a Pit he a | wad SECRET _ (Bhen Fetlod gn} Office of Personnel, Control Division, Stathp ly FeagT wrt TP ie) ™ es ey Flores Daniel INSTRUCTIONS STREAL NO. USE APPROPRLATE APACE BELOG (5 S999407 Lata FOG FITHER POS OR Tov, fe5EOT aPenoPRrAT? COLE suMAEe a "Cour" COLUMN TO OF DICMATE BHT HT SHMMESSI OW 3% GF HSLIC HATA, CORRECTEOW, OF Camere ating (One onfy) OPP ORT CAPES BY UStNG Yod MUMeTA FOR Teg MUMTH, Atl Catt Fe, GIGITS DNLY BUM yea. MEFEe To OF) wo, 3B. MEYISKS. PLS DATES OF SERVICE amPivaAL 0/8 ONO AKTLOE OS Tyee of Gata | ee COUN TAY _ na agtin (eee renee eonta pat waar BOR SH H st TY ve8e Cea Bee] = —~t-—-—. enna poreee 1 + Pcs (Baeie) 2-26 | 27-28 | 20-30 | 31-92 +36 | 99-90 1 8 . connection 37 — ia 1 Bs CANCELLATION i TOY OAICS OF SERVICE seis 0/8 BIR ao uee 4/5 TYPL OF DATA | o aReAta} ee ana , arene roe? ee an ORF spe reat CaRt Hey ¢ cece mee _ + TOY (Basie) a7 29/39 40.42 26-28 3t-32 [33-246 | 26-36 [ 4. comnictios TT 6 « CANCELLATION | aaudaa i 2 | europe slo h é OFFICE OF PERSONNEL USE ONLY - PUNCH AREA SOURCE DOCUMENT AND CERTIFICATION a i TRAVEL VOUCHER Osh atte x ' Oury 8farus Ge Fre pawl APTenlance BEPCRT Caerg nT on ne Dene Ornee (Specify) we ad tte weer ee eetnteten tteteenteieiie enne een p oo ene Sn ee mee ee te ee ee ect enter e cet nen A et a ee ‘ jose Bare Pearce a ee ee a teen ete Sane neem ent fie rR ee ET paar COCuMIRT IDTNTIFICATION wo, pete eee eee ete Lee mene wee e¢ wAGRS 1 i ag eee antennas antennae: are fae te oe “ schhAalheeh l oeoeer eaearetgt 8% SBOys Gale Ceateseree CUMHICT, BAtES yRPoM BGuUsLE Te [xitietess Pe sim? CVPED roe) severe setirntnaretsreertetenen ainmtemnaanas asic tpi = stsmmomase enna te fo mat ®t Sivegeee, gree.  oert I wre Tir Ty) 4 Bo armenia enema erred it @ © Stee sese Taig e€0COT wEdh af FELED tm Tee OFF ite OF Prasomatt ta Yer seDVeQuaAn'S OFF iCeAk PLASCaet, Fo,oce ba-9ea eereress * ¢8$ta eevseg te SRISIeeE Secaey
14-00000 ay ener nee Seas 8 CEST 18 OV 1975 | | ; MEMORANDUM FOR THE RECORD SUBJECT: Meritorious Unit Citation -- Cuban Operations Group, Latin America Division On 13 November 1975 the Director of Central Intelligence approved award of the Meritorious Unit Citation to the Cuban Operations Group in recognition of the outstanding performance of the following employees from 1 Octoher 1974 to 30 September 1975: Danic] Elores. — Rhhaceshh. » ~L. Austin, Jr. Recorder Honor and Merit Awards Roard Distribution: 1 - Each OPF }- C/LA 2 - Recorder/UMAB i o- Exec Sec/HMAR cite | K2 Tapdet Cl By 014029
ADMINISTRATIVE : 4 Internal Use Only Ls Office of . . rs | MAME SUR TAL MD. - ae oe Ae TFT EONS SPATS RELOW TO BEPORT MATA FOR CI Tete oF GH TOY, INSLEY APPROSe ate 4.25% @yeRte 1 “CODE” CoLusE COPHFLT IGM, OR CAMCOLLATIGS (One satgy BSP OOF Hales BY USES BCFER TO OF f WO. 3B Ga erEty. ~ USE APPROP as ate YO DESEGMATE SHE THER GuGeESEIOM $4 OF BASIC LATA, THE MUUREo FCR Tee womie, au Lag? Peo O1GITS ONLY FOR FE OR, PCS DATES GF SERVICE SN, ee rer ere ampival, O/6 berantyee 079 YrPE OF DATA an? Coustey ng een ee peewee neem fee eng creat owes fan ee eet oer ln UIE ster 82 ose aera ene ut fpweremewetaremngnenayenis ens airmen anetannnin won ta wag veae wonte oar veae Cone A0U ¢ 2908 see fener ve et we oe merece fennel ewe af ane fo. ete (Besse) ‘ . 89-26 ag | ze-so | vi-3¢ | a9-54 | 93-36 | a. caweretiom oF 39/30 69-42 ocze | ayas [re go | tray | ape Bis comer eto ed 1 r Lt FOY MATES OF SERVICE ref oF f 2, Th¢ (feeic) 4s enpereyion 37 | Bs Lame Le ATI OM een AMRtvst O75 use | ents OFFICE OF PERSORRFL USE ONLY - PUNCH ARES ” SOURCE DOCUMENT At CLATIFICATION TRAVEL VOUCHER BdsP ater oy Huly Status O8 Vit aaa affteotaa se aff Ct Cage aapenearinatemnenmircs unnnmanne mere bce bee nepeme cme nett wine amen tines mene settee oruca (Specify) Gor weet? Oald PER EOR POC UMENT IDARTIP CATION HE. BEMARRE ites aneevelae ee S008 OATH CHMVIFLED CASOedC’ Bats Woe BGyece . GCCumsar Errds SEP avis ev Ceeraee ofr ue Bx Steesree sees. fare —_ ererra on car arerert++e anna LI, THES REPORT WILE BE FILES tm TRE OFF) OF Pratdaats, im THE PRO VEOUAL'S GFF1Co4L PERSONBER 70.08 6ao1 08 feeble gad vine WOSba AOMIMISTRATIVE-Internal Use Only ee
14-00000 SECRET ; | FILe (Phon Pibiod Fri Met nt ve Eb ae REPORT OF SERVICE ABROAD BY/4 ! Ta: Office of Personnel, Transactions ami Recorés Branch, Status Section NOME SERDAL WO. ~ est #19$7 BIDULE 6 SF pint) rs Te as 73 a 1) 5 { 40 -IDkes nk / ING RRC T LONS URE APPROPRIATE SPACE GELOG TO REPORT DATA FOR PETese PCE OM TOY. INSERT APPROPRIATE COLE wumBem im CCODE*S COLUMN weroar CAThS BY USING YO CLSIGNATE Hue THER Byes ABtOM 19 OF BASIC CATA, CGMRECTIOwM, SH CanceiL arian (One owly }. tHe MUMBEe FOR Tee MONTH, AMD GLAST THO OFGITS GLY FUR VEAR. REFER TO OFF HO. $8. BEYEBED. PCS DATES OF SERVICE fvege GF Hara ote COUNTRY ARRIVAL 0/8 OEP adruRs Of9 wonta bay veae 20-86 87-26 } 8-30 1 . #66 (Baate) GS + CEBBICTION B+ CAMTELE ATION