATt a ae Sar. 4F BARREEG, imple are PLACE OF BARRE AGE OATE OF OLCREL DECREE Pract OF DivoRcE . §F Divorces, GATE sPouse' Ore 16 WIDOHED, INDICATE PLack sPouse oFED REASONGS? COR TERMINATEONM, ann DATES) {C614 PAT RILITY), HF PREVIOUSLY WARRITO, TNDICATE waMeds) OF SPOUSE. . Sean Ki ine aneusT, Divorce DEGhee For Fen? Wont ,TEKAC, —-— 2 6742 ._ MEMBERS OF F aatiLY ADDRESS (No., Steeer, cape fone, Stata) tGAts Te wires: Be? Mees Af, Cae gi De AME OF SPOUSE HELE MW. PRILCI PS VELCPMONE NuwaTe : & pears Fa) NAMES OF CHILOREY . ADDRESS ALAR GA 40.918 F PEI Le 17 of ae ee e¢ Pay tga B CHAE POATEH.. wf fe “. te ATE Yo VE Ebb han tC o ee cal oe : CoM (ote neh esti ku Eb f?. oo Py _* waMEe OF FalnER “(Or wade guerdieny ADORESS TELEPHONE MUMBER EL UT Pu sees (OF CE ACES | a ba. so _ NA NAME OF MOTHER (Ot feealo guardian) ADDRESS TELEPHONE NUMBER ra) & fp. hime (Se FLL ff (OrftAr z A OMAY WEMaTAIS) CF YOUR FAMILY 2S GLEN FOLD OF YOUR AFF IL ERATION BER THE AGENCY €O8 EMEAGENCY PURPOSES?! Reed sau 2 Aavtyeg (Cha TON cto me aos  wA cs ur, Poh FT dah Ti, FC ‘« PERSON TO BE NOTIFIED tm CASE OF EMERGENCY 1 &e wae (HPT Hes ndhews j (Laate Pic et-tseddie) i binhent fo FUEL Ep? FOAL Ea Ee fas (FS HOWE ADORESS (Ho.. Street, Carty, Lone, Seatey HOME FEL E PHONE MUWAER Souo KAS a ALBA tavrt(fes G29 & mb 62 Steet. Crty, dane, State) and maul Cf EMPLOVER, FF APPLICABLE! GUSINESS THLLPHONE & ERTENS IO Varee RELATIONSHIP BUSINESS anoness (Ae., NowoEe ENDiviSuae HAWES ABOVE SITRiN® CF TOUR AGENCY AFF IL AT EON? 1S Fee wes we tei viduat AUTHORIZED TO MARE DECISIONS ON YOUR Sima F? €3 IMSS vot erence npesetsunsnsathsrastrannstennnnnersannangunnahdcanteannnnte DOTS THIS ENDAVEIOUAL RNCS THAT ME WAS GLEN OESIGHATED AS VOOR EMERGENCY ACDRESSERT ty ofhe 3 ABOVE WAV ALSO BE NOTIFIGD tm CaS OF LUERGENCY. EF SUCH MOTIF ICATION 1S MOT GESIRARLE Om &7ew & Om Tet REVERSE S0OE OF Teetg $ Oates. THE PERSONS Santo BECAUSE OF HEALTH D4 GIKNER REASONS, PLEASE $9 STATE VOLUNTARY ERTRIES &, INDICATE AMY BANKING IVOTETUTIONS Bi Tee OHMIC YOU NAVE ACC OUWTS wfeT  WOCRIN CONTINUED ON REVESSE SIDE | CURRENT RESIDENCE AND DEPENDENCY REPORT painar 6l Scie CONFIDENTIAL mn
- . . CONFIDENTIAL sot 7” 1 - ¢(Bhen Pilied Fa) Ts. TCOnTINUED!, & Rt ee a of west arrerie wer tHE aecéunts Losteor © fb DAv.O. Um. PHILS SPECIAL AcCauadl Aenea Gemeente " cael MAWE VOU comPuetao A & LAST BEL ano Tentauraté vee ae. 98 TWEE" err as “pocumen? AOCATEoT Aes OFFEILES er coe TAH LA pe 7A, FLnT Gc hth day 0000 PALL CUPL? GAOT # yaad one Atul. AUC CON EA Oey AE ee oves Fy wo preerereral ine PoREa: oF "ATTORNEY Wave vou ERECUTED & POetR OF hie i aa a - “pe 7. PW he ipl ~The. oe OO odd pont NATO »he BEL estes fant batty EX . ADDI TOON AL DATA ANO/OR CONTINU AT LOR OF PRECEDING STEMS Os C8 oA LS LY CONFIDENTIAL .
14-00000 See Umi et ore son A eee ee Mw: HALIM ZORs SUBTLE a Cred Rofixceres a - a hired is af a ss TOUR LF wiv TTS ae the Yea s sta to. dtave gies! Porsonnd? 22D Crdentetior wi 4 ductden ( nish you wi) rears fUTKE wb tie seen a oP oe a ee oe a-we yh ge ee ghee Por aw obArY pure Re You evo atvicod tr cers dakivese ry watok gicthe vhs Ag rosd tae ob LE. i ree S160 * bet Treen Fe TTR ea eB te ° a ? t a \ e. ot to : ” ‘ eve dt pee’ odie : - % Uh pesdtion Lor virich rye ev bove beer, Vie thet LOS ARS Ge YO TOUUPIEY aeraitive paGreacnad the CY Flt esodit ywONe yinen er tor on; other thaw peste hn of the Merdey norrihng a, ha Monday forning Socurits Tatreé. - uid nocend eo: tefrd wook senomitl te Icowtlify Gti, wunn weessauy, For oraiit, vented of resumen, ate & Orders by S00 che Sar os ty Paraonnel ; Ge ‘ . Th cac wa ard tuvicreter that I B2aNEO Aes sor Bae core
14-00000 1. ‘Pursuant to’ the authority vested in me by section 5.2-of the Confidential Fund Regulations, you are hereby appointed a Staff Agent of the Government at an initial salary of $10,320, grade GS-14, effective as of FER = i955 _e ; 2. As a Staff Agent of the Government, you are an appointed employee of the Government-and as such are entitled to all the. emoluments of, and aubject-to the restrictions ‘of, that status. As a Staff Agent. you will under- — - ‘ ” e 3. As an appointed employee of the Government, you are required te aes " make certdin contributions te the Civil Service Retirement Fund. “In the event 4. {a) In addition to your basic salary, you will be eatitled to any post differential, living-quarters allowances, cost-of-living allowances (except post allowance), or other allowances that are granted Government employees stationed at the same labroad. You will account for such allowances in compliance with applicable Government regulatioas. (b) In addition to the above payments, effective upon the arrival of you and your dependents at your initial perrnanent overseas you will be entitled to an equalization allowance calculated at the rate of $3,670 per annum. This allowance ia in Meu of any present or future standardized post allowance established for your initial permanent overseas, but is subject to the entitlement provisions applicable to standardised| —jallowances. It is understood and agreed that this allowance ie predicated upon the comparative cost of living between Washington, D..C., and your overseaa| family status and basic compenéation. Consequently, @ BUGWARCE May be unilaterally adjusted or discontinued by the Government whenever warranted by a change im any of these factors. No accounting will be required for thia allowance, SECRET
os Se You will be advanced. or ‘relrribureed funds for necessary. expenses includin ng travel and ope rational expenses. which are authorized ‘by the- ‘Governe ment Accountings for such expenses will be in compliance. -with: applicable Goverameé nt: regulations ‘uile'ss such accounting | is: Afconsistent, . 6. (a) It is apecifie ly uaiderstood aid - agreed: that as-an appointed eiiployas. of: the .C gat.you'are ‘entitled to receive. and retain only: the salary, 2 lowances. “and other benefits-which are commensurate with your . " appointed. ‘position and- Salary: grade except as provided. in paragraph five-(5) above ‘and. paragraphs’ ‘six: (6) (By atid (c), ‘below. | | ; (b) It is understood and agreed that any fees derived from the remaining three (3) lectures, on your current lecture tour will not be subject. to the offset provisions of, this agreement. It is further understood and agreed, however, that said lectures will be made by you while on annual leave and that | you will be solely responsible for all expenses incidental thereto, Subsequent - to the completion of éaid three (3) lectures, the income derived from any additional lectures will be presumed to be| i activities and will, therefore, be subject to offaet unless specifically excluded by an amendment hersto. : fe) Ibis undes stoud ana G-agreed that should a specific manuscript, the title to which is set forth in your operational letter of inatructions, be published during your tour of duty hereunder, the income derived therefrom will nct be subject to offset as said manuscript was completed in ita entirety prior to your appointment as a Staft Agent. 7. It is-understood and agreed that your overseas assignment is ta be for a minimum of two {2) yearg from the date of your arrival at your overseas Lim unless such assignment shall be sconer terminated by the Govern- ment for ita convenience. If, in violation of this letter, you terminate your overseas assignment for your convenience at any time prior to the expiration of two (2) years from the date of your arrival at your overseas C7 you shall not be entitled to return travel or transportation for yourself or your dependents from such |to the United States; and, further, if, in violation of this letter. you terminate your overseas aasignment for your converiance prior to the expiration of one (1) year from the date of your arrival at your overseas[>——SS—=«dsdyou shall reimburse the Government for all its expenses for your travel and transportation, and that of your dependents, from the continental United States to such overseas 8. Itis expressly understood and agreed that any and all documents whic! you may exzcute in the course of such| arg subordinate to this letter and any contradiction in terms which nay in any way appear to amplify. extend or reatrict your rights and/or obligations hereunder shall be reaolved by this letter which shall always be do.ninant. . pera Qecere Ere aa subsea
14-00000 [you will . 9.) Upon termination _ revert to nor:ial staff employee status, unless for good and sufficient cause, 7 / auch as miséonduct or damonatrated incompetence, eveh -syar stca world ss | opposed to the best interest of the Government. ; : ee, 10, Ef inthe performance you assume the oe . custody of Government funds or take Gitle of record to, property of any nature : _ whatecever situate which: property has in fact been purchased with monies » of the U. S.'Government, you hereby recognize and acknowledge the existence of a trust relationship, either expreas or constructive. and you agree to ‘execute whatever document s may be required by the Government to evidence > this » relationship, . Bo ee con . poe ee 1}, Instructions received by you from. the Government. in brisfing. or e ; . training are a part of this letter and are incorporated herein, provided that ‘euch instructions are not inconsistent with the terms hereef. 12. You will be required to keep forever secret this letter and all _ information which you may obtain by reason hereof (unlesa released in 2. writing by the Government from auch: obligation), with full knowledge that violation of auch secrecy may subject you to criminal prosecution under the Espionage Lawes, dated 25 June 1948, as amended, and other applicable laws e ; and regulations. i - | i , a UNITED STATES GOVERNMENT BY Olfles of Personnel | ACCEPTED:
14-00000 Divi 60% Cage oeF hae Key } Haledln TEC tPuOws ENTERS ION 2056 ContRact UMFORMAT ON AND CHECK AIST "oe nae “opp ecsble. forased eregumet ard one copy foe Prop: nation af contrast, eee . . = " thee siees GENERAL 9 ALL OTuECHh wo, PASSE | sO ee 6a3EL5~SS5a0€5 SOF 2O. LO WAS -OLER ENGAGED BY Cra O88 4T9 ALEIED ves (El) ao (ff pee, deversbe and MOL wIOUAL i$ erestatiy GuGacig. activatins te $OwE capacity incited alec; * rekon? _Céntract Agent, 1952 © ‘195k . Staff kmployee as cof ] May? 1955 « S10 320, CUSTMACT 58°90 Bf BRITTEN Gm STERILE PORN 6. €. oe Cues Gevenautnr® cz van Cc 20 10. PROPOREO CATEGORY “(Contract agent. contract employee. efe.) . Cte PSEU S€cusity Cibananct Thee and dete) . Top Secret oO 7 . a INDE VEOUAL Bian Py ae UNbt se - *cdardouves CONOHTIONS” fb. &.. REGULAR oreice HOURS AwAY FRow “SUBAECE’S OME SEO FERPORMTG UNDER THE SuPERWIBICe OF. t 7a stare EGPLOVEE of Stare agent ‘ ' [CT vee CK) «e : Section” TT . . j . PERSONAL CATA |.” ‘ . . ‘hee CneTensn _. jh? uF WOT U8. CeTEZER, amor viDyan, 134 PeomaNie i i (Worth , RES OiNT aurin ree ~ 2e * Cuan mt REsiogace (Ciep and atete or ; country) 949 Kone Lane Falla Church Va, ys. ceoau aesiogece (Cety and geate er gountey)” ne. _ 44804 Washburn, Fort Worth, Texas, USA- - 7 MARITAL “STATUS (Check a8 appropriate) , : ; CC acwace | FRI] wanesen an a ,8190880 | fences CT secasnses [CWlesvosces 18. INDEVIDUAL 18 RELATED TO A STAFF EMPLOYEE, STAFF AGENT OR - as INDIVID CURRENTLY BORKING FOR THE AGENCY tm SOME NUMBER OF DEPENDENTS (Hoe iacluding éadividuad} RELATIONSHIP: : capacity vee [3] we t Wife @ Helen H, Phillips RELATIONSWTPT . Daughter : Maria Louise hillips : '} Sen 8 David A, Phillips, dr, ' Daughter : atlee toung Phillips ‘SECTION tt U.S. MILITARY STATUS *s 19. RESERVE Sa. VETER AR 22. €F RETIRED, EMOTCATE CATEGORY (Longevity, combat dleandi sty, No Yes seevice diaability nan-combat } ‘ a BRancH OF SERvEce 24. RANK OR GRABLE §. ORAFT ELIGIBLE . ‘8G. DRATT DEFERMENT OBTAINED : , = ~ . (Tl) ves = TJ a0 By Cha (] «es re SECTION FY | COMPENSATION ; $0- FAXES FO BE BITHHELO BY COVER Co}res ALLOWANCES (NORMALLY GRANTED ONLY YO-@ESIDENTS OF THE UNITED STATES) Oat $9. GiHEe . POST OLFFERENTIAL [88. COVER. (Breakdoen, &f any) 26. 27. BASIC SaLaay - £10,320 x 3s fe] «e St. QUARTERS Yes COVER (Breakdown, sf any) $6. WEIN DEPERDENTS 39. TYPES I ece Cc] Oomgatee GPeeatign At CI Foadiae GPERATIOM AL vas 37. HOUSEHOLD EFFECTS TO OF SaRPPED SQ. P€ASOMAL VEMICL Ee TO BE sHEPPED 38. VYRANGPORTED VERECLE TO @€ UCED FOR Oe. Cae COve Cole oremarioma TRavey OG Jres CUVaR€meseiP, AGE amO BATE OF BERTH a4. a0. $6 BLT OEPEMDENTS STATE RELATIONSHIP, Helen H. Phillips, wife, U.S, 346, Maria Louise Phillips, Daughter, U.u. 6, David &. Phillips, dr., Son, U.S. b, | 4 Atlee Young Fhillips, Daughter, U.S, 2, | St. Poywtuy anO ACCOWMTABIRITY S144 B€ su COP CMwanC a Gt TH . ims! S18 G8 Ser ahr sas { J] seve PRL Okt ES O86 FHSCEBTEED aecTium eid ; OPEMATIONA: PRPLNSES , ‘eo. Gevietaeeiat a8. Owed ag. Pyacwas€ OF ted Oda? Om ae. RESET erie tenn inet pee tra St aE Oo Paretet am0 AC comatagr.0T* Giet BA te Cras semam, @ Be Pe
. : . . oo ° ta ~ ” sett “ jo ‘ ae sasd Cee icea pees ree CONTRACT INFORMATION AND CHECK LIST a . : iH _ (CONTINUED) “ae : : ete ” | TH SRE INSTRUCTIONS ON FIAST SHEET. 2056 | 47 January 1956 CMmHes SINE ITS . oe regulations for denetste arplscahie to varioes eo B §5-999 of successor reguletrana. > .CTION Vibi Barner vs (See Port XIV of Contedowts ued Begeieteios ee auc categories of contract Darsonnet.’ PE medscal Secetete Bee requested, *, ~ 0 . ' - . 2 a ook. : - Staff Agent benefits! - — . SeRES activity : HECTIOM EX | . f : ; . : 7 sratus Se to evee [_feeceecavens TO Teverwene TT Teseee ecu Src | (eneet) conven) | Tronertee | [rowcaitern | evrans Ig hovers 1 ie. oF CovER LX]ss7s ane eee ert Fey PELE Of EFCACTED oe RERMBUMSASLE Bases . | Ha (yes - . Todereet (Jeane a . SECTION x .7 - - CERSET OF INCOME A ; . oo ~ a Bs oveser OF INCOME AND OTHER EmOLUMEATS OLALTED FaIm Coweaacriwitehs’ “CFF. fea than gucal, “suetafy an separate aces — attached herete.) Gil teres = Pomreas cl nome SECTION KE : : | b. OURATION “reece gate Put easrg | > - ~ Galen (Ej +e ' t Gal fel g Teed, n Departure $4. TEAMEMATICN MOTICE (Number of dave) POMSE RT RE OF RETURN TRAVEL FOR RESIGRATECM PRION TO CONTRACT TEG@wWIQETE Calves Colac SECTION KEG FLecT LON @. PRIMARY FUNCTION CFI, PP, other} PP SECTION XEFG Gores ‘Fs GENERAL OEICTIPTION OF OUTIES TO BE PERFORMED - : PP Officer, Cuba , | SECTION XEV ~~ _ - QAL IF ICATIONS $a. GHPERIENCE Contract Agent 1952-195h in | Contract Agent 195) (PESUCCESS & PBHISTORY) Associate 1954-1955 8. EDUCATION Oo Rameunee Compe reney bansusst Gi. twbeviOual gs inotat] ne oelecces COumTRY OF OHIGin ra mew a ae TT] sous. . ee ee ee Level Attataed Seat at beets Check Appropriate Begree Competency @2. ABEA BROBLEOSE Latia America, Europe SECTIOM XY PRIS CUPL OOWENT @8. 309 ANG SALARY PRIOR TO SERVICE FOR Cre Self explayed: Newspaper editer and publisher; lecturer, BOOT Ome ag FRO SMAT 8 Ole SUSPIFICATIORD C8 Gee ,aaetioms (fee ether side sf segeneaey ) OG. S901 TiGma, Of yRUtyat FE Gy Resets [J ecse OF Fame by Trets whee @ time? sae oe “eaaise piace. ORF TCAD tvhag meme g et GRR F LOE 0 task eee via ceerk ae an ae . wets sf?