TOY OATES OF SERWIVE ABBIVAL 6/6 OEP ARTURE 0/3 TPE OF Gata oe anrats) ear vaae moure pay [coor | Git V cone 40-48 3. VOY (Baeiec) [20-30 | [38-30 | 4. Ceparction 3? asalae PT} | 1 | | @ » CARCELLATION OFFICE OF PERSOMMEL USE ONLY ~ PUNCH AREA , SOURCE DOCUMERT AND CERTIFICATION | OUtyY STATES O8 Time AMO ATTERDANCE REPORT Cagee ornee (Speclfe) OOCUMENT LOEMTIFICATI GN Ru. | 351 j [peso Dare eaeiao ag wanes | be ABOVE Hata CSPIF LES CORRECT. BASED UPON SOURCE | O0Cumear C1Tes Peepserd sv SEPSRT SHESTAIZS Of COwthes SC uRi a €?ee. Bare 6 Ok Btveseen, € @ 9 @ie¢986e INES REPORT WILL.BE FILED IM ThE OFFICE OF PERSOMREL wi tm THE PMOL VIOUAL’S GFFICUAL PEAS IMREL FOLOCE sone PUB] a corerere Pagveeue SECRET ; ; | eee ee ee | 46-908 eea1rssag i
£ 2 ADMINISTRATIVE internal Use Only REPORT OF SERVICE ABROAD Oifice of vercounel, Control Divinion, Statistteal “NAN 7 thy SEUIBL AD. je onan a He tl a ee ee Last re St (Peine) y26 ELCKES PA 18D Piet, FLONS INSERT APPROPALATE COOL NUUATS te “COOF” CORUME “Pac? @FL Ow 7O PEFOOT HATA Fume Fateh HFS OM TOY, ePPes Gattis BY USING $$ OF BASEN UATA, CLBMTET IGM, OF CAMCLEL ATION (One only) REFER TO OFT MO, 38. RevESED. ust SPP aoe TATE TO BESS tees wee Toes Gum SS TO Tee mwas e Oe Teer OMT, AMO LAST FeO Ish ele FO Ft Bw, PCS DATES OF SERVICE Laue T ae “woute ( sav | vase ne seh mmenrn we vee wn Qenennne ener 4. pes {Paste} 26-36 Poe CueerC iON 29-46 [tt te Ss CANLELL ATION rT OF Hara aeeaiss BEI YSi O78 eonre i 2 Yo! (Haale) 4) f£oeeec tion 8 CABELL ATION OFFICE OF PERSONHEL USE ONLY - PUNCH AREA SGURCE DOCUMENT ANG CERTIFICATION O1sParce C| Paaveh FOUC KER Oury STATUS OR That AND ATYENDANCE EP Ga TE Case. Ofage fiprei fy > DOCLMEAY STE@TIFICATICN 80. Gocuurny vate’ prason —_ ee A IP IE "1 ¢-_13/2 ry Re wate Cd Feteario by Beeeee amanterss oh ABC SE Of be CPatF iad COORECY. BASED FF4% SOLRCE CORPBIG BOLL EEOF st see ne den syste me oe ee ee a joare arowaty oye Tt ef 23/7 THES REPORT WELL BE FILEO 1m THE OFFICE OF PEASOMREL 1M THE IRDIVIDUAL'S OFFICHAL PERSOMREL FOLOER rs) poe EWShO AOMIMISTRATIVE-internal Use Only
SECRET CPrem Filled Tn) REPORT OF SERVICE ABROAL ffice of Personnel, Transactions and Records Branch, rte cnn eE feelNs rune ete wane . S€arar AQ. tL . ase . ua er meee oo sen nn eA OS EEA AERA (Print) CAS TRUCE TONS UMSERT APPROPSIATE CODE NUMBER Ie "CODE® COoLuam VOK APPAOPR CATE SPACE BELOW TO REPORT OATH FOR Ei TwemR PCS OR THY. REPORT DATES OY USENG TO OFS GWATE SVTINER SUSWISSION $5 OF BASIC DATA, COMMETTION, Of CANCELLATION (Gre only). Yue MUMAER FCA THE MOMTH. AND LAST POO OtGeTSs Gacy FOR VERR. REFER FO Gert HO. 36. ALVISED. PCS DATES OF SERVICE ARRIVRR OF DEPARTURE 6/¢ VvPE OF DATA Coustay t . pes (Basie) 2 . S$ . commect ion . a Bs CANCELLATION Ty¥PE OF BATA Bo. TOY (Baste) & . CORRECTION @ . CaMCELLaT ion GFFICE OF PERSONNEL USE ORLY - PURCH AREA SOURCE DOCUMENT AND CERIIFICATION pisrarcn OUury STATUS GR Cime Am ATTENDANCE REPORT orete (Specs fy) DOCUMENT IBEATIPICATIGH be. DOCUMENT DATE/PER LOO RE wARRS aaOvEd Oba CRTIF ITO COBBECT. Basta wren soumc gs OatPasts OF e7ee) sanetatag oo BOoCumeny Cetas CHHTESS SFL HIRE aigmatuse ; ’ - “147 3g ge frie WHOS REPORT WILL BE FILED os THE OFFECE OF PERSCHREL IR THE [MOLWiouAaAl'S GFFICEAL PERSORHEL FOLOTE soae gusta sgrsngsy ceereees SECRET [res |
14-00000 wee , . eT See Ee on SECRET (Bhen Frbled In} wed Sere Otrige of Personnel, Control Diviston, Statistics] Reporting CEpeer) rLores UNS ERUC TIONS USE ABPROPATATE SPACE REFLOW TO PEPOGT Data FOR FITMEe PCS OM THY. INSEGY APPOOPREATE CONG RLeBTA Im “Cone” Cob Ute TO OFSIGNATE BHI THER SUBMISSTO® $$ OF BASIC CATA, CORRECTION, OF CaMCELLAPICe (One oni). REPORT CATES BY UDENS THE MUMDTS FOR THE MCNTH, at G4¢67 FeO GQIGITS OMty FOR YIAR, @regR TO OF t MO. $8 BEvi Seo. SERVICE PCS OATES OF ARRIVAL 0/3 DiPaatueL O75 TYPE OF BATA ore Cou TSY cy — oa . om —- use _ woutet gay vaar worl es par reat coor OnLy (ou oe.aa pes (Baaie) ont at 38/36 40.42 CORBET TION CANCELLATION 28-38 27-24 | 26-30 TOY GATES OF SERVICE aRREVAL O73 DIP ARTUBE Of TyPe OF fata or ane ad ss woRPH pay viaR wont oar ve ae cose ONLY _ fee 2. TOY (Hasie) a7-2@ | 29-30 | a41-32 | 33-94 | 35-36 | 2 . conection 7 39) 39 A 40-42 ® - CANCELLATION te T | | lp! ole 41319 O16 12; Y 2 | pe / i OFFICE OF PERSONNEL USE ONLY - PUNCH AREA SOURCE DOCUMENT AND CERTIFICATION AVEL YOUCHES BisPatce OUl¥Y BFATLS OR Time amo aTViMpancs saecat CaAgLe orca (Specify) . HOC ued ar Hawg es aetog COCUMEBT IDENT EC TC ATIOR RO. UA SHRI Lt = 7 Ae ST MARS ‘ ene ne oe emi e Scio pp nanemnies orm meee at fey fend eee Fone eee tee a 7 gece ee OE OO wenn ensentemend an OT OE BT ! SRE BHO LAHT eo eT FEST Basse weow “BG ee-s ro t Poe BEB Gla : - weet ak e br atpram <7 88 Pate * arr a arrrre cet Mow PY THES SEPOST BILL BE FLLED am Tw OFFICE OF Frescemis : iB THE RSP wHOAL'S OPH HC EAL PLAZSOSBEL POLES , meee Ltr Bennenee! a.