14-00000 You will utilise your | You have chosen to live temporarily! because of Ewe unfulfilled lecture contracts ina the United States. You have not returned to your business in because of the great expense of traveling between [__Jand the United States. You will, in fact, return to the United ” . States on two occasions to deliver lectures contracted beferw your employment as a Staff Exployee of this Agency; (February 14 and 15 fn Sioux Falls, South Daketa, and Wichita, Kansasy and March 13 in "I+ Palm Beach, Florida), You are strictly enjoined against using any miterial relating to intelligence or other covert activities, You are ° advised that | | lz (this letter of instruction). It is understood that the lectures will be made while on anmal leave and that all expenses incidental thereto will be met by you. At soms future date, should it be decided that you should renew your lecture activities, the decision as to whether or adt the income will bs =e: You ag also informal that should the manuscript entitled /| | moms in the handa of your literary agent, be published during your tour of duty the income therefrom will not be subject te
thee veisr tine eer CF PSN Le smmiete a or etinn of same ast 5 “eh ey actry amede ‘7 BECURETY Ciganance (free and sare). : 4804 Washburn, Fort Worth; ,20. REST REE Zt. VETER RY Top Secret, 1 April 1955. 8. ImOlvIOU aL @ike sont usbie NOU8d aoa PROw SUBIECT 9 mereet “AyD Pear oaers & .OTAPE EMPLOVER Of STAPF aAcint te MOT U.S. cite cee BUSI DENT OR tote Gt. Cetereugure a? U.S.A b9. LEGAL MESTOENCE (City end state oe counter) Texas V7. waeitar sTatus (Check 2@ eppropecete) [CJ] oreous (TR wssarce REL ATL OmBe IPs Pives Wife and four children SECTION t44 pi. GRaAnCs OF SEMVICE a4. Mann Of GRAD SECT EON eee mud apphscabteo Foteacd orcginel “aed one copy far prog: PRO ect “CONTROLLED CORBET HORS ~ ave. REGUL aR ovesee | erogeas “)6. NUMBER UF DLPERDENTS (Moe including asedeviduad } SECRET ebeoo epeas 56 GENERAL BAL ous © sf ear ‘eTLES ew some Capacity > “fgteae [pac ‘de ealery) ‘ “3 " Statf ff Agent, if 3 fa e- Tovtmact uUMbem Tes SuPEavI STON OF am) ste ‘CI Be DATA sau +66 Cee [" Sinko andenboadinB. oe TELE Pees BRPER SIO ¥ Goveavat ays CA] vse See bbe NEA are 9 May 195) OPwEme mod. CE] enaucres CAaPACLTY CI vee RELATEORSN EP: u.S. MIRETARY STATUS ¢ 29. SHAFT EL ect dag van COMPENSATION CI scennaree te. PND Ew EDU AL t& ACLATES TO 4 STAPF FMPLOVEE. AM UMD EWS DUAL CURAEN TAY BOEING FOR Tre, AGENCY 8B Some Cz] ee i6- @. SLOT Se, eatiy TNGeGED Ue MAB BEE tmcaceo ey dia 0a. 8 @RIVTES te STERILE FOR 10. PROPOSED CATEGORY (Comfract agent. centcact sapleyee, sfe.} C7 Jer cosces STare Reet OF “devedide and eee e.@., Va. GATE OF BIRTH CHoaTh, dae, yoer) 31 Ocbe 1922" ek. IF RETIRED, EMDICATE CATEGORY (Longevity, combat Aivacaaaty, service dieedility moa-combse } NoAe ats BAER 0 DAATT OLFEAWENT OBTaAIRTS ave sa . CT] vas CHI se BY. OABIC SaLaRy 28. POST OLOKEMENTIAN |29. COVER (Breakdown, 4f eny) 535 7 $10,320.00” | 585.00 SECTION V Bt. Quartsras Post ae cover (Brvabdawn, bf any) 38. FrrEs (ET os (C7) oowssere OFewationa, Fo MOUSENOLD EFFECTS 10 BE SHEPFLO 3G. PERSON and. Wot) epeney epaummomane oo teowaede a@t. Ge] ves [7] we Wife: Helen H. Phillips, U.S... 38, Daughter: Maria Louise Phillips Daughters Atleas Young Phillips Sone David A. Phillips, Jr Child approx. 5 moa., U.S (7 } tse eveusavenne 10 Gif O€PEmOkm TS STATE HELATHOMSeth, CrPasinswiPk, 90. coves . TAKES TO BE Brinks od BF Coes" Cj ee 9G. GIT OEP TMOENTS [ Y saeerae OPERATION AL ves BK VEMICLE FO BE Sei PPRD 8. VRAam PORTED VEMICLE TO 8 USED #98 SE] ves CuTse OPEMATIONMAL TRAVEL AGE and CATE OF Bika FY UeSes V» ry UeSey 4, 9 U.S. Ss Pavegul ag aC COyelaABiay Ty gti, Sf te COMP ceuancs Bt fe [lo] cove oon cree aes oncesutee Oe Ferveeel Bb Oc dle tasra. he Bek Bf SECT IONVEE és. aurea (nF GGea Pisce Ore agaT ick as PRPERSED ei eaeut 66. Ofte Yodo Node t ed « eeeerarenan nam enenamabmactewenareenenneenne = — 1@ CORPNawanre om Beds pater [ee
14-00000 Yast crbicem CONTRACT INFORMATION’ “AND CHECK LIST d (CONTINUED) . CATFR RT TTT eT oe 3548 | LECTION whit: DIMER BINGE GTS” BORER ETS (See Feet 8Y of Confidential Pumd Megelataun® of succeesar regulations far bonetita applic able ta voreoue ff eedical benafata ase sequeated, sea B F9- 990 of sureeranr cédudrtiona. > categordiae of gontract personnel. - 7 . . * 1 ‘ ‘ MOPR: SEF INSTRUCTIONS OW PIECE: SHRRT ‘Usual staff eupleyee benefits a Cod Sictiom 1x” a7. sratus |_|esovones 48” eve |__|oeorereraer | Jevervens | comme ncras [revere ae. “TF COVEN PavuLWTE ARE ContawpLatens iaav @HUL BE EFFECTIO OW RE iMBURSARLE ryver) . Cae (Jee , Cerereere (i ] eo nries a GEFSET OF INCOME, “ ; " SECTION KO . Orrset oF tHCOME ABD OTHER Two umem ye. VERT VED Faom COVER ACTIVETIES (FF lose ehen focal, suctaly ¢% Separate naae” : 30-" it attached ‘herete. } x) rye CI Panrear CI aoee ME ed ABLE DURATION SECTION XUd FUNCTION PRimagy FUNCTION (PF, PP, other) PP OUTIES SECPiOn EEG SP. GERERAL ORECAIPTION Of DUTIES TO BE PERF OawED ~ . PSECTION Xt¥ $e. EXPERIENCE PP operations officer in the development, management and supervision of radio broadcasting facilities; professional experience in several media, particularly newspapers and radios QUALIFICATIONS $8. COucaATION | | GHAok FCMOOE [ [aren $€m00b Athoyue TE FOewE BEACOL GHAKUEIE caaoua ts Chkeeb As ghevt te} Butiae ss ef soct sPeayate COmMBTECESL BCHOOL Level Attained 4 OOS ARabua te O93. SANGUAGE COMPETE REY Kaw GUAGE SPCAan “aite . Bao Gi. MHNOevIOUAL eS COUNTRY OF ORIGIN Peesetiavie sae = PeuNde Hare ease fogos @eGwactirag Check anata Spanish Pe _ J USheo \Bearee Competency French +e x 4 German. pt le TU _ _ _ G8. AREA RROBLEOGE Central and South America; North Africa; Italy PRIOR CPL OvMiNT SECTION EY G2. 328 AWD SALARY PRION TO SEQUICE FCR CHA Editor and publisher, lecturer, actor and free-lance writer. ACOETEGMAL INF ORME T IGN FEET enn MED ET FORALL INF ORMAT IGN JUSTEPRCATIOME OF ERPLAMATIONS (ep e8heoe side af seecasery} Ga. 800+ FsGmal OR UNUTUAL RE CUIALWEMTS . Assignment to Project PECTATE should be effective 30 April 1957 (T7J eras APPROVAL [vF8O wuawe g A Lealyee oF SeNsOM ThaFe OeEtCda qe terB ice OFF 1C8w Yuet wr; | !
on ns a® < . CONFIDENTIAL OF, . - 77, Shen Filled Fay. - . - ° ne : - We stef d . THE FOLLOWING AGENCY SPONSGACTO INSUGORCH PROGHAMS MONE BEEN ERPLAINED TO Of (Odors SOFRCIER “EMPL OrERS CwOtECHi ye astecrarioe ( eAEPE) Cheese orpeagae °. G0eye meagre Tartzatios secensoentes ¢ GHz > , (ETiccons aeecaceseuae ® ty * Cote Pevwam? OF PREwiyan af fae fome wa” . 3 wuryah O89EF2t OF Gabwa-- MOSEL TALE gates 4 . . Ger poured SPPLIEG FOR HeRyRRRCR wUdT . * "i ° + the ee (FT) vireo cise tasuennce (YBLIC) . . . COREG fee CROTOR G. Thus BR Gran OF * - aese F8oe HESGOVEETERH, Pa Ee Jace Pere smeueance i. NEUE ANE Sp t ME OW PARTICIPATING. Of maCKD LIKE tO SIGNATURE OF EMPLOTEE ONSUTANCE PROGRAIT LESTE BFLO. PARTICIPATE te THE Pouee auwsta i BESuUCT#HOas avTaGeesea ’ 2 . s : Gace Pay PLaron BOR MALE Veet OF POLECE eeeines FF Eon Like ; : " ; } § OO NOT LLECT TO PARTICIPATE tn ANY OF THE STATEG INSURANCE PROGRANS CPyu (Segnatuce} C7 Cfyixpnarr EPL OV EE INTERViaeeo ay REMARNS secorparstion en the employee's offeciad the orsgenai of thsa form sdauld bo forwarded to TREB for The copp should be forwarded to CPB for retention sa CPB Fades. INSURANCE QUESTIONNAIRE FOaw %O. 797 REPLACES FORE B76 99D CONF IDEN TAL Gay 4 38% 49 Berth +S CBSS LEE. Bhewm coepiarze f, pecsoaned folder.
AR: a, eo, ” CONFIDENTIAL ; , - ” : “oy . toh en Fitted Pop . ‘ in duplicate ehen Graered overseas ar thenever Gouracated ahace of Teerdence, Fhoe inforestion 46 important in deteraiaing frevel eapenases allowable ia comnees vetuen to reardenc?® upon separation, and da deterednieg _ of comainn af eoployee of mene. of faasty. (#addie} wardteal o¢ TeSTRO CTIONS: Suboié dépendeancy siatya chan gee, tion wath leeve at Governnent apenas, oversasae duty, fesnepoctation. oapeneee eifowvabis in roanectson Bs th chipmen? (Faeee) piace tf cf RESIDENCE ene aPPOINTEe _ Church Va - wee teee _ ene ne PLACE if CONTINENTAL: u.$. daielel &o PERwaNENT ¢ on REGAL RESCDENCE [east einer or RESIDENCE im CONTINENTAL U.S. (i? appointed abroad) Pe 3. MARITAL STATUS ‘ ‘DATE OF MARRIAGE (] trmece Piace oF wean At. _ ” Lal esenree : Fort “orth, Texas... -_.._.-....|.5-Jdane. J9h8 DATE OF DIVORCE DECREE , PLACE OF pivorce, ORGARE ~ (TJ ot vowese . . PLACE SPOUSE O1ED DATE SPOUSE ONED — {7} #1 ocece 4, MEMBERS OF FAMILY. SAME OF SPOUSE 7 AQDRESS (Number) (Street) - (City) (Seare)| rer ePuone Helen Hagsch Phillips oN CRese_ ane Falls Church Vaq Jli-3-9579 HAMES OF CHILDSEN SL0RES3 (Number } (Steert) — (Carty) CSteee} sex Maria Louise Phillips " , " " " Female David Atlee Phillivs, Jr. H oN " nv [Male Atlee Young Philiips " Jf " " Female wae OF FATIGER (or wale guardiany _ ALGHESS (Number 3 (Street) (City) (State) TEL CPunone enced . pee oe erp api png tin tampa wAME OF “WOTHER fer fenale dusrdian) . .| apoaess (Number) (Street) (City) (Seeete)y TELEPHONE RELATUONSHIP. brother (city) sO (Seate} TELEPHONE FP SUCH NOTIFICA. THE PERSOVS NawED 1N ITEM 4 ABOVE WILL ALSO BE Dries IN CASE OF EMERGENCY. THON IS WOT DESIRABLE, OVE TO HEALTH O8 OTHER PERTINENT REASONS, PLEASE 90 STATE UNDER “ REMARKS.” VOLUNTARY ENTRIES ADORESS (Vumber) (Street) THE “Policy NO." SHOLLD BE ENTERED IF POSSIBLE, SINCE THES INFORMATION BILL ASSIST IN BEPSDITING ACTION BY THE INSURANCE COUP ANY SHOULD A CLAIM BECOME PAYABLE. CyuLi mawe OF Comp any " AQDRESS OF MOWER OF FICE POLECY HO. U.G. Government acployee tachirgten, Tc. Yatual of gnah. Vospitalizatt- Graha,y Uebe THE FOLLOWING AGENCY ENDORSED LIFE AND HOSPITALIZATION INSUSANCE POLICIES ARE IN FORCE IV MY NAME: GF 151 wine (") eae [ Power os atroancy ([7) ves (] ae . § HAVE COMPLETED Tek FOLLOGING: = " 8. REWARRG: Power cf attorney tos , Térin T. Phillics, if 1,20 Washburn, Fort “orth, Texase Sdmond #. Ranrnon Casilla 12°90, Sarntiage, Thile StGuio at ~ oats — 31 eat. Sackingston, DCe 27 Decumber 95S j€ De gc? hae ia} Poae ay. 61 MEPL ACES FORE BP. 7B CONFIOENTUAL ¥ Jub $@ @atie way G2 YSEBR.
14-00000 i Co CERTIFICATE OF ATTENDANCE ; en - . I certify that on ae have attended -. the Induction Course specified by Regulation 25-110. - Payp A Fh bsltPS {uaue) » Plesse pring . se. . cl eCagaecay CI] srenoenaure Cr ines OFFICE I, FE) oP Se ze x Prey, 6s. if (Grade) ‘ wD. SRPLACES FEBS ZI 0RF €. mo etary en war ot ysee. Se tab
7 te a oe ee STANDARD FORM 61 (nevi o aiust hey. PROMIAG ATES A Ciett,. SIE COM MISSI ~ FEDLAAL, PURSORNEL MANUAL . APPOINTMENT AFFIDAVITS IMPORTANT. ‘Before swearing to these appointment affiday its, you should read and understand the attached information for appointee . ______ CENTRAL, INTELLIGENCE ACEMSY = WASHINGTON, DOC, . (Depaitment of agency) . (Breen or division} . : ‘Pine sd conioperceay ' A. OATH OF OFFICE * - : I will support and defend the Constitution of the United: States against all enemics, s, foreign and domestic; that I will-bear true faith and allegiance to the same; that I take this obligation freely without any meéntal réservution 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 advocate nor am I a member of any organization that advocates the overthrow of the Government of the United States by force of violence or other . unconstitutional means or secking by force or violence to deny other persons their rights under the Constitution of the United States. I do 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 | so engage while an employee of the Government of the United States; that I am not a member of | an organization of Government employees that asserts the right to strike against the Government of the United States, and that I wiil not,.while a Govériment employee, become a member of such _ _an organization. PD. 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 given in the Declaration of Appointee on the reverse of this form are true and correct. 1, PAV ID Ay PUILLI P53 , do solemnly swear (or affirm) that 1 April 1955 chem CE pT lane “Ware ab enlzance om duty} {Signature af appwiates) Subscribed and sworn before me this ...23........... day of APPA ee AD 19.55, Ate Washi ngtong oo... ceeeceeceeeneeeee eeeccesseneeseencssevecuesaee: a - (City) “y (Stace? ; Kok kathon Goes. an le: ce Sots ee [seat] nature fl Pay ee . ia ERS aie | ET sied NOTE.— If the oath is taken before a Notary Public the date of expiration ef his commission should be shown. 0-08 180-8
an DECLARATION OF APPOINTEE: — . This form is to be completed before, entratice of duty. Answer all questions. déclaration with be grourids for cancellation of application or dismissal after appointment. roy criminal offense ‘and.will be prosecuted accordingly. Any false statement in this Impersonation is a 4, PRLINT ACORESS (arrest aad mumber, caty and Ste oe} @ DOS THE UNITED THE past se wcaTass [Jus [7 xo 44 20, for each suck relotive Ail in PIS OFFICE ADDRESS BEE ra Je neoe (Give street umber, sf any) * g Ga) DATE Ce BIRTH ; lia) PLACE OF DIRTH (eltp or town and Slates counteys _ ae TAPER SE” hme Po Pe eT thy) Teer : ; > 84 INCASE OF Dams y PLEASE NOTIFY {p) RELATooNsiue © | (C) STREET AND NUNGER, CITY AND STATE QD) TELEPHONE 6, ade chy - POM ogee : AP se Fadel PAE, Mets ge Pel LO oe TES GOVERMENT EMPLOY, I A CIVILIAN CAPACITY, ANY RELATIVE OF YOURS (LITHER BY BLOOD OR MARRIAGE) WITH WHOM YOU Livi OR HAVE LIVED WITHUS EMPLOYED BD cnnnenenananmssnennecenananesnssnmnenenee! 2% ‘ B pevcemertenserereneteam -rontectsantnceesel 3 INDICATE “YES" OR “NO" ANSWER BY PLACING “x” (8 PROPER COLUMN No vES & ARE YOU 4 CETIZEN OF OR DO TOU OWE ALLEGIANCE YO THE UNITED STATES). y & ARE YOU AM COFKCIE, OR EMFLOVEE CF ANY STATE, TERNUTORY, COUNTY, OR: BRURICIPALRT WE ee : . Lif your anewer is “ Yee", give dataslte in Gtens 20, PDO YOU RECENT ANY ASNUITY FROW THE UNITED STATES Gf DISTRICT OF 4 . COLUMBIA GOL PRA UIT ENOTES ANY RETIRE VENT ACT OM AMY PENG OR x OTHER COUPE NSATION SNE MILITARY OR RADAL SERVICE? 0 eee ee cee Uf your answer se" Ves, deve sn litem 10 reason fos cotieament, that 38, age, oprwal Sisedbility. or by seaaon wl veduntasy oe involuntary senarationafies 5 yoara’ sarvica, amonugne af Pefirement par, and urder whal retienient act; and rating, af rotured fsons miuistazy of naval service BR SINCE YOU FILED Rare oo 879M RESULTING IM THIS APPOINT MENT HAVE YOU REEN DISCHARGED OL CED TD RESIGN, FOR MIZCORUUCT OR LM ATES: FACTORY SERVICE Fane) POY POM DMP one a cee een eee n en ee ft your anewersa “Yoo, fvesn diem 10 the name and addeeas ad employer, date aad reason in each case ‘emecneresennradanenneteeeeseeertperette eR ef FET rah @ HAVE YOU BEEN ARRESTED (NOT INCLUDING TRAFFIC VINLATIONS FOR WHIC 8 YOU WERE Py ESCH LESS OR FORFEITED CASTER AL OF 5 OR GESS) SINCE WOU PRAS APPLICATION RESGLIING IM Litts APPOINTMENT? .. Sf your answer is "Yes. bee aff such cases under trem 10 Give itt each case. (IY The date, (2) the nature uf the olan ef wrofatians (3) rhe name and lucation of the court, (4) the Petal, tnpused, vo oane. ur other diinouti.n Of fhe cane’ df appusnted!, pour Engerprinte will be takon ' id. SPACE FOR DETAILED ANSWERS TO OTHER QUESTIONS ITCtA | warve tH LOFT COLUMN NUMBERS OF ITEMS TO WHICH DETAILED ANSWERS APPLY INSTRUCTIONS TO APPOINTING OFFICER The appointing aSeve before whom the foregoing certificate la made shall Metering to be warm mat adam tron that this eppeintine:.¢ would be is cunfurmamee with the Cisul Seryce Act, appheable Civil Serva Rules saad Kegulatons and mts of Congres pettan.ag te appanntment, Thre form shod be che ked foe holding of ofse, pension, suitability ia cos Berton with any recund cf recent dimbarge of arrest, and partwulerly is ghe foltewing: 481 fefenesry of apmuniog —It is the duty of the appuinting Ofna Io guard against ingwree etnce and toe determine beyond reasonable doubt that the Sepuntes wm the same presen uhoee appintieng wee authesint, The @pp.duler’s wgnature and hamiwriting are to be wanpased auth the aprile ation erl wt ceher gwrtacat papers. If the epmointee gunhieed ig @ written cg enue Matwon, the egnatuce oa thie form should be compared with the siynkture ua the dev lscatim ahreg, wank was signed in the csaminetion paca Abie ploy an ub apprarame mar te wamand against the medal certdsate, The appuintee muy aleo be quretoaed wa hie personal heatury fur agreement with dus previous Satements, (2) Age —10 defeute age trults have been established far the poution, it should he detesmincd th € applicant 18 aot outede the age ceage fee appuntmeng, Until suche determunation is made, tie appumtinent may act be cdngnamated. *43) Cetraonship ~The apjsunting offuer ia respenable far ctwerving the citaensh.p prowions of (1) the Cavil Service Rules and (2) apprepriaticg acta, Form 61 comatitutes an afkies.t far beth puryssses ard i acceptable pra of OUZe sh p etatue my he aueence wf Cumin ting ewidewec. fas Cute l! th apasntascat slheuhi mot he consummatet until cleaance bap bees sec the certifying othee of the Civil Seevice Commismon, (4) Measbers af Famuly.--Section 9 of she Civil Service Act proves that whenes:f there are sheady teo ur onde members of a famnly acreing unmice Probutioal ou peamancnt asppentnieut in the Conigetitive service, no other member of puch femity we)laiide fe probatwnal o permanent appountinent 1 sppontments of perunt entitled fo wetcrag peefaeme are a subltect to th eguucment. Thy membere cl family proven doce pot appiv te bem eagy appoinimenta, Doubtful cases may be referred te the appecgriste offs ¢ od the Covi Servne Communes for de sescm, the swampermane aev oe. Tbe Bb etedantant PantIGS GHPSE 46—agte0-8
14-00000 SECRET A, {Wea Thad Tad ot : . b RMSE OF REQUEST REQUEST FOR MEDICAL EVALUATION ___29 Jan 75 '@ GRADE € Pet ere ¢ GS-18 eer, Base . . 3. POSITION TITLE . Phillips, David A. _ __| caw ee ~ : Se tur & + S OFFICE. OfeibION BHANCH 5103 _ : 7. PURPOSE OF EVALUATION. _ ~ [__] koasrror i PRE. EMPLOYMENT [] OVERSEAS ASSIGNWENT i | ENTRANCE ON DUTY { oa TDY STANDBY | BPECIAL TRAINING C_] ANNUAL ; NO OF DEPENDENTS REPORTS OF MEDICAL “ HISTORY ATTACHED i | RETUAN TO DUTY {_} NETUAN FROM OVERSEAS CT] FITNESS FOR OUTY J MEDICAL RETIREMENT 9. REQUESTING OFFICER - 8 OVERSEAS PLANNING EVALUATION (tne bicek must be checked) a - " — SIGNATURE i] ves [7] wo ‘ROOM NO. Lava “G COMMENTS Subject has completed his Executive Annual. 11. REPORT GF EVALUATION — Qualified for IXEXXIELE TDY Standby until 1 Ocoober 1975. — on STG NATURE POR CHIEF OF MEDICAL STARE 4 Pebruary 1975 ‘ William T. Golder, oMS/Registrar DATE FORM 389 ESiriome. SECRET ines
i ; - SECRET . (Whew Fuld 2e¥ . 5 . ~ eects e, |" DATE OF REUUEST ‘REQUEST FOR MEDICAL EVALUATION . 10 May 1972 ad PeAbR veae, Fret, Malas, 13 POSITION Lass a GRape Phillips; David A, __Wependents of) “cos. S OFFICE CNIS CN, BRANER @: EMPLOYER @ KAT, ¥ - ___ 9. PURPOSE OF EVALUATION - 0 . . am | LC [._] woqarat . [] eec.exsvovmenr o , . OVERSEAS ASSIGNMENT C | ENTRANCE ON DUTY 08) eee "Au ust- 1972 . r . | ] YOY STANDSy Ss { [ SPEcial TRAINING NO OF DEPENOLN(S REPORTS OF MEDICAL | ANNUAL HISTORY ATTACHED { } RETURN TO OUTY : coe { FITNESS FOR OUTY & a? 3s sor ~* ne a as. - ($8 OVERSEAS PLANNING EVALUATION (Une bluck must bo checked) ~ . 9 “REQUESTING OFFICER e , ge een ome - a sien > ~ ; ~ yes we : wait - "i - _. a: No DEP: a ROOM RO. @ BUILDING rrr a ore 3) $309 Has | 7431 1? COMMENTS Please schedule appointments for the week of 10 July. wt BRS j EX Virginia §. wife 26 Feb 43 Rynre Augherton wen 12 Sep 64 Deborah Anne érimtau 25 Dec 59 d ‘ son 3 Aug 70 ~ Bryan Moss c#48 son__31 Dec 60 —& A Medes @ et BR SG Rt OF GeAL ATION ae Ee . . . * Qaus aie buh 0 PUL it Re Rank oY. 7 31 PWT Oa ne wer ee HRY PRESTIN WW ne ee ee ee “ |S SNATURE FOR Creidr CF MEDICAL STAFF : xClie) Be ros" 959 LSE OMENS . SECRET a +88 a
2. NAME Loot, Firat, Aidéte). Phillips, | David A. 8. OF rice, Ute IsiON, eaaNce DbP/Mi/COG { ] PRE-EMPLOYMENT . CJ EMTRANTE ON DUTY von cee aot REQUEST FOR MEDICAL EVALUATION ne ony _ (dependents) _ en eee earn nee C_] TOY STANDBY ! { ] SPECIAL TRAINING | RETURN TO OUTY [_] FITNESS FOR DUTY — @. OVERSEAS PLANMING evatuat Sc arene enna ‘Christopher Clark =! Son ~ eat fe. musi TtON TITLE Branch Chief’ EMPLOYEES EAT. . :  “7u5] : %. PuRPOS “oe #e AL Uarion | Pr] ‘pay for “SRT Bei ase dg assignernt wee ered aap ene oo “ ar we Ts o/a 28 De December 1969 P Date OF we “UES | 47. October 1963 = ge . 1%: weAOe etree = e NO. OF CE PENOEN NO- GF UE PENDENTS* REPORTS OF MEDICAL meer Sb Penge STATICS MO. OF DEP,"S tan (One black wruiat de, check ed} TO ACCOMMANY ane see cere Sem cana cn 7 REQUESTING OFF KK OFFICER 14. REPORT OF EVALUATION QUALT FIED os Pcs roa! 10-96 i 259. Yorronss bryan Moss = Son Wynn Aupherton - Son _ Psice GENT vuwe POR CHEF OF MEDICAL STAFF paces aT EAT. — 6815 42 31 63 Sa Oe
14-00000 phi te ; ‘ Co pe, 8. mawe (dset, Ferat. Mrdtle) {2 gate of giars Faiiltps, David A, DEP ARTERE % | §Orsae - &. OFFICE. DIvigica, BRamin (OF evecseas atalion aad [ 3. PREsEat POSITION, i 6. CPLOVEE CARTERS LOM eagetang saver af leteeal Sahagument } . i . BDP/UR/COG Branch Caief 748l P. PROPOSE sTATEOR 6. PaOPOSES Position (Fitlo, Number, Grade} COB, # 0188, GS-00 8. Pweg OF Cowes at NEw STaTeoR . tO. @erawareo care oF tf. State ; ; OQ. OF DUPENDENTS FO ACC Oar any 8k. CoOmtatTs q [e/a 28 Dee. ‘69 Robert D, Gahagen . Yorm BS-1686 to forvarded an ae th. Gate GF BEQUEST SiGraluss OF REQUESTING GFFIC EAL 19. QO NUMBER AND BUIGOINGI EG. EXTENSION p a UF. GRFICE OF MEDICAL FTRVICTS OFSPOTITION 6815 , , MEDICALLY QUALIFIED FOR..2 - _ PROPOSED OS PCS. en ‘ty _ DONALD FARLBY é- ° grt gel a8. sPICE-OF tcurRe ly BESPOSE TEC » 1224 EG oa) : a. areas le Fe Ke , be EB. FETSCAS CAWOIDATE BEVIET Panky Bigease Pion REQUEST FOR PCS OVERSEAS EVALUATION tae 25Sa Bob FRE Ob aEs Bortesan SECRET cmon gee ene! tan
14-00000 + {MaRS denireinamaty 6: > SECRET my (When Bill tds) . - sn can _ eR S EEE PATE Ge RE GUEST REQUEST. FOR MEDICAL EVALUATION nh ce mene amen nee amie oF ae o. POSTION TIP AR I" erry) _.Ops officer. —____.1_____ 08-15. 6, EMPLOYEE'S BRT, 2, MAME (Leste Firat, Mecette) David. &g———- -—_—- ——-- ———- &. OFFICE, DIVISION, omadcn 1. PURPOSE OF Evacuarion, a seven nraaarenpneeng erica EASE IAC po te mieanern cps ore So, } ] 7 woarrer [ ] PRE-EMPLOTUENT Sone ( } OvEGLEAS ASTIQNWENT Ree C] ENTRANCE ON DUTY 22 fay - -s June 1968 STATION Mexteo Ch ; TOY GR Pos { ] TO? STANOEY , Cc] SPECIAL TRAINING STO ACCOMPANY NO. GF DEPENCENTS® REPORTS OF MEDICAL MISTORY (Sf EHP ATTACHED - f=} -reresn Tooure , { | RE EUAN BRON OVERSEAS { *) FITNESS POR OUTT { } MEDICAL RETIREMENT STATION MOQ OF DE PSS e Sai cern ta a. OVERSEAS PLANNING EVALUATION (One block ausal & Lol checked | i SIGMATY CJ vas [1 me "306309 1516 8G, EC QMMENTS a ts PReave & et a x ee ern enn + anatowe FOR cele oF , ae EAL, aT arr 5 rere 259 Guede SECRET 20-99
14-00000 ” . _ SECRET . (When Fitted in) yo - we - + - DATE OF MEQUEST REQUEST FOR MEDICAL EVALUATION 6 Septenber 1967 2. MAME {Leee, Pivet, siasted 4a GRage GS=15 ware pbiss oy, David —______- a a wurcevee’ ext. 8. OF FICE, Oiv:s19%, BRANCH &. POSiTiGn Tita . oo , ae 7, PURPOSE OF KVALUATION C_] noas/ To# (_] OVERSEAS ASQiaNWENT rs caus si! PRE-EMPLOYMENT QuTRance On OUTY . : mo TO? $f anoayr WOv OR PCE ¥VPE OF COVER an SPECIAL TRAINING NO. OF BE PENCENTS TO ACCOMPANY NO. OF GEPERDENTS® REPORTS OF MEDICAL annuat « Executive MISTORY (SF 49) ATTACHED RETVRN TO OUT PITHESS FOR DUTY MEMNCAL RETINEMENT NO. OF OER.°S ~UOO gq 8. OVERSEAS PLANNING EVALUATION (One block net be chichod _8. REQUESTING OFFICER SIGNATURE . - : ROOM NO. § GUILOING COMMENTS 8, a . DUTT Cd 7 Bake : - TRIGNATURE FOR CHIEO OF MEDICAL STAPF |* Bt pon Forte 259 Vi Cae T OM oF SECRET , ; . ‘ 4Rap O39 € Qe ¥ 1 Ons B,
14-00000 SECRET - - , When Eitet ny ; ; . \ PLOCATEe OF Se yuE ST .. oO - REQUEST FoR. MEDICAL EVALUATION | a, MAME (Leal, Piret, of, Miadte) “7 ee noma ™ * POStENION Tiree . Annee enn @. orang J - _PHILLIPS, David A. -——.(Deps of) | Ops Off oe GS-15) 7 ; s. orice BivisiGy, BRANCH - |* S EMPL OVeE? STR, 4 “ DDP/WH/3 Oa -*') | _? runrost oF evauuation {_ ‘J 4DQW TOY . . PRE-EMPLOYMENT . C 7 Overseas ASSIONMEN YT ENIRANCE OM DUTY = TOY STANDAY TOY ON PCR SORE a, j TYPE OF COVER 7 . ~ NO.OF WEPENOLNTS TO RCC OMBANS NO. OF OF BY NOR NUS* REPORTS OF MEDICAL HISTORY (SH a3) ATT ACHR ANNUAL | a a tetera CJ C1 C4 [77] seuctan reas | _ om [J AETUAN TO OUTY . {x | PeTUAM PaOM OVERSEAS % [} FITHESS FOR OUTY ® * 1 _ Sa0its y lQuauE? MEGIC aL Revi CMENT “4 TUR, ~ [ } . MOTURAL - . ane a a. in u thas ‘ a et a ee a I &. Oveaseas PLANSHNG EVALUATION (One block anvel be checksd} 9. REQUESTING OFrFicerR : aieanealinatt ee ne «nee tt ante ent eee hag incon See eet = aetna eee ae OE SIGNATURE, ee erent ROOM NO. 8 BUILOING aur. 69. COMMENTS Wife: Helen F, Dau: Maria lL. DOB Son: David A DOR | Son: Atlee L DOB omnes <PDF Gheristopher 14. REPORT oF EVALUATE SIGMATURE FOR CHIEF OF MEDIC aL stare b -FS8s 259 YEE REvious SECRET ize)