xu ~~, ADMINISTRATIVE ; ” Internal Use Only SIE REPORT OF SERVICE ABROAD 10: Orfice of Personnel, Control Division, Sts SERIAL NO. OR 430 IMS TRUCT CPS USE APPROPRIATE SPACE BELOB TO BEPORT OATH FOR FETHER PCR OF TOY, PUGET APPOOPR Are COOL mUMBE® IN “CONT” COLUce “dQ GEGIONATE BME THED SUOMISSIGN §$ OF BASIC GATA, CORMECTIOwW, CP Cameiscation (Ore ani) ACPORT CATES BY USING TRE MUMBER £O9 THE MORTH, AMD LAST FaO SIGHTS OkiLY FOR yeaa. Sitch TO OFF mG. $8 MEVISED, PCS DATES OF SEBVICE Tver Of OATH ARRIVAL O/8 OTP ARTURE OS COUNTRY 1. Pes (Reside) 2. COMPETE oe 4 CANCEL alee TOY DATES GF SEa¥ICE VvPe 6F Gata agAtyAL Of "8 par ne omens # . TOY (Heegey 29-24 ar.28 8-90 39-34 | 38-36 @ . comeEcTice Krl2lay vig heigiyooereenn OFFICE OF PERSONNEL USE GaLY - PUNCH AREA $OURCE BCOCUMP RT Ate, CEOTIS ICATIGN | OreP ares TRACER Vout oe i j conse i Sele eFe%.9 G@ Piwe amr atfenbaute sreoa? be cee ee ee ce ee en ee i ie Aenean ame mth! ot j otuse ¢hpors in) oe eeraen cena te 4 de wast et yoembietcateee Be, lecewae ae Baerte-Pebsen or msnn a @hetetie Ge { y . 5 . wens ; —_ ~~ 1 gp PEEART SOeRroteE eH B84 Bete - Foto oP ears BELO wee bore. tie . ae 2 re er on oie ot : - og 4 ~~ ; Ay Rr te ees aan fe Pweg tena 8 - & vf dbge +, : Z WA a | ae or ec arr rs AALAND ASS S RPE TRAE + Pm ca iP oa SSPE aL a Ng et eh peta foeg SEPRE! Baya BE Praag te tes ertah et eee ol Tas OB Pee UbSrermres B Gerili ds, PeStcoae, Pavers NANT CREDO ASSAD TY 4 ACMIDISISAT IGE sthtessal Yaa Anis
. SECRET . *. FIELD REASSIGNMENT QUESTIONNAIRE 4 OO HOT COMLETE FOR HEADQUARTERS USE ORLY | * r Turcovas (use preude wety of $4) Date from bfem ©. flwawe OF UPR evIsee@ ¢ Peued Oatr (feos itfom $.3) 27 Feb 73 DESPAPCH MeUMET ws Danicl Flores GATE RECEPVED AT HEADQUARTERS: Richard Welch 27 Feb 73 OATE @ICHAVEO BY CAREER SEBPICES 2 March 1973 HPLT-6592 | YO BE COMPLETED ey DeLOVEE 1. Gate de sini 8. seavica? 3) VOUR CURRENT Position, TiTLe | “a STAT CON OR BASE $9. CavPT FoR : O68 1 Gt AnD GRADE cuement covta ms ‘ GS-11 . LNFALL 4 Aug 193 FI Caso Officer Oa, DATE OF PCS ARREVAR [G@o. REQUESTED GATE oF | Sc. FROECTED GATE OF FIRSH Ge. OFSIMED DAtd TO REPORT TO DUTY ' im FEEL Ot Pan ture CoECR. tm AT HO aAgTG® LEAWE . 15 Feb 1975 (depending 24 Sept 1971 30 Nov 1974 | 1 Feb 1975 on training.) 7. NUMBER AND AGES OF DLPENOE NTS ONO WEEE YAAVEL WITH YOUR a Wifo: 37, daughter: 3 8. PERSONAL CIMCUMSTARCES THAT SHOULD OF CONRSIOF REG be OL TE MMINING NEXT S9S1GNMENTE 1 : None * Septomber 1971 ~ July 1972 - Activitios of the! and ‘ . Propara- : on of project outlines and progress reports, August 1972 ~ Prosent -| Operations, [ __—___seapabiiity. Preparation of project outlines and progress reporta, 16 PRStwewe OEEIAEOL Amos ehE Seat CORIBIMS POY OLE ee COV Bmore meus OUsssG Fed meat OF ytAa, YEoas in the noar future I would like to take an advanced operations course. in connection with thin, [ would like to concentrate on the and | targeta in Latin America, Special coursen in theso two arean would bo extremely helpful. Some timo in the future I suuld like to attend thy mid-career course, teow ggg issn eee Seceet
14-00000 SECRET GG. FREPPABRIE Fee Neat ANE wes? wins ne ene eee wn nee a ttn a tte ee te een netenatens ncn ett ene dt Phe. PEC MEME MILE F ED Fad TOPE OF BOER Fis BYU PREK ES Few HERE ASS ILE. 18 NEP F Rae? THOM THAT PAOIC ATES bm PR ab Mad,  SOitee, Ak YOU BANE MORE Tay GNF POR ri Rtas, sere aye yous CHORE. gr At this point in my carcer thelL__| and | targets aro of major interest to me, Although IT would prefer to work on[_loperations in my next assignment, as an alternative I would consider working on operations, THDNC ATE te VOU DESHA@T TO EQTEND YOUR CURRENT $08 Gv CHrCH INL 6m APPROPRIATE ROR, ALSO INDICATE PRT FE SLATE FOU MENT REGULAR AISIGNMENT BY PNRERT iG F, 2, 8 8 ffee Fat, Ind, and Jed choice) 1% REMATHEING BUFES, OMPLETS ALL ALTERNATE CHOICES AND UP FIONS Im ALL CATES Eves TOUGH YOU ABE RETQUESTING AN EUTENS ION OF YOUR four, (H) axteno tous 14 MONTHS Af Cusseta? station to sb NOvombor 1974 Tpartet oO OF ABRVIGNAO TO MAQTAS FOR A TOUR OF DUTY: ImOICATE vVOURH CHOICE OF DIVIDIONM, STAPH OR OFFICE, sae PHOoICE BNO CHOSE cemmmeernemmmemes momen IH CHOICE OF ARSIGHED FAO STATO. GHRUIC ATE ChGICE OF GEOGRAPHIC ART? OF SELCLAL 2 aL ate, . GJ tar enorer Ino ewotce___..