14-00000 * SECRET ; “ re (When Filled in) 1. DATE OF FEQUEST 31 Octohet 1966 @: QRADE 2, MAME (Loot, Piret, Middle) ° re sed . . . : . Ce 7 $. OF FICE, DIVITION, BRANCH - : 6. EMPLOYEE'S EXT. ~ . he PURPOSE OF Ava LUATION eects cine ctin ce treenai nN ee ie 8. PORITION TITLE _} OVERSEAS ASSIGNMENT PRE-EMPLOYMENT ENTRANCE ON DUTY. STATION TOV BTANoayY TOV OR PCS FVPE OF COVER SPECIAL TRAINING MO. OF DEPENDENTS TO ACCOMPANY ene cero ne NO, OF DEPENDENTS’ REPORTS OF MEDICAL ANNUAL oo Executive HIST OW ¥ (S¥ 89) ATTACHED ean eeneneee RETURN TO OUTY FITNESS FOR OUTY STATION MEOICAL RETIREMENT NG. OF DER.°S ooouvoo0n a ei OT en, a ~ —-_—-_-oOo cS $8. OVERSEAS PLANNING EVALUATION (One block rust be chacked) } s. REQUESTING OFFICER 3 7 — merece, meee Cc] ves (] 0 ROOM HO. & BUILDING 10. COMMENTS DwAl TE: > Por _ _— , buTIEs VN CUE Cie 1, REPORT OF EVALUATION me wREX HANS hl a er ee Re ee awe SIGNATURE FOR CHIEF OF MEMCAL STAFF Pee ici OSM. Fg MEE SRR VIOUS ee j SECRET ie
14-00000 . Ney ve 4 po 7 _ SECRET te, i . : ro. {When Fitted in} . REQUEST FOR MEDICAL EVALUATION. , 7 | Begune 64 &, POSITION TITL& &. GRADE | ops Ofer _ 15 €. EMPLOYEE'S EXT. 2. MAME (Leat, Firat, madtes PHILLIPS, David t S$. OFFICE, DIVISION, BRANEH ’ | | . Paar Do PURPOSE OF EVALUATION : __ ‘ . “| Ce ] woos tov bt ‘ae [__] Pae-aupnovmenr (—_] ovenseas assionment - ero cI ENTRANCE ON OLE Y SL a 3 July $4 STATION ~ Return te Mexico Cit or ed { ] “TOY STANDBY TOY.On PCS. ” Pcs CI] SPECIAL TRAINING Lannngengnangununennnnnpeneuninnnnwnununapusnuannnnniins on mm mrranttiren NO. OF DEPENDENTS TQ ACCOMPANY ° “2 { | ANNUAL | TO DP DEPENDENTS’ REPORTS OF MEGICAL HISTORY (SF_69) APTACHED Meee [Re Tuer. re oUTY (x) RETURN FROM OVERSEAS ~ . (_] FITNESS FOR OUTT Mexico City Mexico Cj MEDICAL RETIREMENT a a RE ee " @ REQUESTING OFFICER: 8. OVERSEAS PLANNING EVALUATION (Ona Block neat be checked) eee enn eat ae NE ER RE ER stg bee] ve r] ers Ofer CJ nO ROGM NG. # GUILGING EXT. GH 47 te £5999 §G. COMMENTS Will, be in Uqe beginning 30 June until 3 Jaly fer TOY. yg ont S CaM herr “QUALIFIED FF FOR PRC PROPOSED 0 ce] 60% ., Pes tt. REPORT “or EVALUATION JOE We CLINE SIGMATURE FOR CHIEF OF MEDICAL sta "3 ah ge Sng Zn EEN te - dae DS Sg th fe aa, E 259 eitvowsY SECRE Taree UY SoITIOn s, 4283 FORM 13d
14-00000 ‘2. MAME ‘Lowe Piret, daiatte) PHIL IPs, _RAVID. A. - 3. ovrice, , DIVISION, Senasen ; PRE-EMPLOYMENT ENTRANCE oN DUTY TOY aTAND|Y SPECIAL TRAMING ANNUAL RETURN FO OUTY “pivness FoR oUTY” : ° . [ } MEDICAL RETIREMENT &. OVERSEAS PLANNING EVALUATION (One block muat be chec ed) mS SECRET =e (then Fi Hew as} REQUEST FOR MEDICAL EVALUATION ae | S876 % Pune se or EVAQuarION: {'- vate < SEQUES? ar SCLY- 1965 “Ty. rosa reves : ta “Geaoe . remaaiaes ExT, an } woas/ Tor . ; (xx OVERSEAS ASSIGNMENT STATION | ¥ Pes ¥VPE OF COVER i Wl | ROC OF OF PENGENTS VO SCCOMFERY 1 NO. OF OF PENDENTS® G@EPORTS OF SECICAL j HISTORY (SF $9} ATTACHED STATION NO. OF DEP.*S a - _ ™ ~ - . @.-REQUESTING OFFICER Soh SURE : 7 - . oe! | : ; ves. ms : _ re F - - oe : (__] NO - -4 1G. COMMENTS ‘TRoom UZ A SON aes lexto ry z i . > MR, PHILLIPS: JS A DIRECT DRANSFER, sae ee enna eenanpnn pee Saeeptensertt teeny neste ft. REPORT OF EVALUATION FoR c c 3039 259 Losrione o* SECRET . we Py
14-00000 Toa, . (When Filled in) - 7 - . -_ Po . %. DATELOF REQUEST - _ REQUEST «OR MEDICAL EVALUATION. ree TT 22 \ 1961 4. GRADE 2. NAME (Laat, Firet, Mikéto) 9. POSITION TITLE PHISIIPS, David de . : Ops officer OSs ff Be Orrice, Oiwisidn, BRANCH . & EMPLOYEE'S EXT, DDP, ; 7. PURPOSE OF EVALUATION ] 7p scesned xy OVERSEAS ASSIGNMENT e Cj PRE-EMPLOYMENT bs a) ENTRANCE ON BUTY pat B: STATION Mexico City Cc] TOY STANDaY NO. OF OE PENOENTS TO ACCOMPANY five { } SPECIAL TRAINING . NO. OF DEPENDENTS REPORTS OF MEDICAL . HISTORY (SF 29) ATTACHED Cj ANNUAL : po . FOKM e Ga 2 ty he re ” a: RETURN TO DUTY "ta : ] FITNESS FOR OUTY [_ | MEOICAL RETIREMENT 3. OVERSEAS PLANNING EVALUATION (One dlock muat be checked ee wen cet rt Ka 67 EEF a” Subject 's Last physiesal exan was nore than A YuaP 4gGe. i; 9. REQUESTING OFFICER > “SIGNATURES “ C] NO [room 7 = ExT. *y : U0h Barton Hall 822 10 BE PAR DOE EMAL UATAGY E << AN te] - Te ) 40 AUG 1961 I HonATURE FOR CHIEF or weoreke STAPE FORM USE PREVIOUS 7 Pa wot t&59 259 ZOIUT reas, ¥ . SECRET, Of . 426)
14-00000 A RY et OO DATE OF REQUEST @. wait (hast, Firat, Michited, §. UPFICE, DIVISION, (BRANCH 7. PURPOSE OF EVALUATION PRE-RMPLOTMENT ENTRANCE ON DUTY _1§ Ape STATION : be OVERSEAS RETURN TOY On PCs i jrvre OF COVER i ee reenter nearer ee Ee rNO. OF DEPENDENTS TO ACCOMPANY | L. Bome SPECIAL TRAINING . * [wO. OF DEPENDENTS REPORTS OF MEDICAL i MISTORY (SF £9) ATTACHEO | VOY ST ANOBY ANRUAG RETURN TO OUTY PITMESS FOR OUTY co co mo _ o co ' t “ME BICAR RETIREMENT 8. OVERSEAS PLA NING Evab N (One dlock mua st be checked) OG 10. REPORT OF EVALUATION ——e—————— es roy ¢ CHIEF OF MEDICAL she 3.1 APR 1960 frog FORM 259 USE PREVIOUS SECRET = : (26) §O-39 Eo tioms, . i i
14-00000 a a. , Ry > 8 s @ . . , "QO. tiers, SY hOATE OF REQUEST . REQUEST FOR MEDITAL, EVALUATION, y vs cr nah arma 9. POSITION TITLE GRAOE 2. MAME (Last, Fest, Mixhited . : PLL, TatiD Ae : PaO -F US oe EuPLoree'd Ext, S. OFFICE, Divisie~s, BRANCH ‘ pope safes Dove lo mwint. Cos Ament %. PURPOSE OF EvALuaTion - : OVERSEAS ASSIGNMENT’ ~ NO. OF DEPENDENTS TO ACCOMPANY NO, Of DEPENDENTS? REPORTS OF MEDICAL i HISTORY (Sf 89) ATTACHED § CC] TOY STaANoay oor . C SPECIAL TRAINING | | i t | | | . | | ANNUAL oO i. f i } i | RETURN TO OUTY { ~ FITNESS FOR DUTY wees ee or ee | $. OVERSEAS PLANNING EVALUATION (Ome bicck cumat be checked) | a a er ee ee . ; SIGNATURE = ; ROOM NO. & $0. REPORT OF EVALUATION Tare AP Pee ne enn aa * Sts rude FOR Cnigs ‘or PORN 259 USE Pet vious SECRET I-9d EO Tr Sma
14-00000 “e +e ~ “@ * ; Saal * . = «) - SECRET - : _— LN (Bren Filled in} . 1, DATE OF REQVEST c - REQUEST FOR HEDICAL:EVALUATION. i , &. NAME (Lact, ae ateddied : ; | 3. POSITION TITLE | f GRADE PUTED EATED Ae _ OPS O-FILL os ‘ an . &. GMPLOVEE'S EXT. BS. OFFICE, DIVISION, DRAMCH pi thc Domo sant. Comclenent eerrenrentertsbtn Po _Je PURPOSE oF BVALUATION + C_] ‘PRE-EMPLOYMENT | OVERSCAS ASSIQNMENT , . . r - asane Cc RNTRANCE ON DUTY an ta ae . . STATION | 7 ' t i # fj OVERSEAS RETURN ~ { YOY 37 anday ope nit snot tetnitttrennn ores TOY OR PCS . TVPE OF COVER NG. OF DEPLNUENTS TO ACCOMPANY NO. OF DEPENDENTS REPORTS OF MEDICAL I HISTORY (SF 49) ATTACHED oo a . Cc] SPHCIAL TRAINING at _ {J ANNUAL [a] eerunn ro ouTY C_] pirwess roa our { ] MEOICAL RETINEMENT ° . 8. OVERSEAS PLANNING EVALUATION (One block must be checked) 9. REQUESTING OFFICER _. a | SIGNATURE . LT ore (3 some , ia 10. REPORT OF EVALUATION _ MART Ne USES ———-™ * Cpetewe 2 Lina Lae AOE PUIPANS EAP IPE a Vsigna ps "ee Crier er ST ea i A Py ae PTO. FoR 289 USE PREWIOUS SECRET ia 188 €orTiows,
j a a SECRET ; ; _ * (when Fitted in) FORM 19-99 {] PRE-EMPLOYMENT Ca [4 U0 OQ 8. OVERSEAS PLANNING EVALUATION (One block muat be checked) 9. REQUESTING OFFICER 259 J REQUEST FOR MEDICAL EVALUATION pa. MAME (Lee Firat, Mickéled -£8. OFFICE, OFeIS1ON, BRAMT _ppp/PR _c5/CL Devalowment. Conlenent *) 2B Car ee aha ‘+e ef §. DAT@ OF RaQvust 8. PosiTion TITLE 4. GRADE O58 OSPiCBR Ls & EMPLOYEE'S EXT, 7. PURPOSE OF EVALUATION ~ ENTRANCE ON OUT Y OVERSEAS RETURN YOY $TAaAnDsy SPECIAL TRAINING ANRUAL RETURN TO DUTY Ed FITSES$ FOR MUTY MEKCAL RETIREMENT wes SIGNATURE sates Be enecte) | I | 10. REPORT OF EVALUATION PLEASE YAPLOITE USE PRE WIE WS EOih- nes, | t SECRET PeGNATURE FOR CHIEF OF MEDICAL STAFF CJ OVERSEAS ASSIGNMENT STATION TOY OR PCS VYPE OF COVER NO. OF DEPENDENTS TO ACCOMPANY NO. OF DE FENDENTS’ REPORTS OF MEDICAL HISTORY (SF 99) aT tTacnEee a6? *
. » SECRET (hon Fsthed ba) ‘REQUEST FOR MEDICA. EVALUATION 2. MAME (Leet, Firat, Middted 46 VATE OF RE QuUEt St H 4 < “ ; 3. POSITION Titke : J @. orang, 5 $. OFFICE, DIVESiOn, BR APEC 4 LDP/WH S/S Development Complement _ ?, PURPOSE OF EPALUATION. T eres meme sa trent neers ete PRE-EMPLOVMR NT ar G C7 OVERSEAS ASSIQNMENT evo ENTRANCE Of DUTY - . . - . , STATION OVERSEAS RETURN tov oR pcs VYPE OF COVER ‘ ™ EMPLOVEE'S ERT. TOY STANDaY lersTORY (SF 43) ATTALHEO bo SPECIAL TRAINING AMHUAL RETURN TO OUTY FITNESS FOR DUTY MEDICA REVINEMENT ooagagcrcaogg i | H | i i | { | | i | a on 9 REQUESTING OFFICER NO. OF DEPENDENTS 10 ACCOMPANY HO. OF OF PENOENTS* REPORTS OF MEDICAL @. OVERSEAS PLANMING EY ALUATION (One block mest be checked . SIGNATURE POD i a ° , t i 5 t i "eo fRoow NG, 8 SUILEING —* | Ext. to : 150k Curie 10. REPORT OF EVALUATION PLEASE EXPHITE = (pzppepewes) ” ~ ~ . [ towarune FOR CHIEF OF MEDICAL BTAGE ieee €Ot vides, Caer to] 259 VWBt PAE viG~e SECRET 128)
14-00000 SECRET _ thhen Filltod Im) : MEDICAL ACTION REQUEST AND REPORT+/ ff af me ee :. . - - . . rot rat a pif ee t f,.4 ow G - Lt REQUEST Pom PHYSICM EXAMINATION BY : 7 ity Raloh 5, Pollock, ¢/CPD . Le eae ihenta + ghee er - 4 Veléedier 2. OaTE : — PHILLIPS, DAVID A. ; . 20 Yan $6 ‘fs. OFFICE, “Otvtston, geauca 52 GRADE 3+ 70 POStTiO® : _Oberations Officer (PP) - | DOP / at , ce e- Tee OF POSS TEOR . . a ie TVALUATE FOR . . : (i TJrepartaental : so . CE |e . : (7) Pr e- tmpioyment (v8: tiers : _ (Cp Doversens . ‘on CT ExJoversses Creturnes ‘ETT spectot ispecttys - . Please notify Ken ¢ambold only, 2508 Curse Hall, x3585 1a REPORT OF MEDICAL EvaLUATiOR | Coouattttes tor rut outy sGenerate [Joust t¥ied. for full Duty (Special) (ohoustt tied for Oepartasntal-Outy Onty ‘ Coo Joi squat ttted . Subject fs qualified for proposed P2S 0/S assignment, (1-16-56) ae MEDICAL OFF ECE ve Smeets. weet A at een OR aE ee ge EER ML Pea Eyes MNT ca Le ee ERT MEE aetna ee F SECRET (Whea Fiiled In} MEDICAL ACTION REQUEST AND REPORT { REQUEST FOR PHYSICAL EXAMINATION GY ~ MAME (haete (Firses tmidales 2- DATE a Se OFFICE, Gtys$ies, SRANCH 2 TePE OF POSITION « EVACUATE FOR (Joepsrtmentat Cc Jeoo (TJ Pee-tmptoymant (C]u-s. Fleta (C7) Overseas (J revel (Co Joverseas (Jae turnes (CT specto+ tSpecttys ' Ph e TO POSETI Gh ti REPORT OF REDICAL EVALUATION [mouetifies for Full Duty tGenerats C JOualifled for Departmental Outy Only (CTTovstified for Full Duty tSpecial) (Ce otequall fled (12/12/35) Remarke: Bubject is qualified for proposed 7 days TDZ assigazent. Must have a physical examination on return form trip. This meno supersedea previous qualification. at weotcal OFFICE CQ
SECRET MEDICAL ACTION REQUEST AND REPORT ~ptuesr 2 ' Te wae : , Mysicat EAM AT IO Ei + Gvatuate FoR (evo (oJ Overseas Co} hee. tap toyaant : . Co /nwat (TJreturnee : CET spectate ispecttys 4 REPOPT oF WEOICAL Evaluation Ouatitteg for Full Outy (Generaty ” { ‘ r é maerats Saas 6 or fu ow Re CKestittes for Departuentet Outy Only CO : | sects ’ " " Seren Rewarke: o £ Fost > ‘ aa (oro squeti fies - ° . ~S ae Nea : , / a Ee 7 Ae Set ee get aterm eee ROE TIN OT Ue meses caer ep ot eres ~ ee wersamee ce ) -EZISTR a eed . : ~ = ee MEDICAL ACTION REQUEST AND REPORT - ) REQUEST FOR PHYSICAL EXAMINATION SY Le NAwWE Chae UFiestr weiastet 2. DATE ZXXHREEE PRILLIFS, DAVID Ae 2 August 1954 3g. 70 POSITIGN we OFFICE, Divisian, BRANCR 5. GRACE WH cS 12 e. THRE OF POSITION Te EVALUATE FOR LJoepactrental (CcT]eoo (J) Pre Employwent Cl): Flete fp oversecs , (T7] Arevat scGaade - (J returnée Comp seectat itpecttys ee ne TR A I A (CC svaittieas for Full Buty sSaectels (CEE bissaati fled tt REPORT OF MEDICAL CVALUATIC® Cae oualitied for Fait Sate iGenersts . (CThousli¢ies for Des artmental Quty Onby Remarke: WH #1 . Me, GAHAGAN x 3995 Pull duty /General 30-54)
74-90009 SO “+ SECRET ~ es a QUALIFICATIONS SYSTEM RECORD CHANGE THe cata apove (itevs 2 Teru 5) wiae ee Fiasco in LWMEN CCOING AN -APRETCENT- FOR INE FIRST TIME. THIS FORM 1§ THEN ATTACHES TO FORM 1962, MASTER QUALIF I Cae “T!ONS CODING RECORD. . J-LETTERS ® 5. Cate SuGMITTED 0, DATE OF BIRTH oO BA YR MO DA YR wren ror Like senores NO LANGUAGE - COMPETENCE, ENTER THE FCLELCWING EN @ item br "NO++LANGUAGE” -(12=n1aiTs) DATA FOR ITEM 2 tHau 7 13 EXTRACTEO FROM FCRM 1273 P| W LANGUAGE PROFICIENCY ANO AWARDS DATA. . . ADDITION TO RECCRO : a . CHANGE TO EXISTING RECORD DELETION CF DATA FROM CxiSTING RECCRO to. 6e 1962a , SECRET trewuoe Seon nega ng comma facgee - ebb WOR
14-00000 idea 2a. CERPEFICATION CF b-- _ | PHILLIPS DAVID te To LANGUAGE LATA APTAn Toot vam-ccrel A fw PP LS pu ptt] eran 10. ON THE DATE Sede IN FTEM 6 ABOVE, YOU BERLE TESTED IN —= : ~ Ss : AND YOUR TCST SCORES ARC AG FOLLOWS: so ~ * WRITING. _ ENTIEMECEATE ae RCAC ENG > as rt ey N NATIVE 1. REMARKS LO 13. LO NUMBER FORM | OBSOLETE PREVICUS : GaP a | s OP EAS 1i964 1273. _ EOETIONS vo-asy SECRET mabe SS haieeaoe b- 0Pm “J Phil dhe; ree Pay tt rm _ QUALIFICATIONS SYSTEM RECORD. CHANGE APPLICANT CODING DATA 1.40 42, APPL. HO. 7, wane | S-DiGr6s MUST CONTAIN 20-016893 . : - & @ i® @ , \x Oate OF DIATH  Oate Copco WE CATA ADOVE (sroes 2 vom 5) wita oc trance om | mo BA ¥R cr) Ba ve WHEN CODING AN APFLICaM? FOR THE Fia@gr Time, THIS ° i> . fom 1S THEN ATTACHED *O FORM 1962, waStCA quaLericas | ; . TIONS CODING RECORD. LANGUAGS CODING DATA &. FORM Sbkc [kh gancuace Gata ‘COoe Jecerreas . DATE OF GIRTH ween rors Guhe penates NO LanGuaae EOMPETERCE 5 ENTER Tee POL LOWING If tree Gs *NOePLANGUASE® (12-01c1Ts) LANGUAGE PACFPICIENCY TEST Gata \ ii. 10 12 CHPLOYCE NO 13, name IS core LRANSUAGE CATA BEFORE TEST l | 3-bevrens Coded I> PBL 5) PH | °¢ ‘ i ie fe) — (3. CARGUAGE DATA AFTER. TEST 17, DaT€ OF TEST I ata roe item 2 Thay 7 18 (as COOE ;R ¢ WwW P 1s u T i YR i wa oa TR 3, ERTRACTEO Pade rOR~ 1273, + > cancuace PROFICLENCY amd F Jit “BKS a T is iy g 4 "IE 3 : a Hf AWARDS DATA. fhe authorization to process this expicyee's disclain of proficiency in the lancuage factors indicates on this fora is contained in a memoranace oa file and designated “Languige . Proficiency Dlieciaim File", located in the Quailfications analyais Branch, Office ef Personnel.
ts! if SECTION 1 " j ; “ ig 1 - Full Nome (tas? fret-mddie) Age Lcctank.etonntinthtat ~ . @mern, Virginia, Simmons — . van PY a PERSONAL HISTORY STATEMENT ~BO NOT ATIEMPT TO COMPUTE: THIS FORM. UNTIL YOU HAVE READ TNE FOLLOWING INSTRUCTIONS — If the question is not applicable, write “NA”, w sAnswer all questions completely or check (X) the box which applies. Use the blank “7 Hfeyou do nat’kitow ‘the answer and it cannot be obtained from personal records, write “Unknown”, Space on Pages IS-and 16 for extra details on any question for which you do not have enough space. . 2. Ty pe dig pint Cascfully - USE “BLACK TYPEWRITER RIBBON OR BLACK INK. 3.- Leave blink any, boxes ‘or, columns which are markhéd "FOR OFFICE USE ONLY, - 4. Consider each ‘of. jour answers carefully, accurate completion of the form wall permit review of your qualifications to ithe best advantage. - Your signature at the end of the form will certify to its copnectness. 5. Page 17 entitled “Personal History Summary” must be completed, It is a bref abstract of information from other parts of the form and will help’ to speed the processing of your application. GENERAL PERSONAL AND” PHYSICAL DATA : 3, Moertaanee . & Other nomes pow hove wood Gina ath . tedhbeate cleeumanances fraclediag leagr of trae) emder which yoo here ered He ness anted 1a wom $ above Bla t! begol charge of name, give portieulars (Where ged by what aetharty) < 9. Menghe ] 18 Weeght 19. Coler of oreo a 5? 3 1o5 rreen Ly: es s wR Type of complanan 44. Bul : ix slighe . Stare d?ype oad locaton) appendi.:, stonech 21? Corvant oddresa (Me , S2reet, Cety, Store & £17 code ~ sountry (f aot U8) 974k Gorral De., Potosac, Maryland N30 Permanent oddren (Ma. Siveat, City. State & 21? code — counery d aut U.S) Q741 Corral Or., Potouac, ieryland rT} Lege! remdence (Soars, foers tarp Ge eGendyy) e. “TT Ghee phone sumber ° 24, Ofhce enronwen 332-0730 . ha Mery lane "SECTION fi POSITION DATA a fedcore the type of work or seanoe for which you ore oophnag 22 tadesta the knees? aaavo! antrence selery poo wit accep? 3 Gates ewasindle ter empreyagat $ en Series aA 4 tadicate pours welbagmess %e brows! | 5. tndcone pour wilhagase te accep? aimgament i the feltearag teetens - check 5 | Geres@nalty Greer (Spacdy} | eect wom eppicedia ~ = i jeomens 0¢f 1 Owtnede soamaantad YB ! {| Anpotere om U ! Covta-n tecomans endy (Speedy) at 6 ladaste exy remrenen poe world plate oe magemern ovtide the Woahagion, DC ren | Bate of this application i (For Office Use Only) phne Ui Pegees 444 EG teres ’ po THIS SHEET MUST BE COMPLETED
14-00000 “SECTION 1 —— TTISENS AIS “oO “ 2B Perce of beet (Cry Sratw, Covetep) : . . * 2. Presaw ¢recaing (Covamy! i. Philadelphia, Pennsylvania | U.S. : err © a P 3 Bote soterateed | 6 Newrohtomes corbicate epmber _ eased _ N/A MWA EEE? Coan lmsing romolivation comnlcete @ bwed 00 (Cory, Shute, Comatry) NA N/A 9. Hf alien, ghe otter regicmanen member 18 Dede ond place af arrival ie U & _. _ N/A is tow yo held provons somematy? 18 yon gw eam of evening t : G#LEMENTARY ICHOOE . . : Addeoes (City, State. Covatey)} Year otteeded ¢frae — te ~)} Qeoduate . I C] w= Gj mo HIGH SCHOOLS. Ackdsace [City, Stove, Cowetry) Sbdrewe (City, Shete, Covatry} ' COULIGE OB UNIVERSITY STUOT a 4. if @ gradvore degree has bees cond chime edecd coqered svbeage of g wrrikpe theses, saderate the mite of the thane aed berely demribe m& coetgad Teaee, COMMIACIAL AND SPGCIAUZIO SCNOGLS
a Wo Orher ederotivs oo toleing ae? indizated ebeew lise below the forelga language or languages in ‘which you possess ony degree of competence. Indl. sate your proficiency In each of the five skill factors shown (rouding comprehension, writing ability, etc.) by noting the number most indicative of your level of shill under the factor being considered. if your proficiency relates to a particular dialoct of a major longvage, identify this dialect by noting it in porentheses after the longuage on the same line. it you have no proficiency in any foreign fanguage, check (X) bos at right and ame leave other-items blank. “EDUCATION (Continued) SALUTARY TRAINING IN seaciatizeo SCHOOLS SUCH AI C SUCH AS ORDNANCE, eemenesres. He eve. Brwdhy ae ee predy ov epecreheshon Name end oddven of bea! “FOREIGN LAMGUAGE ABILITIES 9 = No proficiency in a -apecifie ohill Factor 2. It you huce dod experience os a toatlates, Interpeotes ov intiustor — eaplosn aad spedity in whigh leaguageds) yew howe hed wah eapenedce. 3 Beavibo your abihty te de specent red toaguage ork savehnag recabelorie: oad tera:aology ia the menhha, engineering, telaccmmuakahons, mitary cad ether specialised holds apts a 4 & paw bows seted © profcremy sa language, would pou he willog te wee thin ability ta any poohen tos which you abghe be eolerted? oe eres saree Les THIS SHEET MUST BE COMPLETED
SECTION Xt 7, 4 . . AAARITAL STATUS © ° - oo - 1 Prowet tates (S.nge epeed wavead resewed dueied stteled, seme) woh =e Payorced 2 Stare date. plore, aad reoton bor Ot caporemdn diances oF maactannn 2-10-69, Juarez, Mexico, incompatibility 0 Wife, hzebond 8 yoo have bees marvied sere thea eace [lacleding enaulatieate) wee separate shéet fer larmer wite os besbead giving dete roq beige ter ali previeve aacriegen,  marriege toatempieted, Ril in apprepriate information for Geacaieh : a of Aeacete} 6 5 . Home of weve (hemp Prout) tatidate} (Rtesdoad ~ ; Phillips David Atlee ot Roted in item 6 aheve were vied. H lege! change give pertayiors twhers -  tadtcato strevaretances liactodiag tounge’ et time) gader which ‘ ‘end by what eutbarity), Use guice apece provided on poges 12 ead 16 of thie term te cwcord thia information, . 3 Bore of bie j @. Place of terse (Coty Siete, Country} . 9. Gave of marioge ~ wee 10-31-22 © Fort Worth, Toxas Ph, _ ° 8 Place of martiogs (City Storm, Covatry) B lvieg . 4 Yes oO Ne EtG Citlasadhip . Ut, Poccser citsqashigte) [countrytiead] 12. tf ahen gre ehda registration somber u.S8. N/A N/A 13 Dave VE § citizens erqeved [146 Where ocqumred 43 Bate ond place of arrival la YU $. 1& Noterohrones cevhicate number ea - . : , 2 Nas e§ : N/A rh Ed |7 Gote of death 18 Cows of deoth N/A N/A TtO Cusrwat addeass [Gere tse? oddrou, of deceased) 20. Addren of speere belere mariage 22. Preceat empinyer (Aha give former employer, o¢ of npowte deceoned ov unemplesad, gre fest tee eaplezers) fd s_ Employer's ar baunem oddrou (Mveber, Shoot, City, Sete, Country) 26 Country wth whack mhfory rece afilicted “tg [23 Beanth of mileary service Botes of military women . (Pros - 99 = by aoate & pear) U.S . Details of other geverameoat rerece, U §. a: fervign 2ON XH Provide the lobemag -aloracnes for off chobdres and dopeodants Home Ralaneahkip Gare & Pace of Birth Adidrees ee NE 20 be of atoidren frm ede cugct sror & etanted th.tarua) whe oro ee ee wamarned, vada 81 pawn of oge, ead ene MOT cebenpsernag BaP who depend oa yoo tor ot tows? 30% of their owe? Ge cin kEnen goo! 21 MOL coh peppectiag & 3
~_ SECTION XV “MOTHER. IN-LAW Uf mocricge contempicted, All in ieformation for buture mother in law) 1 bait mae (Leet Pers — Meddte ~ Ma doa} 2. Ihets ether somes he hoo weed badicete elecemetonees Uneteding length o thme) vader whish ony domes noted ta teeas 3 aheve’ wore weed. Of legel chaage. give parvianlors iwhere and is what evihortny). Mee entre opace provided Ga poges 19 aad 16 of tbls ‘toven +0 vouerd thie istermation, @. Cittzerchio (Covairy} 10, Where orquired (City, Seite, Cowatiy) . . Speman eatisenchipy { cownerytive)} - 18 Got US emcoming acquired 212 Autwollsenen coctifeote number 12, 8 shen, grove ction regutrotion number \ a 33 Oxsepenen 16 Poqrent ouployes (Gree tot eaplayes if metheria low decooied as unemployed) 14 Gate oad place of arrival je U8. S “VE, Corraat eddie (Give lost addeoss, if decoaned) _ SECTION xvitt . GELATIVES BY SLOG, MARGIAGE OR ADOPTION.WHO HITHER (1) LIVE ABROAD, (2) Age MOT u. 3. CIVIZEMS O8 (3) WORK FOR A PORLIGN GOVERNMENT i 1, Pome (hast — Preet — Meddia} 3 Bete af birth | & Place af beet (City, Strode, Countey) i Simmons, George Stuart . : 8. Crtisonghop {Country} 4 Addeos os country in ouch relanee revdan a "4143 Unterer Zielweg 111, Dornach Switzerland | 7. toployed by 8 traquenry of contac? 9. Gate of lost contact | 7 none 1961 i $. Pherene (heat Paret ~ aidan} : “i fe = ive w oan - + ~ ~ ae ~ _ in| $ Corsgeshep (Cewmiry} . - & Addewm ge chantry ae whoch ralgeve revides. ~- ~ ee eee nt cat 1 ¥ fmpioyed by i Frequency of contact RELATIVES BY SLOOD. MARMAGE Oh ADOPTION WHO ARE te THe MILITARY O@ Civile SECTION XIX SURVICE OF THE UNITED STATES | 2 Relarqaaien . &. Place of Beets (Katy, Sige, Covatey) {T]}) 9 Crtisenskup (Couatey} 4 Addon (Penmber, brent, City, beaae. Coustry) 3 Type ond leveten of coevice (if sawn) i | 1 Pome (hort — first ~ auddlay " | 2 Peichonstup, peewee | & Place af Breth (City, Store, Covatey) $ . ee 0, 3 Citsonaing (Covatey) 1 @ Address (Mumber, Street, Coy, Stace, Coveiey} ? Vype ead lneten of wernce {if taswas & Ptoce wf berth (City, Srote, Cowndteys 3 Bete of Berth i BD Phepemee Sharaf — Foret -- Badtie?) | . t ={3) 9 Comragasmep (Cows ss I 6 Addrecs (Member, Serene, Cary, bowen Cawatry) § F Type ead lacones of woevice (4 tagwa) THIS SHEET MUST BE COMPLETED [Gza- | [] ves [] me ee
14-00000 “oO oad ign your same each such page. item by the section and item aumber to which it selateos fella Releriere each continued } ‘ 6, vee otra pages the some size os this page ond sige Use the tsllowing spose ter eatia de! ‘ ‘ space ts required beyond page | ot the end of the material. HW oddtenal SECTION XI MARITAL STATUS FORMER HUSBAND Ahorn, Thomas Joseph . 21. N/A 22, | | 4-12-40 , ——_ 23. | ; j Washington, B.C. . | Washington, D.C. 24. 4- 6-59 . Hyattsvillo, Maryland 25. N/A- 26. N/A . yes U.S. . 27. N/A N/A N/A . N/A N/A N/A N/A N/A N/A 4622 Hunt Avenue, Chevy Chase, Maryland . Space for extra detarls contiaved on poge 16 - oe 5 THIS SHEET MUST BE COMPLETED
: . PERSONAL HISTORY STATEMENT — (Appendix I) Listed, below are names of organizations identified by the Attorney General, under his responsibility pursuant to Executive Order 10450, dated rai April 1953, to. list the names of each foreign or domestic organization, association, movement, group or conibination. of persons which he designates as Totalitarian, Fascist, Communist, or subversive, - or as having adopted or having shown a policy of advocating or approving the commission of acts of force or vio-. lence to deny" ‘others’ thelr fights under the Constitution of the United States, or as “seeking to alter the form of governnient ‘of the United States by unconstitutional means. Each applicant or employee ahd spouse (if any) must review the following ‘Het of organizations for certification purposes, and sign-on the last page. Abreham Lincoln’ Brigade . Abraham -Lincoin Bchoul, Chicaga, nitnots Action Committee to Pree Gpain Row Alabama People’s Educational Association (see Communiat Poltti- cal Association) American Assoctation for Reconstruction in Yugoslavia, inc. American Branch of the Pederation of Greek Maritinie Onions American Christian Nationalist Party . Amegctcan Committee for European Workers’ Relief? (eee Socialist , Workere Party) American Commities for Protection of Foreign Bora American Committee for Spaniah Preedom American Committees for the Bettiement of Jews in Birubidjan, Inc Amertcan Committee for Yugoslav Relief, Ine, American, Coromiited to Gurvey Labor Conditions ta Rurcpe American Council for 4 Democratio Gresce, formerly known ag the Greek American Council; Greek American Committers for Nae- tional Unity . American Counell on soviet Rotations American Croatian Congresa American Jewish Labor Council American League Againat War end Fascism American League for Peace and Democracy American National Labor Party . American Netional Socialist League American National Bocialint Party © Amerizan Nationalist Party American Patriota, Ine, American Peaco. Crusade American Poace Mobilization American Poles for Peace American Pollab Labor Council American Pollab League American Rescue Ship Misston (@ project of tbe United American Jpantan Aid Committes) . i. American-Russian Praternal Society American Rusalan Lostitute, New York, alao koown as the Amert- can Russlen Institute for Cultural Relations with the Bovtet Union cot . American Rusuan Institute, Philadelphia ~ cole American Russias Tostitute of Bap Francisco Americam Russian luatitute of Goutherm California, Los Angeles American Slav Congress American Women for Peace American Youth Congress American Youth for Democracy Armenian Progressive League of America Ansociated Rians of America Assoctation of Georgia Elana Association of German Nationals (Reichsdeuteche Voreinigung! Ausiand-Organization der NBDAP, Oversess Branch of Nast Party Baitumore Forum Benjamin Davis Freedom Oomzmittes Black Dragon Goctety PORM fuss «444d «(vag PREVIOUS EDrrions | Boston Gchoot for Marzist Studies, Boston, Masaschusetts ” Bridges-Robertson-Sehmide Defense Committee Bulgarian American People's League of the United States of America . Catiforais Buworgency Defense Committee Califorata Labor School, inc. 331 Divisadero Strest, San Franciece, Califorals ‘Cagpatho-Russian People’s Gociety Centml Councll of American Women of Croatiau Descent, aleo - Kaown ag Central Counctl of American Croation Women, Na- ‘tional Councli of Croatian Women “Geutrat Japaness Association (Melkoau Chuo Nipponjin Kal) Central Japaness Association of Southern California Central Organization of the German-American National Alliance {Deuteche-Amorikanizeche Etahettafront) Cervantes Fraternal Society China Welfare Appeal, Ine, Chapis Culture’ Center Citizens Committees for Rarry Bridges Citizens Committee of thé Upper Weat Bide (New York Clty} Clitzens Committee to Free Earl Browder Citizene Emeryency Defense Conference Citizeng Protective League ‘Cisit Liberties Sponsoring Committees of Pittaburgh Civil Rights Congress and ite aMliated organtsstiona, including: Civil Rights Congress for Texsa Veteraaos Against Discrimination of Civil Blgnhts Congress of New York . Ciel Rights Congress for Texas (see Civil Rights Congreas} Columblans Comite Coordinador Pro Republica Espanola Comite Pro Derechos Civilea - . - (Bea Puerto Rican Comite.Pre Libertades.Civiles} -@ .- Committee for 9 Democratic Far Eastern Policy Committee for Constitutional and Poiltical Freedom Comzaittee for Nationaliat Action | Committes for Peace and Brotherhood Peatival in Pnilsdeiphts Committees for the Defense of the Pittaburgh Siz Committee for the Negro tn the Arta Committee for the Protection of the Bill of Rights Committes for World Youth Friendahip and Cultural Exchange Comimittes to Abolish Discriminetion tn Maryland (fee Congress Against Discrimination; Maryland Congress Agninet Discrimination; Provietonsl Committee to Abollah Discrimination tn the State of Maryland) Committees to Aid the Fighting South Committes to Defend Marie Richardson ; Committes to Defend the Rights and Freedom of Pittsburgh's Political Prisoners : Committes to Uphold the Dill of Rights ‘ Commonwealth College, Mena, Arkansas ; Communtat Party. U. 6. A. ts subdivisions, subsidiaries, and effillates (ay