| a -| } mn @ETURN TO MY CURAENT BTATION . * "Fo BE COmPLeTES By FIELO STATION "P. 88 COMSIDEMATION OF Yd ERPERTENCE AND PERPORVARSS OF Trt €MPLOVEL AMD His PREIPTRENLE FOR MERF A939 040mf oF, i AMDICATE YOUR RECOMMENDATION FOR NAS NERY ASH EGE! 2NO Taaitings 7 Concur, This officer is doing a goud job on his assigned targets and his ovorall abilities give the Station a flexibility 1t often needs to : call on, . a I ‘ ~~ 10 BE COMPLETED BY app hop mi ATE weabquAgTERS OFFICE G3. GM Cums; Galo OF VHE GIPARETNCE BRD PERT ORMAReA GF Pol TePL Orel , wis PREFIRE NTE FOR MERE ASS Fou mT, AnD Teed QTATH ERG REQUIREVERTH OF YOUR COmPOmE el, IMDICATE YOUR CUMPONEMT'S BIC OMMENDAT ION FOR HIS SESE ARB IGRis et AND TRAIN DAO, Subject's tour has been extended fourteen months to 31 , November 1974, © lees part AL 23/73 vanes EC/N/Pers stems ta it? 208 Gk OY CAPES Atay 88 APOMBIED RISICNM AT, ie, davpovea movieten gr beosarce ao. PTGS SI Agr case Oey pea 2. S-Apr 7 yaa ver. TAbeg ad, mene’ reenact ten , % CARTER REO OVLS OEFSE EERO R TEE nt enermemmem cpmmnmmnmsnenninscnnts OE a Dereeetyas? rs 7 SECRET
14-00000 , os SECRET (Ben Fidied Fn} . cc tn a ES SEE TI STA I, REPORT OF SERVICE ABROAD 10: Office of Personnel, Transactions and Records Branch, ote _ — MAME : SERIAL NO. einen Last raiser ae te |" "Rrintgp) ~)~)”””— 9b 036130 ‘ FLOKES DANIEL SNS TRUCT IONS IMG? APPROPRTATE COCR nuwnem am *cooe® COL ULEN Ube APPROPRIATE GP aCe OELOW FO HEPORT HATA FOR FIYNER PCR OAM TOY. FO OL GIGHATE GE THER SUBMIESIOM 18 OF BASIC OAYR, CURNECTICON, OF Came_ret atid (dae valiy}. GEPOR? DATES BY USING fuk mumbai FOR THE MONTH ANG LAST TG O1GITS ONLY FOR VEAR, BEFER FO UF) NG, 88. Revises, PCS OATES OF SERVICE ABROVAL 0/6 OFPaRtuRe Of TYPE OF DATA ena apace yy monty. oar vene posta  Oae ocesnrenen areaseor Pomuset emma Qa: Penn msec a a fi. Pes (Beale) 28-86 27-28 | 89-30 Bb-a8 29-34 $ . conection _ oat eee eee eee B + CAMCELLATION . o| s/ 2] el? fa 1 Pd als TOY DATES OF SERVICE ARBIVAL 0/8 oe : os TYPE OF DATA on ARE ACS) rope | omy wonta bay zs MOOT et . [seer | ay +20 | 29-30 | 4. commection DAE Sibel | rT aoe Bs CANCELLATION | aaa OFFICE OF PERSONNEL USE ONLY - PUACH AREA Coustay SOURCE OOCUMENT AND CEATIF ICATION Sanaa VRAVEL VOUCHER OPGFATCH =. DUTY GYATUS OA FiME AMD ATTENDamcE REPORT case acto ADT orate (Specify) DOCUMENT OaTE/PER IOS a GFL OOCUBERT MDEWTIFECALION Re. Si twahe sh teases ey 060608 senetates oo ABOVE DATS CRRTIFARY CORBETT, BASES UPON SOLACE eee z 2 SGFSG4 See EwE ee Ottumd st Cte ee pensgies. atae. toate SIGRATUGE “ye et errtaree £/9/9 on ae ! THO REPORT WILL BE FILED tm THE OFFICE OF pensomaea ; jg TH thr viouaL'sS OFFICIAL PEQSOnAEL FOLOGR
sO ™ SECRET Vithee gaillad fap SERVICE ABROAD AGREEMENT \ $. GENERAL (robs UNDP RS TOO tHat OU AGHEE TO SERVE PRE PER IGD GF SER eice ABROAD PRESCe a IN SECTION Tf BELOW AND THAT THE GOVERNMENT FS OL GATE 1% vi Tits YOU, YOUR DERE Eat AnD YOUR HOUSEHOLD AND PEEGOREL EFFECTS URGOM PME GALISFAL IGF CUPL E TION OF PHES PER IGE. YOUN ALLOWABLE EXPENSES #ILE Bf DETERMINED EN ACLOMDANCE BETH AGENCY HEGULATIONS. FP YOU TERMINATE youe Pe swasr ah AGGIGNMENE GUTSIUE seer CLGTIMENTAL UNITED S$ fa fig BIC ORL YOU COMPLE FE 52 MONTHS OF CUEDTTADLE SERVICE FULL GMS FF DATE OF YOUR So) shL ANROAD, YOU With Be REQUI®ES TS PEIMBUNSE THE GOVERMENT Fe BLL FRPENSES FT fMLues ite OE PENUENTS, fOU8 BUU'S HOLD AND PERSOWAL EF + THE FRAVEL AND PRANSPORTATEO% GF YO, YOU FYCTS TO YOUR POST. fF oi FREL TG COMPLETE YOUR OREN CREE 35% OF DUTY ABROAD 643 HILL MOT OF ENTITLED TO FHE & 2736S THAYVEL AND TASS ROUTAT IGG GE FOURGSELE .- YOUR OF Ff &ise TNTS ANO YOUR HOUSEHOLD AD Pe GONAL EFRECE TG Pork terres Stata, F, HOWEVER, 448tr¢ OEP ECTALS OL TERMINE THAT *GOUL% EORLY DEPARTURE §9 SFCE TARY Fe HFE ICAL REASONS, GY FS PFRSONAL REASONS OF SIGNIF FCLSGT FTE REST 70 THE GUvEw tae DT, Fut 6 MAY WAIVE THE RE PERM TE © Mite OF TE RPENSES ALREAOY IROCURSED, OF AUTHOHIZE YOUR @ETUMM FeAVEL AND FRANSPORTAT ih, WHICHEVER §S APPLICABLE. 1F CLIGIOLE UNDER THE fF AG tf CAN TE ARHANGED AT Gove FOUR OF HUTY, PROVIDER YOU may SERVICE OQUTSTOE THE UNITED STA UPON YOUR WILLINGNESS TO RE Tue WETURN TO SERVICE OUTSIDE TRE VAETED SEATES COMPLETION OF AN ASS IGNMENS ¢% THE UNITED STATES. SHT6G HOME LEAVE AS 345% my 5 OF Me 20°30, YOU #fLtL BE Ge £9 CONVENTET NCE AF ERR Chaere ria OF YOUR PRESCH IRE S DECYED AT LEAST 18 Tes GF CONTINUOUS CHFOI PARLE Zo. HOME LE AYE AND HOME LF RYE TRAVEL ARE CONTIMGE OF NG CONTEMPLATION Be AGEULY GEPTCTALS THAT YOU mitt IMARDIATEL YS AP TE® BOUL LEAVE OR UPON ed a * ts £ z 4s YOU ARE ADVISED THAT AY?’ UGONIES DUE YOU FHOW THE Gost eOULtT MAY GE APPLIED 64% LIQUIDATION OF ANY FNDERTE ONE TS ARISING FROM VIOLATIOm GF Tset. ROWE EMENT, YOU @iLi &F AFSORDED ALL NORMAL 'HECOURSE 3% APPEALING DECISIONS WADE Piesiusnt TO THIS AGREELUEDT. MAME OF EMFLOYVE € Daniel Flores ment Ss TOUR OF DUTY ABROAD 1. HaMe OF FUST OF ASSICNWENT Currently PreiOo OF SEMAVECE ARAOAD AS PHT RCO EIS +e a, 8, Of a. C. mGmstenceeG Vaue oF GET OF ace ins 8 om THis 7O.8 Late Fo THE EMPLOYER SIGMING Peis steitutal, (See 99 20-59) fle STANDARD TOUR OF DUTY OF 84 wODT ICG OPFRAT ING CHEIC ROL OCPUTY GIREC Toe 8. HOMSTANDARD TOUR OF DUTY OF PAEVIGUSLY APPROVED PEA wR 2O-s8. Camis Ss Pelle BP PROVED : raat foe o8 PL Os cmmEL fil, PERMAMEAT PLACE OF RESIOEMCE 4 But “PERMA SE HT FL BLE OF SERIE E OLE” £5 & PLACE TO SmICm ALL GOEBLE THO eEL AL THAMEPORTAPEOR £eefeses war BE BET HOREZED 6% CHATAI’ CHEST UR T OS. eS PLOSVART FO me PP. FER ELEC OSI TH SIAL OF KEPT TR VOye GFE ST tbe PrAGOMMsL FOLHIA, &. tM MTSLERT IMG FOUR PE MwMAME DT SF. ATE CHF EGIL MLE 1% ifew G GH THE SLssess Fick, YSU BILL foe Freeer sarod am 8@ 23-39) BiBwWhid Fe PROC ETA tee Feats Bel st TEU MERIC HEL FS GBIete SB Swe wire D Ht ates, FTG FALSE SR EL OS OS Cre COMMOMBE KL Pe OF PUERTS aicg a7 tre Frwé OF TOUS ey FHOegees 5 & OLE SHADQAL, Ou MBy af Z 6b em ete et G Pee He giawati Oe Oe ABGhwee FES ef BF FGF PEBmeRTB™ FLBLE FH BESET SLE 76 HOU CHM ERP RB ae Cea? FGLR PHTRIC He GREK LTMG PLETE C3 FHF SOFH fF TORRE TORs Aahe Fea? Bite Giese O, 468 FE PONS Comoe Fe wag PRE ePOVkY SEEM VETO SY He FH A FOE roar Lode tm,, terdemetrom Fast Lem Bf PRESERTED FR ay BTEC WET etarewe wet AL Be POE STE PB. ewes Sut FR BST ger ee FH, wehach ser tBE ECE HRet Om, FPHOFERT? Dest eywie baL PeOTE GHeeh IRC Gee Of FeaRGHO, FeSO BT Y Hoge wees BAF R FHI, tego ee ee eooe . Beeesces eee Bree FS FOE ner as ‘ @ 78 J1S4 Betae be Beene ts SECRET Gwe g ree hee oe rm | ame tm eee f Ceoteeydo OB Fem Be ease “a ee oo 3D
~ SECRET (when witted fay BD. PeYQIT AL OWPERL Bee Lara (Permanent Phave of Heatiters oe unfeaa address tn sfee 6 de eppraved in Flew thereat) Fuk aboaeas. Washington, D, C, APPROVED (0 : S Gate 7. AMONG THE PLAC RESIDENCE SHOANM ABOVE, IN-LAW, GROPFMERS, SISTERS, HEADQUARTERS AREA, G6. YOU MAY REGU HH 20+3086(3) €5 (c CIRCUMSTANCES. B. DESIGNATION PER gress F R8O¥VE PUR abDREe eg : Milwaukie, Oregon RELAVIGHEMIP OF NMELAT EWE AT HOME Lave POENT Parents-in-~law APPROVED 5 de DY of - lM. HOHE LEAVE POUNT 3 YOU MAY REQUEST AS A HOMF LEAVE BROTHERS ~ IN-LAW, 1 FOR APPROVAL SOME OTHEH POINT SUBJECT TO THE PROVISIONS OF }- THE REQUESY MUST BE ACCOMPANIED BY A MEMURANDUM EXPLAINING THE & tere Peale BF QUESTEO (Requented Perassene Place of Beaidence of different from item $) ‘ PULL ADDRESS tant nt a ata ana aantendentmtrnhettememen tnt ee COMCUR DEPUrY DIRECTOR ware ~~ APPROVED DIRECTOR OF PRABONNEL — oate POINT ARES YOUR PERMANENT SLACE OF WHERE YOUR CHILDREN, PAHENTS, PARENTS - SISTERS+ 1 HsLAW RESIDE. AND OR (0. O€SIGNATION PER ITEM 8 ABOVE. FULL ADDRESS pene S ONCE OrPury oPmacror Care _ ~__ APPROVED GIRECTOR OF FERSONNEL Late EMPLOYEE CERTIFICATION roy T have read and understand my service obligations and travel entitlezents as described in this agreement. SICHATURE OF TIP ove sg See Dispatch Attached Dale 5/20/71 SECRET
14-00000 ‘ CONFIDENTIAL; ; + fihen Fytled Te) RESIDENCE AND DEPENDENCY REPORT se OPEL ital GF Edin PORM wilt GF FRIGuUrin tv fate CMP OVE Et af Pee TENE TF FES APRON TAN OP AAT? Wee A CHASE OLLURS the fet POP ORMATION Show HILOe, FFEMS OF CHANGE MAY RE GPPOOTE( fi Tie APP POR PATE HE NOKS RETHOUT COMPLE TEMG Pps AMD TATE, wine es Peer hese, tthe & SEA COMPLY wife sere 2G F. eiwatene mF Tet Pome Pale PE Tat CMPEOVER SS SiLMatine Cree ee Teo Ghee y AF HE ADGUARTIRR PL UGONME E220 BOT IFAT Presumae el ewMeearncy amt CoCaine ereoenn, Tors ue wh ie os fee Pirin, suRM WIE Ne FIL RG FM TE CMPL OVER OU OFF UP TAL Pe TOWNE, FOL tte, ene tng nnnne eieene, GENERAL tat OF Ree POE (Last) (Pieat} FLORES Daniel iP ai __ MARITAL STATUS (Chect ane) 77 MaOR IED, Plas OF MARRIALE Pare OF MARRIAGE 18 November 196 Lim, Peru Gate OF BLCaEE PLACE OF O te pivoaceb, MEMBERS OF FAMILY _ [ADowtas (No. Street. City, Stain, Zip Code) TELEPHONE NO. Sasa DATE OF BEAT ADDREAG Fame ag arove.) FLLEP HONE NO, abneetss Sonzalens, Tervas 78629 512-672-6061 TELEPHONE NO. uawk OF farHcn (or male guardian} [ BAMF OF MOTHER, INCLUDING MAIGLN NAME (oF fewgle suardisn) | | (Deceased) eMay miuarals) GF YOUR FAMILY IF ANY, MAS GEFEN TOLD OF YUUR AFF ELS AT EON we T+ SVIREo IN AM EMEAGENCY. Mr. | 3. RELATIVES WHO ARE o DEN) GIWER RELATIVES WHO ARE DEPENDENT UPON ME FOR AT LEAST ‘IS oF THEIR SUPPORT AND MEET OTHER REQUIRE- MENTS IH TRAVEL REGULATIONS -c#g 22-233. SPECIFY HAMES AND RELATIONSHIPS. ACTLATIONSHEFP ADDRESS THE ONGAME ZATION fF CONTACT 33 RE- DATE OF BLATH SAME PERSON RESIDING IN U.S. TO BE NOTIFIED IM CASE OF EMERGENCY HELAT ION SHEP ame (7, .Wr,,iae) (Loot-Firat-siddie) een | Wothereninelaw Ff aPOLicaeer NOME TERLPHONE NUMDER e nan naentnne HOME ALUKESE (NO. Street Ciiy State, lip Code) aw Waut OF TMPLOVER, Seguin, Texas 78155 . 