. : : CERTIFICATION '  ‘ Yeertifty that I have read the names of the above Usted organizations. . To the ‘dest. of my. knowledge and belléf, Tam not, nor have. I beén-a member of, contributed to, received Mter- atare from, signed ‘petitions of or in behalf of, of attended ‘meetings of any organtzation . Usted above, or any orgatiization outside the United States espousing Communist, _ Pascist, Totaiitarian or Nazi causes, except as noted below, ' To the best of my knowledge and belief, ‘none of my close relatives are, nor have ever been members of, con- tributed to, received llerature-from, signed petitions of or th'behalf of, or attended meetings of any such organim- tions, except BS noted below. © : a : . INSTRUCTIONS - Fer the purpose e ay this certification, if on applicant or employee is completing this form, the term “close rela- diye? wel inelude spouse, children, parents, brothers, sisters; uncles, and aurils. “Closé relatives” of the spouse, for rts purpose, wall include children, parents, brothers, sisters, uncles, and aunts. Ty. there are exceptions to ‘this certification, set forth below under Remarks all pertinent information conecern~ ing the nature and extent of your acirities or those of your close relatives in such organizations, including the names of the organizations, dates of membership, meetings attended, titles of positions held, amounts and dates of contritunons, nature of petitions signed falling within the meaning of the above certification and circumstances thereof, tities and. authors of literature received, and dates on which received. In exceptions Concerning relatives, include only such information presently known to you or available from your own records, if necessary, use additional sheets and sign each sheet. Write none if there are na exceptions. REMARKS: To be completed by Spouse i REMARKS: ‘To be completed by Applicant or Employee Date . [Perea 12. 1969 J . Signature of Applicant or Employee here Cnc of. Chern Address City and State | Address — City and State / ; xélormac, Wer we france. : ee Signature of Spouse Witness Witness Address —— City and State | Address — City and State ~@- & By
wee dailies urna bederame me mmpieaied me a sen Bae 24 tL P28 BAY an A ee - ta poppe. i SUBJECT: MOTTE EC ATION OF GRANTING OR OF REVOCAPI Se OF CRVPTICRAPHIC CLEARANCE” 2 of a8 weet THE ABONE RAWER INDEVIOUAL (ITEM TP was BEEN GRANTED a CRYPT OCMAPHIC CLEAQ ANCE LCR THE CRYPTOGRAPHIC CREAMANCE HE. BY T US$ ENDIVIDIAL HAS BEEN REVCRED? CRDE® “HE PROVISIONS OF WR 90-4. THE CLEARANCE CAtiw 2p on REVOCATION tavew 4). GS EFFECTIVE AS OF Tet MONTH and VE ae SuOe8% ABOVE, SUBJECT MAS BCEN BRIEFED C8 (DEGRIEFE . aS APPROPRIATE. CONCERNING CRTPTOCRAPHIS aud BELATED COMMUNICATIONS STCUGITY MATTERS AND Has <GIGNED A BRIEFING DEBRIEFING STATEMENT, AS APPROPATATE: ACUNCELEDCING “CSFONSIBILITY FOR THE PROTECTION OF ~ CRY? OGRAPHIC' INFORMATION. UPON REVOCATION OF CAYPTOGGAPNIT CLEARANCE SUBJECT 1S NOT AUTHOMEZED TO RAVE CONTINUED CUSTOOY OF. ACCESS TO, OR OTHERWISE GA FURTHE® auceL EDGE OF STAFF CAYPTOGRAPHIC MATERIAL O8 tree “FORMATION. BHEN CHPA VEE NO LONGER REQUE.€S THE CLEARANCE ER CROER TO PEMFORW HIS/NHER® ASSIGRED OUTIES, 97 AS REQUESTED THAT THE COMMUNICATIONS SECURITY STAFF, OC. BE BETUFUED THAT Yee CLEARANCE MAY BE REVONED. ‘ F> CABrQEChQR OF COMMUNSECAT IONS, + OESTRIB TION: eee g ( Sg foe EMPLOVEE'S COMPONENT CETEM JP OT ca wate 1+ OFFICE OF PERSONNEL . COLES SURED BRANCH. OC-S Fong "597b us” paeuious CONFIDENTIAL OU" r nO i | 92-63 Cavteaas TEA dee ee Oe
14-00000 Staelin Tee i her “ . (When Filled In) ' 7 Y = LANGUAGE PROFICIENCY AND AWARDS DATA [7° $ 7 H INOKE | 4. OFFICE O8 DIVISION 3. LANGUAGE ©. LANG, CODE (25-27) 8 7 ae wee ! u Mh my Ce i F DATE OF TEST "46-31 10 DATE OF BIRTH i TEST SCORES . APPLY FOR AWARD READING (34) WRINNG (35) PRONUNCIATION (36) SPEAKING (37) UNDERSTANDING (38] : ESTABLISH SMALL LEWER _ 3 ~ - : — x a ee beget i ve ; j TyPt OF AWARD ACHIEVEMENT (A) REM ENTARY iy READING (Bj SPLAKING (8) BASED ON TRAINING THAT WAS MANTENANCE {MI HIGH ; ) COMPREHENSIVE (Cj DIRECTED {0} OR VOLUNTARY [¥} ‘ Ps | _ a __ 1S, INELIGIBLE (REASON) 16 | CEATIEY TS EMPLOVEE FOR A PROFICIENCY AWARD OF § 140-45) SIGNATUR DAT - Lewul of profieleney uot anintat met U? 1 CERTEY THAT FUNDS ARE AVAILABLE “ OBUGATION REF. NO. CHARGE ALLOTMENT NO, SIGNATURE foag once ; SECRET (10-45) MRD COPY PAE TREREER ne Ae EER eo tone heURp Ere Ae YrUstNNfener goaerD sete 44 sone
3 MAME (7.24) LAST amrat fate ka Peve itr Se lasaac: A} Steve 42. te. (NT ORSOVETE PREV BOS EDITIONS MAINTENANCE a HGH ae Se cu flee SECRET (When Filled in} READING (34] = WRITING i) PRONUNCIATION (36) TEST SCORES TYPe. OF AWARD ACTIEVEME! (ay | ELEMENTARY ey READING (8 SPEAKING (81 ERMEDIA wv i of | COMPRENENGIVE (C] 48 Teeeney | Treg EMPLOTEE FOt A PROMICIENCY AWARD OF § ORIG ANON GF NO. SECRET j i U7 1 CERTEY THAT FUNDS ARE AVAILABLE en ire) UNDERSTANDING (34) BASED ON, TRAINING THAT WAS. SMRECTEO (0) OR VOLUNTARY (¥} CHARGE ALLOTMENT NO. MRO COPY ae
“ ° SECRET When Betfed Pny PART I~GEMERAL 1 mBue ad PROFICIENCY . te AGY FOREIGN Lam GUAGE ART FU-LANGUAGE EL EME SECTION A. Rending (40) . + € Came BEAD TEXTS OF ANY SEP RICUL TY, UGEnG Tol BecTigrawy '. ONLY RARELY, NATURE UR FM @ EFS ON ¢ Be FAMILIE Ae wet fu, UF A GENERAL Poa Fail rar WIT, USENG fret 4 CAN READ “TEATS OF MOST GRADES OF PEFEICULTY, GF A GINERAL MATORS OM TN FEEL OS CECTIOCNARY Nocaseonatyry. oes @: CAN READ TEUTS Ce AVERAGE DIFFICULTY (temEpapers. reference materralts, ee. dy. USI Pee DICTIONARY > FRE QUI A TER, Tee Cai Tite sky EREOUENTAB, * 4. 4 Caw READ SIMPLE TECTS, SUCH AS SIREEF SIGNS, NEWSPAPER HEADLINES, FIC, USING 5S. | WAVE AO RELATING ABILITY IN Ime LANGUAGE, SECTION 8. Writing (41) can 1 CAN WRITE PERSONAL LEVPERS AND SIMILAR WATERTAL SE Tis COMPLI TE SHCCESS WETHOUT USEYG Tree SHCTIONARY. 1 MREVTE PACTUAL YASRATIVE AND CXPOSI TORY MATEREAL tT SF ASUNAGLE CLARETY, atin VERY FE e GHaeMATICAL €HRORS. IN LW OMATEVE SPYLE, USt%G THE DICTIONARY ONLY RARELY. CAN WRETE PERSONAL LETTERS 4NO SIMILAR SIMPLE WATER TAL Gets COMPLETE SUCCESS, USING Fal DICTIONARY ONLY 1 CAN @RETE FACTUAL NARRATIVE AND CAPOSITOSY MATERIAL WHT REASONABLE CLARITY, BIfH Foe CHRAMMAT SC ah 2. RARERY, ERROVS, BUT HM B STYLE MICH MAY NOT RE NATIVE, USING THE DICTIGNARY OUCASIGNALLY. U CAN BRITE PEASONAL LEYYERS AND SamtLAR SIMPLE MATERTALS WETH SERGOWMABLE SUCCESS Fe COWVEVING wf HEAMENS, Sut Wife CCCASEOMAL MINOR GRAMMATICAL ERRORS ANU [I OBVIOUSLY FOREIGN, ABAWARD STYLE, USING Tee OFC TiOmagy OCCASEONALLY. 3. lt CGmel etm MY MEARE. 4 1 Cam PRITE PERSONAL LEFTERS OND SUMELAR SIMPLE MATER EAL, Wil REASURAULE SUCCESS . Bul WETM ANY GRAMMATICAL ZARORS AMD i% A VERY FCREEGN, ABATARD STvkt, USING THE O1CTiawste sal QuENTer, (iy 1 CANNOT WRITE tte THE LANGUAGE. Ss SeCTiOg €. Prommcintion (42) 1S KaTiwe. 1. MY PRONUNCIATION Bete MATIVES CAN ORVECT AN ACCEMT IN MY PROMUNCEATICN PHEY HAVE %O DISTICULTY UMOERITARGINS Ee. 4 - 2. Gut GMLY RARELY CAUSES GHFFECULTY FOR NATEWES FO UNGERa rand, QS OBviOuUSLY FOSTIGH, BY PRONUNCIATION BR. f Mave NO SHEuL ES BOONE ATION COAT INURE ON REVERSE SIDE FORW ND. LUE SECRET a4: 43) a FEB ap
% SECTION D. SECTION £. i. 2. 3. 2 C3.) none OF fn ABSLE STATEMENTS acer THES CHEATER ICAT ION BEGULATEON MOL Fholtse. Fam, rT pBi, F WOR GESTAQU BECCWE ELIGIBLE FOG AN AMART, ant Pee? LMRESHESTEVE OF THE DATE G6 TESTIAS, | a “WTINUATION: OF PART Ul-LanGuacé ELEMENTS Speaking (43) m™ abl Peacticay and sc ‘\ SPEAR FRUMWIAY AND accoearare é IN ALL FECLOS WITH atetcm 2 ae Fawin ras, % CLAL SETUATIONS. 2 CONDERGE FREELY AMD fOECMATECALLY € SPAN PUUFRTEY AND ACCURATELY Ge UEARLY Abe PaaACTICaL “amo QOCEAL BT UAT oes: F CAR CONV ASS FR so8t FECL eS Bites werd ¢ Aw FAMILIAR aus | EwFL Sy SOME POPULAR Sav enes, RUTERARY Qorarigns. and comwmoy PROVEROS. VQ GET ALONG QUITE BELA AM SeMIATIONS OF OAILY LEFE AND THALEL AND Cam COWTOST MOUTERT BUS TRE Sa IM PARTICULAR FIELOS POMAVE MO AGLLITS TO USE Tred KAN RACE Im Ay OF THE MOCWE RESPECTS, Urulerstamting (#4) MEARLY EVERY TREN EME AG Gy Te TADID ANG AP FRE WIVES, PLAYS, AND LECTURES, ENDER STAND MOST OF BHAT 1 aad Puns. f UNOFRSTANN NEATLY ALL CAWWFTRSaTION ON TOP ECS CF DALY Lied anO Vaavea. UNDERSTAWE THE SEMPLE ST CoNeePSav EON, BOTH Fach %O+FACE &hO ON THE PELE Pe ane. HEAR ON Tut RADIO ANT SY Tet Mle ES, PLAYS, ANG LECTURES, $ AM NOT ABLE TO UNDERSTAND Tet SPOREN LANGUAGE... BEFORE COMTIMUING ~- CHECE TART 4f TO EMSURE THAT YOU HAVE CIRCLED ORE mes PART UbI-ERPERTERCE AS TRANSLATOR OR THTERPRETER (85) WRVE MAD CXPERTENTE AS A THaws AION. AVE feAD EUPERTENCE BS AN ANTE TIRE TER, _ BOTH OF THE Aa@dyk STATEWANTS &Feyv. PART IV-CERTIFICAT 108 we Eo Raalive & BATERUTES ws APPL cago FF: 1 CEMTIEY Tear t 2 A WAINTERANLE ASGARD PROVE Aw aE CUMULATIVE AS QE TRE UNWVESEMSABY PATE OF COMPLETING IMER FORW, Cate SETHED Jf “MAREK (Fee S UNDERSTAND NOW TECMMICRL COM eee FATT OM OH ALAM Y ALL SUBJECTS, BT FACES FOF ACE BNO OM TNE TELEPROME. 6 oN Tea RADEQ AND AT Ped MOVERS, PLAYS, OND LET TREES, PHONE f UNDERSTAND suce OF Bay b FAA ON PE RAQIO, AND AT INE MOVEEG, FORAYS, P UNDERSTAND MON TECHNICAL CONLESSATION ON ALK SL BSTOTS, BOTH FACES Pa: F ace AND Ow ONE TEL TPWONES FUNDERS TANG ANCL IOING HOST JGRES &ND Qe FaCk- Tosh ACE ANG ON THE PEL E> awd LECTURES. @ CNPERSTAND SOME OF BHAT €@ PER SECTIO€. eEN SAD¥R 2S TRYUG AyD ACCURATE FO Pef BEST UF we andar EOut and BELIEF, 2b Ae EL Ete.k UMOLR Pee TEMS OF teao f BUST FAS, AM OMZECTIO€ LANGUASE PRORICEERCY TEST eerjee MarariGa. ce AWAROS BLE Be Ss tare f-
. SECRET . . : 7 1Bhen Feiled pay CD A Ae op A Oe A Ci a - LANGUAGE DATA RECORD PART I-GERERAL 174-639) Late CF HIAta f mAVE AO PROFICHENCY IN ANY FOREIGN 6 ANGUAGE sO, PART Di-LANGUAGE ELEMENTS . SECTIOK A. - . Pending (40) A GENERAL NATURE OF FN FHELES § AM PAMIL EAR aot, USI § Cay ROALD PFERTS OF ANY DFR eCuRty, CF Tf DECPPOMARY- ONY RAGLLY. - A GENPAAL HATUPE OR EY FEEL US § AM FAMEL TAH BIT, USING Tt t Gat REAL TERIS OF WIE Geeres OF BK ECUL TY, OF DIC Peiyany OCCASIONALLY, $ GAM READ TENTS OF AVERAGE SEFEECUL TY (nesapaners, reference rateriats, @tf. 9, USING THe DICttGNaRy 3+ eaequemrey, $ CAN MEAD SEMPLE TENTS, SUC AS STREET SECNS. NEBSPAPER HEADLINES. ETC,. USING THE OFCTIONAR. FELOUENTLY, tH tHE LANGUAGE. F MAVE HU RFADING ABIL ETY Weiting (41) SECTION B. $ CARY @RETE PERSONAL LETTERS AND SIMILAR WATIGIAL WET COMPLETE Suctlas sh IeOut USING Tal DICTEGMARY. 5 ¢ Bty 1 HATE FACTUAL NARRATE VE AND ERE ISCTOMY MATEREBL BETH REASONABLE CLAROTC, waite VERY FEO GRAMMATICAL €RAORG, iN SAPEWE STVLE., USING Tek DICTIONARY ONLY RARELY. 1 CAN BRITE PERSONAL LETTERS AND SIMILAR SHwPLE WATERIAL WE Ts COMPLETE SUCCESS, USING THE BDECTIOMARY ONLY é. RAaWELY. € CAN WRITE FACTUAL ARRRATE VE ANDO ENPOSL TORY MATERIAL WITH REASOMADLE CLARITY, @t fe Fee GRAMMATICAL eo. 8RORS, Gut iM A GEYLE WHICH WAY SOP G2 NATIVE, USING TRE DICTIONARY OCCADIGHALLY. £ CAs RETE PERSONAL LETTEGS AnD SlutLad StMPLE WATERTAL, S9PM ALASONABLE SUCCESS IN CONVEYING MY MEANING, G-)eur GT CCCASTONAL MEMOR GRAMMATICAL FARCRS AMD IN CBVIOUSLY FOREiLm, awreaRD STYLE, USING THE O1CTIONABY - COCASLOWALEY, eR CONMVEVIN > WY MEANING, 4 $ Cam MITE PERSONAL LETTERS ANS Siw sR SEMPLE MATERIAL, BET BEASONANLE SUECESS . BIT eb WBaNyY GRAMMATICAL £BAlSSS and CY A VERY FORERG 6, ABRBARD STYLE, USEWG THE MECTIGNARY FREQUENTLY. CAeMOT BRITE 1% FE LaAnGuaGe. & Pronawiation (42) SECTIOw C. 1. we PrGeuNC at iGs® IG MAT EwE. Bite wAPIVES CAN DETECT Aw accdur iy wy OROMUNC LAT EON THEY WAVE MO OFF ECUL TY UNOEASTANOISG we. 2. G) BY PRORUMCHATION 1S OBVICISLE FORLIGH, But CNLY RAMELY CaUdES Oleh iculTY FOR NATibes TA UNSESE Tan, BY PROMUNCHEATECN OS SCC aS CwaLas Bree ecuLt FOR MATIVES TO UNOF as tau PM PROWL AT ITE. RowAYE BO SmeLe COATIALE ON REVERSE SIDE Pomme > UyuS SECRET tacass e Sah oF
a HTIRUATION OF PART Ci-LanGuaGe ELEMENTS — Speaking (43) . SECTION 0. 6 SPEAR FeUERTOY AND ACTUMATERY BN ALL PRACTICAL Bao SOC TAL SHPLATIGNS+ § CONVERSE FRTELY ABD FOICMATECALEY “a. - ~ . GM ALL PEERMS Site auto £ aM FawIL GAR, . b SPkam FIUSRILY AND ACCURATLLs fe BEAR Y eae PwRaCTECae Brno SOCray SiTUAT OMS! F Cay eomet Gal 1m MOST FEELOS Gite Gite § ake PAR EL EAR AWD EF AMFLOY SOME POPYLA® SAVENGS, LATi sary QUOTATIONS, ARO COMMON PROVERBS. "3. F GET ALONG QUITE SELL Em SITUATIONS OF DAELY LIFE AND TRAVEL €ND CAN CUNDUCT ROUTINE QUSINESS IM PARTICULAR FLELOS Understanding (#4) ¢ ) P UNDERSTAND NOW? TECHMECAL CONVERSATION ON ALL SUBITCTS, ROTH FACE? Toc PACE AND ON THE FELL PHONE: § UNDERSTAND NEAGLY EVERY INING £ HEAR ON THE RADEO AND AT THE BORGES, FLATS, AND LECTURES, 1 UNDERSTAND HONS TECHN ECAL COMVERCATION ON NEARLY ALE SUGSEC TS. BOTs PACRS FOS FACE ANDO ThE” TELEFaGhee Ft é UNDERSTAND MOST OF AT | HEAR ON THE RADIO AND AT Ted MONTES, PLATS, AND LECTURES, INCLUDING MOST S0KE5 AND PuRs, FaACE*s FO+F ACE AND ON PRE FEES anO LECTUSES. HO You fF UNGENSTANO VEAPLY ALL CONVEMSATION ON TOPICS OF DALY LIFE ayD TAAVEL, PLAYS. 3. PRONE: 1 UNOGRSFAND WUCH OF BHAT 2 HEAR ON Ted #8019, AND AY THE MOVIES, UNDERSTAND SOME OF WHAT A. b UNDEASTAND Tet SIMPLEST CONNERSATEON, BOTH TACES TO-FACE 85D ON Pek TELEPMONE? 1 § HEAR ON THE HADIO AND AT THE MOVIES, PLAYS, AND LECTURIS. AR NOT ABLE FO UMOTASTAND TRE SPOKEN LANGUAGE. fk ABOVE STAYEMENTS APPLY. 4. MGNE OF PART S¥-CERTIFICAT 10a : | CEAPIFY THAT THE INFORMATEON Givt% ABOVE 23 FALE AYO ACCLEATE TO THE BEST OF MY EUCBLEDGE ANG BELPEF. THiS COMTAFACATEON COMSTITUTES MY APPLECATOON FOR A WRINTENAN TE BOARD PROVIGEOD 1 AM EL*GEBLE SNOER THE TEAMS OF REGULATEGN NO, PS hTS., wan, Chad EOUNTERSTAND THAT PT wUST Pass 8% GBIECTE VE LANGUAGE PROT TC tENCY TEST BLFaRE Ft BECHME FhiGrare FOR At%y A@ARD, AND THAT 1FRESPECTIVE Of we Gare ve TESTING, Bee AL MAINTER ANCE ABARDS wry af CuMUL ATi we AS OF THE ARNIVERSAMY GATE OF COMPLETING Tras Foam, SEGNATURE —_ 2 tor Lil SATE SIGNED TE ARLON /%60 -
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§ tae FLUTE TRY aNd BC CURATERY “eM Aceh Paacratar amg socems Setuatiomse € COMVERTT FALTER AVG FTECMATEC ELL f% ALL FEELOS Gite sic t am FaTL bee, . 1 SPEAM PUERTO T BND BCCURATELY IN SERBLY ALL PHACTECRL AMD SOCIAL SITUATIONS: f Cam CONVERSE fm BOST FIELDS SET wetCe f Aw FP AMIL EAR ARN t EWPLO SOME POPULAR SAYINGS, LITEM ORY QUOTATIONS, OND COMMUN PROVE ARS. E UNDE RETARD MON TECHMECAL COMRETSATHIOW O8 ALL SUBIECTS. BOT FALE TU PACE ONO Om Toe FaadPmondt § UNBe er ans MEAGLY EVERY IMING § METAR Ot Yue GaorO AYO AT Peed MOVERS, PLAYS, A960 LECTURES. DP UMDLASTARD NON’ TECHMECAL COMOERSRTIOM OM MERREY ALA SUBIICTS, BOfe FACE* TOF ACE AND ON THE PELEPHORE. 8 UNDERSTAND MOST CF BHAT ¢ HEAR Ty Tek RADIO ANDO AY THE MOVIES, PLAYS, AND LECEURES, INCLUDING MOST sands aNd ‘ ~ PURSE. + UNDERSTAND MEARLY ALL COmMvEMSATION O% TOPICS OF DALLY £FE AND THAYER, BOTH FACE TO°FACE AneG ON Fee Peaa~ PurQHE.s | URDERSTAND WUCH OF Bea? § HEAR OM Tu BAOIG, AND AF THE MOVIER, PLAYS, An GEC TYRES. P URDERET ACS Pee SEMPLEST COUVESSATESN, BOTs FACE TORCH ANG OM THE TELEPHONE! § UNDIHSTAND SOME OF auAT f wEAR ON Tee @ASEG AMD AT Tof woudl S, PLAYS, AND LECTURES,- aM NOT ART TO UNDERSTAYS Ted SPONtY LANGUAGE. “_BEFORE ComTinuinG ~ CHECK PART 11 To EHSURE THAT YOU RAVE CIRCLEO ONE RUMBER PER SECTion. - PART WLI-EXPERIENCE AS TRANSLATOR OF INTERPRETER 145) 4 Mave WA EXPERIENCE AG A TRawsiaton. . | HOVE RAD -ERPEPTIENCE AS AN INTERPRETER. >) BOTH GF Tee MBOVE STATEMENTS arPar, a. mone OF THE ABOVE STATEMENTS APPLY. PaRT PV-CERTIF IC ATION 1 CERTIFY Tmat Ted EmFORMATION Sieh ABUL 18 TRyd AND ACCURATE TO Fuk MES OF mY KeOCLTOGE amd GEL EGF. YriS CORTIFICATIOM COMSTETUTES wr APOLIC ATION FOR A MAINTENANCE ROABO PADVIDES 7 aw EG bes oid VNOER Td Tees oe ’ @REVLATI Ce MG. 89-119. Pam, FCLSP. & wROERSTaNS THAT § wud? PASE AY OBILCTEVE Laecuact PROFTTEINCY TEST GEvoeE ? BECOME ELIGHALE POR aw AwARO, AND TMAT 1@@ESPEC TEE GF Tee Dare oF TESTING, SeMUAL MAINTEN SOCK ABAROS Stra oF CuMmuc alive Ag OF THE ANMEYERSARY O8FE St COMPLETING Peas Fone. CATE S1GREO Stomaty @¢ . Se
“s CONFIDENTIAL «ss @8) GWHEN FILLED IP} SECURITY APPROVAL DATE 19 February 1960 , your , - REFERENCE: £8573 CS/CS Pov, Compe BO CASE NO. 1 40696 qo s Director of Porsonnel FROM ¢ Director of Security’ SUBJECT + PHILLIPS, David Atlee 1, This i9 to Inform you of seourlty approval of tho subject person as follows: x] Subject haa toen approved for the appointment spoctfied-in - your request under the provistona of Regulations 10-210 and 20-760 including access to classified information through Top Secret as required In the performance of hia duties. [] Subject has been approved for appointment under tha authority of Paracraph a?) of Regulation 10-f LO, and under Re;ulation 20-750 Ineluding aceess to classified information through Top Secret as required in the performanca of his dutios. 2. Unless grraneements are made within 60 days for e:rrance on duty within 120 days. this approval becomes invalid. : mS , - 3. As part of the entrance on duty procesaing: a Uz] A personal interview in the Office of Security must be srranged. | A personal interview ig not necessary. Co] FOR THE DIRECTOR OF SECURITY: We A, Osborne Co Seting Chief. Personne! Security Division ~ pein eg ee fete Pts: ade *° 2-at o-Ge "Teate T173 SSS cae CONFIDENTIAL ™ a ae oP
; CONFIDENTIAL : SECURITY INFORMATION SECURITY APPROVAL ‘Date: 26 April 1955 TO: chief, Processing & Records Division “Your Reference: $Ra6038=PP ort 7 FROM: Chier ysecuri ty Division, : ‘Case Number: 10696 Personnel © - . - SUBJECT, PHILLIPS, David Atlee ; 1. This is to advise you of security action in the subject case as indicated -velow: — Lor Security approval is granted the subject person for access to classified information. . ~ [) Provisional clearance for full duty with CIA is granted under the provisions of FParagrath D of Regulation 10-9 which provides for a temporary appoint- ment pending completion of full security investigation. * The Director of Central Intelligence has granted a provisional clearance for full duty with CIA under the provisions of Paragraph H of Regulation 10-9. Unless the subject person enters on duty within 60 days from the above ‘date, this approval becomes invalid. 5. Subject is to be polygraphed ag part of EOD procedures. of Sher eledteee ee oe Loreal ~ Fa ert LYS? > . fe Mg a? Ls) Von oe ut tae ad nya CONFIDENTIAL FORM NO. 38-161 FEB 1039
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MATERIAL REVIENED AT CLA HEADQUARTERS BY. aes HOUSE. SELECT (fo IITEE ON ASSASSINATIONS starey Eos ° wv SECRET FILE TITLE/NUBER/VOLUME: whlh pe savin Ae - magn emer a8 ah ns Go Se Rone INCLUSIVE DATES: 9 5- MARCH ASS- BZ Fe bh lG76 CUSTODIAL.UNIT/LOCATION:: Of. .2; 7 ; ROOM: SE £3 DELETIONS, IF ANY: DATE DATE VIEWED 8 [ SIGNATURE © RECEIVED RETURNED. PRINT NAME REVIENING OFFICIAL tg , i ; ; “NE OF 4f IY BA shad 8 l | NED ee a4: SCA AE RTE ALVIS Bw Ae ab Mee HOES Sy EE Tree os I eh D8 fl bate! Ga es cries ee See ied
14-00000 lw et D&A Conjuesubin Cyst oo} 1 Feb 51 Independent contractor ; $600 per-mo | ' 23 Feb 51 GhSbbenabat contract terninated ' 600 8 * 25 Jan 2° Independent ‘contractor eS $6,000 peas 3i Aug 53 “Contract teraindted- : 65000: 4 Mar Sh Contract Employee $7,200 31 Jul Sh Contract terninated ; 74200 lL Aug Sk Contract, Enplcyee . . 8, 360 : ‘8,360 7 : 3. Mar.55. Contract terminated 7 3 ine 2 Agency Staff Agen’ sorvice "19 4ug 58 Independent contractor (Neter the base rate of pay of gd 4] 37,200 is subdjeet to increase on ogcasions wherein - aubject perfotna specialised assignaents) 87,200 13 Mar 60 &@& Contract torminated 7,200 4 Us; Mar 60 Entered on duty as an Agenoy Staff Employee at the rate of G5-1Lh/3 ($11,835). y
14-00000 TU ee eR Bae YE ipa t hi NG ake Me ude. gies tui: ates aahibedace 13 May 1978 MEMORANDUM FOR: Chief, Contract Personnel. Division SUBJECT : Earnings of David A.-Phillips In accordance with your telephone request, the following is a_record of income earned by Nr. Phillips during the period 19 August 1958 through 13 March 1960. Mr. Phillips was paid at $7,200 P/A, with the ‘exception of those periods of service performed outside of his country of permanent assignment and then he was paid at $13,000 P/A. DUE DIFFERENCE pra wate Auniiadol Alice INTERNAL t a Defuty Chief Compensation and Tax Division Hac Gi! PAID AT BETWEEN $7200 -DATES $7200 P/A P/A & $13000 P/A TOTAL 19-31 Aug 58 $ 240.00 -Q- $ 240.006 Sept 58 600.00 $ 32.22 632.22 Oct 58 600.00 434.97 1034.97 Nov $8-Jan 59 1800.60 -0- 1800.00 Feb $9 600.00 88.60 688.60 March 59 600.00 -Q- 600.00 April 59 600.00 187.07 757.07 " May 59 600.00 128.88 728.88 June-July 59 1200.00 -0- 1200.00 - Aug 59 600.00 80.55 680.55 Sept 59-Feb 60 3600.00 -Q- 3600.00 1-13 March 60 260.00 -0- 260.00 -, Totals $11,300.00 $927.25 $13, 222-779 ©
Db Cop | ag BE - eo 19-3) lag 6§ — “ZO - Sep SF — G00 +3222 "65422 toy LE — $600 + 25999 FFT IY - Way $8 — Thos Sour 5f 00 © F000, lo. fei $F — . 004 Ftb0 LE% 60 Mer 6G = —— = GO0.00- Ae SF GO0+ ISR07 °°  JSR07 flay SF: COO +198. 9% V2. EF 7 SS  Goor 80.85. 680, £5 St 47 Gob  .  G00..00 Oct” FF 600 600.04 | fan £7 £00 | G00 Dow $7 600 | G60. 20 | 469 G00 G00. BO | Leg a _ ¢00 600. 0% 7-13 Ier 60 -. 260 KCL. 2D
oy . ry [6 BRO fee af “Z2a0 AEA bad) 74,692 30
14-00000 4 March 1975 Beg UND 0 ON REQU JEST FOR CREDITABLE SERVICE: August 1950 Until 3 March 1. -A basic document in consideration of this request is HCSA-825, dated 4 February. 1954. 2. if was running an English-language newspaper a when asked to work with our Station there. My first pay was S50°UU per” Ye edly month. The file contains a project approval dated 31 May 1950; TCS-A- 1064 asks that the first payment be made to the U.S. bank on 1 August Banden 950. bother’ r 3. Ouring this period | recall a number of activities undertaken for the Station, and Il travelled to New York for clandestine training. The file indicates “He was originally approved operationally to handle. Qre 3% the complex Soviet espionage case of FULMINATER-2. His conduct of this oa case was considered excellent...." Also, “It will be recalled that ' Headquarters was very pleased with the printing job...which he had done.” The latter was indicative of a number of such chores, when I stayed be- hind in my plant after the employees had left for the night, printing leaflets, booklets, etc. I also handled agents and did a number of spotting and-assessing jobs for the Station. 4. I signed a new contract on 25 January 1952 for $500.00 per month which ran until the termination date of 31 August 1953. (Actually this was in the form of a loan which was paid off at the rate of $500.00. The advance was used to purchase printing equipment which allowed me to do certain work for the Station, but which I retained.) ” 5. After termination of the contract on 31 August I remained in until 4 March 1954. Ouring this period I recruited a CP agent who st works for the Station--and was a cabinet member under Allende. On 3 Febru- ary 1954 Headquarters asked that I be made available for another assignment. The Station pointed out that I was working on the recruitment, and that I i Headquarters again and my family were planning on-a Curopean vacation. requested my assignment. Thus | departed for ci ne te tn early March, abandoning my free family trip to Europe (tickets paid for by advertising in'my paper} and leaving my family behind to pack up. I accepted this assignment without knowing where it was, or for how long it would last. Indeed | did not even have a contract. E2 IMPOET CL BY 024345
14-00000 6. 1 worked for the Agency | then, between 1 August. on 4 March 1954. I was. always avail- 1950 unthi departure for PBSUCCESS able and when I finally.did leave it was for Agency business rather than my own. Thus I-request that all or part of this time. be approved as ; creditable toward retirement, *! f ' fo OC Cm _ “David A. Phillips”
14-09000 wo a en nner og Mr. DeFelice: "Information. from Adele regarding Dave Phiilip*p’creditable service: As of 31 December 1974: 18 years, iN months, 27 days . (Agency civilian service) 2 years, 8 months, Ll days (military service) Total creditable\ service: 21 years, 8 month\, 8 days. Sick leave will bey For your information, an appointment with Mr ips on Wednesday afternoon. | CIARDS system and with Nis birth date in 1922, he is eligible for voluntary retiremént. Derm
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14-00000 SUBJECT. Fee "21 May 1975 MEMORANDUM FOR: Office of Finance/C&TD ; Verification of Contract Employee Service of “= David A. Phillips, current staff employee for ' “1 period 19 August.1958 through 13 March 1960. ae" REFERENCE. : Memorandum from Deputy Chief Comp & Tax Division subject earnings of David A. Phillips dated 13 May 1975 1. Based upon new information it has now been determined that subject served as an Agency contract employee during period 19 August 1958 through 13 March 1960;- and that this period is creditable for both retirement and leave account category purposes. Civil Service Retirement deductions were not withheld during the period. Records of this office reflect subject was autho - rized compensation during referenced period at the rate of $7,290 per annum, except that when he was outside of the United States he was paid at the rate of $13,000 per annum. For times and amounts involved in change of rate see reference. 2. Action required: (a) Office of Finance; Please post the above information to subjects retirement records. {b) DDO/LA/Pers: Please advise subject of the contents of this memorandum. {c) RAD/ROB: For your information and assi tance in retirement rocessin — LO fBagy Speewc. B Brooks Deputy Chief ‘ : Contract Personnel Division Distributions Orig - Addressee 1 - DDO/LA/Pers 1 - RAD/ROB OGC Concurrence: re - eee tas oe E2IMPDET CL by: 063837 SECRET
14-00000 t whe _ooveemerntorntseedeansntennannstangeaanan Aten a, . - ’ ape eee rete ee Rane eigenen Care? _ —s en a en - Seat SUBJECT In accordance with your telephon is a record of 19 August 1958 at $7,200 P/A, performed outs then he was pa DATES 19-31 Aug 58 Sept 58 Oct 58 Nov. 58-Jan 589 Feb 59 March 59 April 59 May 59 June-July 59 Aug 59 Sept $9-Feb 60 1-13 March 60 Totals 13 May 197S ; . " NEMORANDUM FOR: Chief, Contract Personnel Division * : Earnings of David A. Phillips | e request, the following income earned by Mr. Phillips during the period through 13 March 1960. Mr. Phillips was paid with the exception of those periods of service ide-of his country of permanent assignment and id at $23,000 P/A. DUE DIFFERENCE PAID AT BETWEEN $7200 $7200 P/A p/A & $13000 P/A TOTAL $ 240.00 20+ $ 240.00 609.00 $ 32.22 632.22 690.00 434.97 1034.97 1890.00 -0- 1800.00 600,00 88.60 688.60 600.00 -0- 600.00 600.00 157.07 757.07 600.00 128.88 728.88 1200.00 -0- 1200.00 600.00 80.55 680.55 3600.00 -0- 3600.00 260,00 -0- 260,00 s1T,sovT80 | ZT $2,227.29 #. Deputy Compensation an me eee é d Tax Division
14-00000 + caaanmapnertinttt rane nm ete Senet EEE U tte etm entre mete . | Stoner 21 May 1975 MEMORANDUM-FOR: Office of Financo/C&TD suBJECT <i, Verification of Contract Employee Service of . [ : “Dawid A. Phillips, current staff employee for period 19 August'1958 through 13 March 1960. s $ Memorandum from Deputy Chief Comp & Tax. Division subject earnings of David A. Phillips dated 13 May 1975 ° REFERENCE . . |. Based upon new information it haa now been determined that subject served a3 an Agency contract omployee during period 19 August 1988 through 13 Mareh 1960, and that this period is creditable for beth retirerrent and leave account category purposes. Civil Service Retirement deductions wera not withheld during the period. Records of this office reflect subject was autho riged compensation during referenced perled at the rate of $7, 260 per anoum, except that when he wag outside ef the United Rates he wae pald at the rate of $13,000 per annum. Yor times and amounts invelved ta change of rate see reference. ; ~ ne ; os Dore ee 2. Actioa required: | ta) Office of Finance: Please post the above informetion to subjectea retirement records. (b) DDO/LA/Pera: Please advise aubject of the contents of this memorandum. ic) RAD/RORB: For your information and assletance in retlresrent processing. : 7e/ Regers €. Brooks Rogers C. Brocka Deputy Chief Contract Personnel Diviaion Distributions Orig - Addressee 1 - DDO/LA/Pers i - RAD/ROB 1- Subjects CPD file 1- CPD Chrom file DDA/OP/CPD: RCB;sp (21 May 1975) EUMPDET noe CL by: 063837 Weuidj y
14-00000 MEMORANDUM FOR: Chief, TRB ra “SuBdECT ts ntract Employee Service for (P) Current Staff Enployee REFERENCE : CPD Nemorandum of 30 June 1966 to Chtef, TRB a "Record of Contract Service for 1. Referent memoranda: {s revised in its entirety to reflect the following pertods of full time contract employee service as being ‘ereditable service for both leave. and Civil Service Retiresent purposes. PER ANNUM DATE ACTION COMPENSATION 4 March 1954 Contract enployee $7,200 31 July 1954 Contract terninated 7,200 1 August 1954 Contract employee 8,369 31 March 1955 * Contract terminated | 8,368 2. Perfod of service 4 March 1954 through 3] Deceuber 1954 had in previous semorandum been declared creditable service for both leave ‘and retirement purposes. It denied creditable retirement service for ithe perfod 1 January 1955 through 31 March 1955 because of a Federal statutory provision relating to periods covered by Social Security. The foregoing position was removed by P. L. 91-630 of 3) december 1970, thereby having the effect of rendering seid service as cred{t- able. 3. Action required: a. Office of Personnel/TRB: Please file this memorandum in subject's official personne} file folder. b. Office of Personnel/R08: For your tiformation.