152 2—3 707620 HUSINEDS ALOHESS (NO. Street, Crey, “Seat: i lip Code) Anu NAME OF “cMeLOvEn, ie aPPLicauue ous 1NGSS FELEPNONE & Catins Om “fiae five pane and adder 2 Tel GNOE Vi DUAL WAMED ABOVE BITTING OF YOUR AGENCY AFFILIATION? CFF ergenssetion he helseven you eark far.) PVINUAL AUEHORIZ(°O FO BAKE GECESIGHS Ge YOUR Bale £4 THE EeFe? YOU AVE imCaPahce? CFF *No® sho can sete auch decsstons ¢h cage of emergonry. J 46 Voge 8G five gene sod eddesae of person, #f ang, spn ——E WAS BEER CESEGNATIO AQ YOU® EMESGFetr soceesste? (ff anewer 8 eepiain why am stem §.} The persone normed ba it (tee 2 2 or 3 above ae may “aleo be notiffed tn case of emergency. tF such NOTIFICATION 13 BOT DE- S1Pse € BtCMISE OF HEALTH Of OTHER REASONS, PLEASE $0 STATE (a 1TH 6 Cm Trl REVERSE SIDE OF THIS FORM. tM BE car ctees CORE IDEN rere ferric es tas
14-00000 COWF IDEN TIAL (etre Fillies ps} VOLUNTASY SRISLES Experience in the handling of amp ta yee enargencies has show that the absence ‘of certain persoral gate often de ~ lays and complicates the settlarent of estate and financia’ oatters. The information requested in this section may prove very useful to your family or attormey in the ve ef pour disability or desth and will be disclosed only when circumstances warrant. IRMOTCATE WANT BND ADoRESS OF any BANKING INSTITUTIONS. ert . es tes wey “wave “ACCOUNTS AnD rey Mawes " BMICH Fer Ace COUNTS ART CARRIED, The Rircs National Rank, Feicral Cffice, 1750 Pennsylvania \Wwenne, Newey BAShEmetion O40, ARE YOU A MEINBER OF THE NORTNBEST FEOERAL CREOLT UNEON? OO YOU HAVE A JOINT account? ae wes, FANSHIP OF VOUR CmlAOREY 2% CASE OF COMMON DISASTER TO BOTH PARENTS? HAVE YOU PAEPLANNED AN ARRANGED Ba VES NO. (8 "Yes" give mame(e} and address) Cs , ; en ae HAVE YOU EXECUTEO A POWER OF ATTORNEY? tC YES fxd NO. (i? "Yea", who possess the power of atturnoy®) 6. ADDITIONAL DATA AND/OR CONTINUATION OF PRECEOING IL TENS | | RESIDENCE DATA ~ TO GE COMPLETED ONLY BY EMPLOYEES ENTERING ON DUTY (No Approval Legaired} RESIDENCE WHEN EMPLOVEO (Full Addrosa) PERMANENT PLACE OF RESIDENCE AS DEFINED IN HR 22°93 . (Fwil addeses) CHARGE IN PERMANENT PLACE OF RESUDENCE (See wR 32-9) (fe Be Complored by Feployes Devising Such Change Bhida Assigned to Headquarters) FULL ADDRESS ee | PEPUTY DIRECTOR OR OF i on ae ne nee neem ieee PreETOR OF PERSONNEL (PAO eppla- | Cate | sable por BR 32-5} eee ee pate nn a - CONF LOENTIAL
14-00000 a, we - - _ 7 - SECRET FIELD REASSIGNMENT QUESTIONNAIRE to nor _Sowel ere FOR HEACCUARTERS USE ORLY swe ar SuUProvisca Ctrus) oars télree etree $.3)} } ° MAME OF EMPLOVEE Curee paeudo only if $4) DATE from dtom §- fy Daniel Flores oo GAaTh PECEHVEO AT HEADQUARTERS! 30 October 1970 HEQT 1506 TO BE COMPLETCD BY EMPLOYEE Cate CECE IVER Br Cavtee SERVICe: 04 MAR 1971 GESPATCH NUMBER: . UATE OF Bint $2. sanvice| >. YOUR CURRENT POSITION, TETLE &. STatioOw Of BASE 2 OeeTT Fle SSRTECSl COQUER 4 August "| oferational officer 1935 GS-10 LANGUES 85. OCSIRED Hat TS Siteat Ta aery ~ AFTER LEAE o GATE OF PCD ARREVAL Ge. REQUESTED OATE OF SC. EXPECTED Hare OF FERS im FIELD OCP aa TURE CECH. te A MQ 13 May 1969 15 May 1971 1 June 1971 1 August 1-71 7, MUMBER AND AGES OF OLPENDE NTS WHO WILE TRAVEL wOTH yous Spouse (Expecting child in March 1971) &, PERSGMAL CERCUMSPANCES THAT SHOULD BE CONSIOERED fh DETERMINING MEX ASG IGHMENT : NA t seanatnanatarenonet » LOST YOUR MAJOR DUTIES OUHING CURRINY TouR (see speceal note on transasttal form), (aleo attach personal cover queationaairs in accordance with CSIP 240-83 Case Officer responsibilities including running project tarsetted against / J agent handling including |__ and related support agents; preparation of intellizence reports, dispatche and other reports related to Case Officer duties. 10, TeareinG DESIFEG: INDICATE Bat TRAINING VOU BELIEVE (OU BSHOULO Ma¥E DUGseG ThE MEST SEvERAL vEARS 1. Soviet Operations Course. (If possible, I would like zo co-crdinate this course with my home leave in the summer of 1071.) 2. Language training. Preferably vecause I would like to serve in sometime in the future, vee! Fy Sate