14-00000 (raene ode wees  ¢, Office of Finance/C8TD: Please post the above _ {Information to subject's retirement records. 4, DDO/LA/Personnél: Please advise subject of the _ contents of this memorandum. Rogers C. Brooks Deputy Chtef Contract Personnel Division Distribution: Orig - Addressee } - 6P/R08 1 = OF/CETD ] - DDO/LA/Personnel 1 - CPD Subject file 1 - CPD Chrono OP/CPO/R.C:Brooks:jc (10 March 1975) ere pt ‘ . wom eo,
14-00000 Cis Pha Mile ° . 7 SUNCST (5 P), Vorisic: ation of Jontract Service ic est 70 . m ; : Suogeet, now a Shale Lisloved, asked Sen Uovelice to see if ay of his o14 contract tine is creditade & how oars VAS rebiyoucnte Geraci: subject ae ascii; ne Ps in VH field, but as ou Jy in Hetyrs on TuDe, . . { i : subice an. diseussed all aspacts of his questions and his prior con= tractxal Servicers Provided hiaarith gas’ Lugormation conberving his sorvice @b8%: - nat caitorin GPL uaed in deter tinin ; Unden ndont ecrtonete: service va contract eoplovee service, armlicability of the "soelal Seeurty mule" prechidin’ the un ef ALAS contr ct o: rae) sochal cecurit: bein: creditable retirenent tic, ott. also, nvovided subjceb tatu a saurle of a meno wish could be weitten sde “2 to OPS rocunsting old i ne grdent centrnetor ting ue recatorised as comtiret enylovee fine, also indhented & Micet wo would help hin draft an arrrorriate ceno if he u (subsect) folt he had a g od casee In neucrals feu ingoreation provided by Bubs fo 24 “3, at, a) . it Seoned thas 31 3 in dependent contr ctor tine was neb of a trpe thet ht lend itself te conversion to controet bak enployec tim. uohad heard nethin a “ore for subject and it wag ect had, wat at les 2 the incedia te nonoity , v Barther wi rg Bic - Paul “ison 3 uee 1°70
14-00000 TT RTT ede amet: Nn ts we nctcseanecaneneleamning een seleeus ° : ' . 0/Persénnel/Contract Personnel Div LN yees ] Hq tra. , . (Paul. Xe Wilson) OP/RAD @ 205 Maragina Bldgs (b) {c) i, Adeles Hope the following with Attna Adelo JeSukowlon holp yout : 0 (a) Attached is our CPD fLle on~ ) - loan. In it find a chronse of all of subject's contract sarvicds inforantion in our GPD mone of 30 Juno 66 is reaffirmod. liowe over, note it did not cite gube jectts 1951/52/53 sorvice, wich service is cited in the 0/Finance momo of 16 Juno 1966, This 1951/52/53 service 1s independent contractor service and not ereditable for purpoves of Civil Services Rotdiremcnt. Our CPD meno of 30 Jun 66 indie cates subject &bb had a social security ebligation for porled 1 Jan SS thra 31 Mar 55, Since this obligation came about retroactively in iid 1955, posale bility exists that noither sube ject or tle Agenay made contrie butions to the Social Security Systen. If thoy wore not made, it is possible for such to be wade at this late date and if eubject or WH Division is ine terested in leoking inte thia, they ghculd contact Hed Lroakg of CPD.
14-00000 CO unctasserten mua (] COnFIBEATIAL (] secret ROUTING AND RECORD SHEST te SH Persennel _ TO: (O%oe dewgranen rom member, ond Buakdang) Javtached Mr, & BS official ‘file and a a dispatch fron him in “which he requests a commutation - lof his time with the + Agency ‘for retire=ent purposes, it is wa very complicated csse. Good — : : tluck! ATIN: Adele J. Sukowie: 2. i t i i 6. Ghseea Contract Personnes basi 7, : : dune LY : ; on the ore —- a nirad’ 8. : po, : pay to the : ; : fori w es: - 9 an : , Re suvise ROS if the mero of 30 i ‘ foun 68 is rearfirned. i : eT as! 19. . of : i Your attention is invited to mo, | ! i la discrepancy in ice:tizying 19S nn nnn COMEPLCL Service. In tag cisperich at | I(para 5) Subject reders to hinseil ‘ | ; : ics & "covert associcie?; the O2fic pa enone . : . of binance (see tena ctd 16 Jun 12. : ‘ wcopy aiteonad) lists the cine ‘ ; ' i i iNcontract agent® services aac-your _—~ <a t finG O2 32 sun €S lists tne tine 3. | i ; Jas Meontract excloyee" services ; | : i 6 , i + : ba. y =e 7 ts. ‘ i ; wer’ O1QSES* C] secret =] CONFIDENTIAL a SSE Oat (] UNCLASSIFIED
(rom Subset + eg v ne : a. : Gassnaanon . PROCESSING ACTION DISPATCH . SECRET — * hief, Western Hemisphere Division “Chief, Operational Services Chief of Station, - \ “Le ¥ . 7 Request for Review of Xetirement Status--- ACTION REQUIRED - REF RENCES Action Required: See Paragraph 9 et a11 1. During his RVROCK career has served as Contract Agent, Covert Associafé, a gent and Contract Employee, On one occasion resigned from RVROCK, became a Contract Agent, then-retu “a Staff Employee, T of this dispatch is to request a review of exactly ‘na status has been over the years, what must be dono to repay retire- “ment funds for any periods of creditable service not now covered, and to study the possibility that some periods of tenure might be converted from uncreditable to creditable status. “2, | _Iserved in the Air Force from February 19.43 through October 1945, with total service of two years, eight months and 19 days.-. , . The dates of first RVROCK service an| are very hazy to He does recall that he was first recruited by the COS, but cannot recall if this was on a formal, Salaried_basis, At some time during 1950 or 1951, probably the latter, Signed an RVROCK contract, for at least two years, possibly Tonger. The salary is remembered as U5$500 per month, Ing Occasion this salary vas paid in advance to allow (ite purchase printing equipment. Please check the contract S¥ing this period and advise (a) the curation of the con- trant and (b) if‘any provision for deductions (or future payment of) was made, If, as| suspects, there were no deductions, even for Social Security, would appreciate Headquarters comment on the possibility that this period might be retroactively converted to creditable service status (after payments into retirement system, of course), In this connection it is suggested Distribution: 3,)~ Chief, WHD “Sy. Chief, OPSER "eeRiMe 10 OUPAICH S1Ha0L and UME alt : HBRT--7797 25 March 1970 CASH RATION Nes Fad MAME $ SECRET ~be
14-00000 _ , CONTINUATION OF. - JOISPATCH that a discussion-might be held with James G, COLLETT, who was cos in during most of that time. believes that — ‘ COLLETT -w: confirma that| | demonstrated his intense interest _ in his RYROCK work by performing’ not only the work called for in his contract (mostiy ciandeeting priut sus) bit other chores as yell... Examp}e: during fh period, or perhaps jugt-after the expiration of L____. contract, [______] under Station puidance . and instruction, approacked and ‘recruited a Communist Party ‘agent. (It is understood that the agent is still reporting.) Another _ exdmple: in March 1954, COS COLLETT ‘approached and asked «him if he. would accept, the Headquarters! request that he leave . board an airplane for the U.S, and assist in an unidentified - operation which ‘would last: "some months." That was the extent of vo ‘the, offers: [_____]sccepted. This was despite the fact that he hid no“contract, and- that he had tG leave his family behind and to abandon a-trip which ‘had been planned through Europe. It is believed that-this indicates that was pretty much “under -RVROCK céntrol" during this périod. (Perhaps training records i t in finding information on this) period, as went’ to New York on one occasion for a@ Six-week training course), : . . 4. The next period of contract employrient is also hazy. The “operation in which|____]was. asked to participate turned out to be PBSUCCESS, Some sort of contract was drawn up, but “does not recall if any deduction for retirement was made, nor of the terms of the contract, It is requested that this contract be reviewed and, should there have been no retirement credit, that it too be reviewed for possible conversion to creditable service, There is no question of "responding to RVROCK control" during this.period, Jt was full time work, and most of it per~ formed away from family---some of it in the jungle, About sixty days, | lrecalls, was spent [o> “TS, in Project PBHISTORY. L__......../ ¥aS awarded an RVROCK Yecoration for his work jx -during this period. ABROAD, ‘ 5, As the result of his participation in PRSUCCESS , | | was contracted as a Covert Associate from (about; this is a guess) October, 1954 until April of 1955. distinctly recalls that this contract called for retirement credit if chosen as a future option. (It is not impossible that this contract was nade retroactive to cover éparture fron{___}m March, 1954.) It would be appreciated if rould be advised of the exact dura tion and terms of this contract. 6. Lid was-a~Staff Employee from 1 April 1955 until 13 July of 1958, when he resigned, Retirement payments for this period were returnéd to and he understands that they must be repaid sometime before retirement to make the period creditable, 7. After resigning in 1953[______ went to Cuba and witain a week si a contract---as an independent operator and, to the best of | recollection, without any retirement benefits. Again, it is requested that this contract be reviewed with the view of possible conversion to creditable status. 8, On March 14, 1960 jJagain became a Staff Employee, and has remained in that status. 9, Despite a rather long tenure with avrock[___]now finds that mich of his service is either not creditable, or creditable and not paid, would like to set this house in order, and to begin having reguiar deductions from his salary begin building up his paid-up creditable retirement equities. Headquarters’ assistance in arriving at this happy state would be appreciated. is especially interested in obtaining approval for con- version of the early contract cays in It seems apparent that if repayment into the retirement system is to be initiated, CASS a a -_ PAG e MeO.
14-00000 °, Sa) . . seg rt . fae RAM TR OS BORE AML MeO ER GOA EAT ORD - CONTINUATION OF ; ; DISPATCH | SECRET HERT-7797 it would be wiser to ropay tho carly years first (so as to add more i ’ ~ ¢ima sidre quickly with ‘less ne onrty In any erent, a Headquarters’ review of the case would be appreciated. * Fons : eon} baw) Se OH PRE IONS LOUNON. 55 c RET 1 Bee 3
anor et ete nocan n eut ete emcee 30 June 1966 | MEMCRANDUM FOR : Chief, TRB SUBRIECT : Record of Contract Service for i. Per your request wa are forwarding of Subject’s contract service: Date Action 4 March 1954 Hired as Contract Employee 3A July 1934. Terminated i August 1954 Hired as Contract Employee 31 March 1955 Terminated 19 August 1958" — Hired aa Contract Agent 13 March 1960 Terminated 2. Subject was employed ona full time basis with leave benefits from 4 March 1954 through 31 March 1955. Accordingly. this entire period is ctreditage" for establishing hia annual leave category. Nowever, the pertod from 19 August 1958 through 13 March 1960, as an independent contractor, is not creditable for thie purpose. Cnly the period from 4 March 1954 through 31 December 1954 is “creditable for “ivil Service Fetlrement. since Contract Employee's were mandatorily covered by Social Security as oft January 1955. 3, Attached is OF record of Agency service with salary breakdown. Regers C. Brooks Acting Chief, Contract Personnel Civision Distribution: Crig « Addressee 2- CFD cof *Y x 24
14-00000 : Catef, Contract Perecnm’ Piviston 16 Juco 1966 : arms Agenay Service of Bagi? <i the pecorts of the Office of Fiemnce shew the follewing Agency seryies fer Subjccts : £09 1 Petrenry 190) © $609.00 7/8 Term 23 February 1952 6 $600,060 2/8 _ BOB. 24. Roary. 1992.0 8000.00 F/B fora M1 Segest 1959 © $4000.60 P/B BOD 4 tareh 1985 © $7200.00 P/A Pay Rae. 1 August 1924 9 $8340.60 9/A fora, Mi iisrch 1955 © G2560,00 P/S ; Bs. Ape 1 April 1993 © @5460,00 7/2 Res, § Petreary 1936 9 $10,320.00 P/A Btaff Agasts Be. Appt, 7 February 1586 @ 010,320.00 PAA yal 7 Cateber 1950 @ G10, 335.60 e/B Pay Saise 12 Jamery 1969 © $11,593.69 P/A FOYT 6 April 1938 © 613,895.00 P/8 fies, 19 Gages 1953 © 621,895.00 P Gewtrast Sgeuts EOD 19 Bagest 1953 & $7,200.00 P/A Sepa, 19 Ghyeh 1950 @ 67,200.00 7/3 Stag? temlayeos By, fryt. 24 orcad 1969 © 811,895.00 P/B Sedject bas teu a Staf¥ Ieplages sines 24 ares Chie? Aoant, Farrel] Beanch 3949.
14-00000 Rao ae STATEMENT OF PRIOR FEDERAL ¢ | YAN-AND MILITARY SERVICE Fra cuuritar ink ano "AND DETERMINATION OF CUMPETITIVE STATUS IMPORTANT: The information oR this form wilt be teed (1) in determining creditable service for leave’ parposes ‘and setention . credits for reduction wm force, and (2). in secording. agency determiiation of competitive status. The enployce . should complete Part’ Band the ‘Pertannel Office akéuid complete Parts ii through v. . PLAT U—THIS COLUMN 15 s68 PERSONNEL GHFICE USE - ® SCTLMTION GROUP - i PART L—EMPLOVEE'S STATEMENT de, 2 2 OATE OF BIRTH -, - “a ra . _—_ OnTpata Fs 4 & “ 5 A Cte STATUS 2 3 H= BYVFE OF ontcnT APPOINT BENT t, MAE (hoot, Met, aniddte inssialy PHILLIPS, DAVID ATLER , BR LIST THE Ol LOwinG INFORMATION COMCERNING ALL FODC RAL aXND DISTRICT oF COLUMBIA SERVICE you RAVE HAD PRIOR 10 YOUN PALLANT APPIN IT MEAT (oe toast snctade: erulstory service.) : eatery y CS a & UST PERIOD% OF ACTIVE CEAVICE (M ANY BRANCH OF THE ARMED FORCES OF THE UNITED STATES IF YOU HAO HO ACTIVE MILITARY GLA VICE, WHITE “NONE ee TAL OF MORE THAN 6 MONTHS AatentE | TZ Tor AL SERVIC 1 ONE CaLencaR veaar [7] ves [oyho fh SORCRLOITABLE SERVICE a i ROTE? Ton tLeere purpvsse only): This sP-lbh was cocpleted by gub- iT som[ ow [wm| more] on] ject on lk March 1960 on occasion of th. WMC REDITABLE SERVICE enteriny on duty as @i4 an Agency Staff f | (RUF purpeses only): Employee. AT COMPETITIVE CIVIL SERVICE STATUS? Note that ha did net claim ary of 1S. PEEMPLOTMENT RIGHTS hig prior eountract services na otatue was sequired?} Original of this sF=-L on file in subject's Staff Employee file. . L 37. CAPiBATION DATE OF RETEN- 7308 FGHTS i ves wemntte BM WEN PLASONS AUTHORIZED TO ADMINISTER OATHS, beweag (or affirm) that the shove statemente are true to the beat of my knowledge and belief. * ~ Garo ener ey Subscnbed and sworn to before me on this day of 1960. MSE De ae (agnrn) est Ty (stare “SEAL NOTE: §f oath ia taken before o Notary Public, the date of expiration of his Commission abs: be shogun. . . INSTRUCTIONS, (File this form on the pemaneat ade of the employee's official panoane! falda immediately before ov hes the percaael echoes lavelved, ‘ (OVER) : Beene
14-00000 Us Maxch 1960 VEMDRASDUM FOR: Chief, Contract Personnel Division - SUBIECT 8 formination of [Contract It ie requested that the cantrect of be tensinated as of close of business 13 Merch 1940 in view of his eppointaant to steff exployes status effective U, March 1960 3. G. Ring Chief, Western Hemisphere Division Mp hone Bella th 4
14-00000 Cear| Reference ig made to your contract with the United states Gove rnment, as represented by the Contracting Officer, effective 19 August 1933, as j amended. Effective 16 February 1960, eaid contract, as amended, 16 further ‘| amended by adding after paragraph seven (7), entitled ‘Travel aad Ope rational Expensea, ' the following pavag raph: i - "8, Return Travel. Upon the eucceasful cor pletion of your i services under this agreement you will be advanced or reirmbureed funda far authorised travel and transportation expenses for you, your dependents and your household effects from: Havana, Cuba to the Washington, D.C. area, including per diern in lieu of subsistence | in the course of such travel, Such funds will be subject to payment | and accounting in conformance with applicable Gove rnmmest regulations; All other terms and conditions of the contract, as amended, remain in; full force and effect, i _ UNITED STATES GOVEENMZENT BY Contracting Officer U3 fl { pe Corcenrill clk
SS Go , CRG] | er Sea ic February 1960 MEMORANDUM FOR: Chief; Contract Fersonnel Divisicn . SUBJECT: Amendsent to Contract {| It is requested that Subject's contract dated 19 August 1958, as amended, be further amended to authorize retara «<ravel from Havana, Cuba, to Washington, D. Ce, for Subject and his derecaents at Gove 8 a It 1s also requested that the amendment authsrize shipment oe household effects from Havana, Cuba, to Washinesen, D. C., at Government .. _. ‘OXpense » ‘ , i wD : ® ¢ ef / ff - E ’ obit]
14-00000 SUBIZTs Contract Extension for SC Re Foe D (than Filled In) HEMALDU:: FORs CiIEF, Finance Division FROG Contract Personnel Division MAG 1, Effective 3s ces » tha contract (as exended) 14 Hog (S$ % for the aubject individual, effective : » 18 extonded for 297 . 2. all othor terms and conditions of the contract (as ovended) rerain in full forée and effect. USITED STATES CF AFRMa COLIRGTEG CFF IR S~B-C-Re eT
14-00000 MEMORANDUM FOR: It is hereby requested that the contract of Chief, Contract Personnel Division Attention; | i Acting Chief, WED e 18 Auguet 1959 Renewal of Contract of] ‘ | effective 19 August 1958 and amended, be renewed for one (1) year effective 19 August 1959. Nevo. Acting Chief, Western Hemisphere Division
tt : t ’ i * Dear’ ; Rofereace ia made to your contract with the United States Government, ‘ae represented by the Contracting. Officer, effective 19 Auguat 1238, Effective 9 Aagust 1958, eaid contract is amended in the following ‘manner: . 8 {a) The first sentence of paragraph one (1), ‘entitled "“Compeneation, " ig * deleted and in lieu thereof the following aentence ig subotituted: i “In fall consideration for the purchase of such information aad servicea you will be compensated in an amount calculated at the rate of $7200 per annum excapt that for those periods of time during which you are performing services necessitating certain — specialized professional skills on a full time basia outside of the country of your prosgent permanent agsigainent, you will be compensated at the rate of $15,000 par annum," Ve Fai 3 (>) The following paragraph i9 added after paragraph ain (4), antitled “OPeem": ; "?, Travel and Cperatioaal Expenses, While performing thoae tasks for which you will ba compensated at the rate of 313,000 per anaum, a3 aet forth in paragraph one (1) above, you will be advanced or reimbursed funds for necescary expenses incurred in connection with such operational travel as may be : directed oF authorized by the Government. Tnia may include per diem in lieu of aubsisteace ia the course of guch travel and while oa temporary duty away from your permanant past ofassigoment overseas, In additioa, you will be advanced or reimbursed funds for necessary operational expenses aa apecifically approved by the Gavernamant. Fayment and accounting for the itera aet forth horeia will be la conformance with applicable Government regulationa, " All other terms and conditions of the contract remain in fall force aad aifect, You will please indicate your approval by signing in the space provided . below. UNITED STATES GOVERNMENT _ BY , Contracting Officer AC CerTreD;: ' ae - see ee . uw aa BONA LS Re at ge Fs ‘ ~ ! o a . . - a fy 5 - ~ yp > A, @ITR ESE: . at eee fy Lf on aes da ole . ; ALRROVED: oop