14-00000 ' SECRET PREFI RENCE FOR ERT ASSEGNME MTT » DFCHIR MROEFLYE Tre Fee OF BORK YOU BOULO POLE R FOR NET ASSEGNME NY FF GEES ERENT FROM THAT BROICATES ba FTE wO. B ABOLE. EF VOU Mavi MOMS THAN ONE PREFERENCE, INDICATE YOUR CHoICE. tt. I would like a position of increased responsibility, preferably as a Case Orficer for Soviet Operations in Latin America. If this is possible I would lixe to take the Sovict Operations Course at Headquarters prior to my next assi¢enment. CBD ICATE $F WOU OLSIRE TO EXTENO YOUR CURREMT FOUR BY CHECKING IM APPROPRIATE @O7., ALGO INDICATE PREFERENCE gto. FOR MEAT REGULAR ASSIGNMENT SY INSERTING 1. 2. @ 3 (for Est, dad, and 3rd chosce) §% REMAINING BOXES, COMPLETE ALL ALTERNATE CHOICES AND OPTIONS In ALL CASES EVEN TeOUGH YOU ARE @EGUESTING AM EXTENSION OF YOUR Pour, QO CRPERD TOUR ne remrcmemrnncemnnnemmnen MOR TIWS AP CURRENT STAT POR FO ce meme enemccmiet & loarad etary GR OFFICE. BE ASSIGNED TO HOQTAS FOR A TOUR OF BUT: FRDICATE VOUR CHOICE OF BDIVESTGH. AST CHO NE cc cceenemnsevccrerenrce EHD CHOICE semen JAD CHOICE BE ASSIGHE fom. FMONC GEOGRAPHIC AMLA ast Cwoic tH CHOICE 328 CHOICE RET UAM TO MY CURRENT STATION Oo O TO SE COMPLETED 8Y FIELO STATION tH. tm COMSEGEMATEGm OF THE EXPER TENCE AND PS MFORMANCE OF THE CMPLOVEL aed HIS PREPESL ACE FOR NEXT ASSIGNMENT, EROICATE YOUR RECOMMENDATION FOR WES HEME ATS IGHMENY AMD TRAINING: . It is believed that this officer's performance at his present post : of assignment has provided sufficient indication of his competence “ as @ field case officer, and that he dould have no problem filling a Soviet Operations Officer slot at a medium sized field installation. He should attend the Soviet Operations Course prior ‘to such assignment. TO BE COMPLETEO BY APPROPRIATE HEADCUARTERS OFFICE th. be COMSEDERATEOM OF Fue ERPERILNCE awh PiwsoemasCl OF Tok CwP_Ovee, vob s PREFTSL ae €6@ wERT ASSIGNEE, ed Poel STRFF ENG STQUIREME RTS OF YOUR COMPGHERT, IRDICATE YOUR COMPOREMP'S BGC Oem asa ioe FCM 014 HEXT ADLGIGeel oT ae TRAIN EME, WH Division has selected Mr. Flores for assignment to in September 1971, aa pari {Trefarn rine, C/HH/Pers Sramati ae Ak bikes a a _. EIT SALE BH 4H. OPPOSED BEF IGE YT: eee a NEE ENTE RET ERY REO ee RITES ENN EP ERLE ne Ry ON aC ease “Ak Leaman ele tideneen settee ce nerenriienne Seee elhneenbenenit a sane ene nnieraen VO, Gumrarse maversso oF Dtgratce ac, eee eee POND. 119900 $00 FRC, pmemmnceerncmacmemennmrenmmen OS 8TEP. ca pmmensemccmeimntecmennin FG ROFTG DEBE ECE OEFOTEERECT FOE eset nn cette tenn Ese unmet te mametinarvmramame e 8898S cpnrmmmemasemmemmalimcmn “tarmenmee= fetewartedat
sete SECRET _fBhen Felled ny REPORT OF SERVICE ABROAD INS PRUCT EONS INSERT APPROPAIATE CODE MUMBA te “COOE™ COLYER REPORT Oates BY USING USE APPROPaS ATE gPact BLOW TO REPORT BATA FOR EITHER PCS OR TOY. TO DESIGMATE BHETHER BUBMISSION 19 OF BAGIC DATA, CORRECTION, OR CANCTLL ATION (Gane onfty). THE MUMGEM FOR THE MONTH, AWD LAST PHO DIGITS Guiy FOR YEAR. REFER TO OF? HO. BO. REVIEGG. PCS DATES OF SERVICE oF Use COOg oniy ae EEC TYPE GF DATA DEPARTURE 0/9 § - oS (Baede} & . CORRECTION 9. CAMCELL ATION 2 . TOV (Basie) 4. commEcr ion 6 + CANCELLATION OFFICE OF PERSONNEL USE ORLY ~ PUNCH AREA SOURCE OGCUMENT ANDO CERTIFICATION OreParcy SaaveL voucKle DUPY BTATUS Of Fred ANG ATTENDANCE REPORT CABLE arngea (Speei ly) HOC umiwl oR ahiercarion my. Ot uted wT Gale /Peatap EK EI IO tte tay 77? a ne sesemee neg ead cacenen sinters, Faerasea BF Beheet seeetated Ge AOOvE SATA CEAPIF IGG COBHECT. BAtEH UPOR BOuURLE eed q 4onteee See veger SoCumaen? Crete rer peer lnvenen esate nnnnn ann tenn Un Onan SEnnDEnS 4 oscars € Be Ssereree eee, leare. , Si Gwatyee , tom hacen mmm wen) teammate enn sm semen, i CEs w te @ & Btereree Fd ee ne EO Na END ne 7 YmiS QEPORT WILE BE FELEO 1m TRE OFFICE OF PERsOmaTy 6 / a 16 THE IBOETIGUAL'S OFF ICHAL PERSONATa FOLOEA 4G. tga Fee faSla eeaesiesg Borsee SCcRet [mages ~ aver eer toeee
sete Mat Approved by CS Csrcir Serries 88 Ie wn. MEMGHRANDUL, FOR? Secretary, CSCS Panel (Section C) SUBJECT 2 Recormendation for Promotion to Crade oSeid, Daniel Flores 1, [It is recommended taat Mr. Daniel Flores be promoted from GS-09 to Useld. 2. Mr. Flores joined the Agency in i%62; initially he was employed on a part-time basis in the Wi Division while attending the American University. lie received iis AB’ degree in 1y07 and bvecanc a fulletime stall employee, On the strong recomuenuation of his supervisors, ‘ir. Flores was accepted for the Carver Training Proxram whica ne come pleted in August L¥o8, After rejoining the Wl Division, he was selected for assignment as an operations officer at the Buse wnere he arrived in May 1909, fir. Flores is bielingual in Spanish. 3, woth as a Headquarters and field operations officer Wr. Flores has carried out his assipuments with intollipence, enthusiasu and initiative. As thel | Kase officer in charge of | joperations, his performance has been of high caliber. In Aupust 1969, during the forced absence of the Chief of base and otner senior officers, ir. Llores assumed the full responsibilities for rumning the base for a period of several weens, He pere- formed the duties of Acting Chief of base in 3 superior ranner.e In addition to bis operational competence, the Chief of base has observed that Ar. Flores’? ability to dévelop social relations with case has becn a distinet asset for the Base, 4. Sr, Flores fas already proven to be a competent operations officer. As ne further develops through experience and responsibility ne should become eligible for rapid ad- Vancement., da any case he is alreagy perftormin: ato a level far bigber than has current grade and a pronotion at this tine is stronyvly reconnended, * ey a ver oad é faa, “willian V. Bree 2’ Unie? ’ beatern iemisprere Pivision
14-00000 CONFIDENTIAL (when fllled in) IMPORTANT Central Processing Branch bas been charged with responsibility for ensuring that all employees processing °C3 to the field have reviewed the field version of the Employee Conduct Handbocs. You wlll not be checked out for your proposed travel untii you slyn the following statecent and return Lt to CPB. Your Persemnel Officer can provide you with a eopy of the Handbook. MEMORANDUM OF UNDERSTANDING I hereby acknowledge that I have read ani understand the contents of Pield Bandbook 20-4, Employee Conduct, dated 23 October 164, Slerature DANTEL . PLOPZES « Excluded froa Group 3 CONPIDENTIAL aAutsomtic downgrading ant decsiasaification. 2
14-00000 ¢ t CONFIDENTIAL . fitbrerr Bathe fad Coeplete in erigenat. Tae Sata recorded on thea fnem es essential in detarn, ning travel espenses alleertle in cone nection with leave at gieerreent sepence, aversaze duly, fetura to tesiderce ugon seperation, end for providing cufrent vresiderce and dazarcanty seforeation required in the event of an erployee arergency, Fhig fora will be filed in the eeplopoa’a offrcs a) tergannel folder, meer tone nett aceeennevernte negra asin mesrehie . PMadtiog! VULVAR SECURITY NUMBER a hoes MAME OF ENR OVE F ‘Ewes CPisaes \ ““ { x ogee", Dam.e i ft. RESIDENCE DATA PLACE oF RESIDENCE aHee Hasteacue EMPLOIFED oY Aornce H LAST PLACE oF RESIDENCE 6 CONTINENTAL Web. ve apperteted abemaed) (es hevreydc wer Lan PLACE iN CONTINEW TAL oa. Bae’ $5 ee DENCE, . ’ { oe sia ld tork NOME LEAVE RES IDMNCE , “ fl larby wag ters yc , MARITAL STATUS creck one) ‘ . Bre E Re i aa i. a ef me otter preeee eaten ~ BINGE & f 1 aR Ese & | SEPARATED [ Jervoacko 1 iz anowey ween eee nena ew Vee nemertnnnnnmn tne ae erene ain pemcaes trate atin Dames Hae ener aa cernmemmienncne tae ndamaee de Seat ene ete pane we MARRIED, PLACE OT Aww IAGE Date OF MARRIAGE $ EDU FOL ee acceeeeeen } MAME ND EO iF OLVORCED, ridce QF Dig oMCE CACHRAE ‘DATE vr ORCREE DATE SPOUSE IED iF WIDOWED, PLACE BeOuse oo ah ceenreiaee menemne se tenn weal a eae a 1? PREVIOQUILY MARMIED, feL)CA TT poh ME15) OF OF > RE ASO : e 1 ' . a. . ee, MEMBERS OF FAMILY : ; i AOURE S¢Ko. Bieeet, Clty. State, Zip Code) THLB PRONE NO. : cow} ee ALECE YAN Ry ween nec en mcr ofensenene qunennicsnacstns ut same NAMES OF CHILURE DS AUORE 69 BEX DATE OF Bir : erdion) “ooress reuernont wo. _LGenzcke, Leyes (Bex 89) (8/216 22 6261. MAME OF TUUR MOTHE ® [tue ferrule guardians ryenyt sy) TeLe PHONK NO. _ Pe rtwe iva ee ne cow erence WHAT MEMBEN(S] OF TOUR FAMILY IF SY, HAS SHEN TOLO OF YOUR AFFILIATION WITM Tiek “ORGANIZATION 1 1 “CONTACT 1 Re QUIRED Im AM EMER DO EHC ¥, PERSON TO BE NOTIFIED IN CASE OF EMERGENCY i. " NAME (MP. Rive.. M Tad Cationsmie _—— je ae \Brof vy) br bors faked T1OME TELEPHONE WUMER Code} rec, Cokie 52D FAG PEDO ZL, e. Law OF AMPLGVER FF APPLIC ALE [BUSINESS TR LE PRONE @ MYR teStee Susie Ss ADORE ST CS CST eee CTT It sia _. LSS Wdie Gs _€ 63 THE INDIVIDUAL NAM2 OD apure wrt Been fro fretreves +. Sot Caen ene ee eee te te eet oe YOUR AGENCY APPILIATION® (18 *Wo% be OM TOUR GE beat, . EVENT YOU ANE PMCAPAGLAP (24 ®: @ such sechelares Canad of sersigonecy.} FS T9498 theory) ¥ TRE wtpfete adie we stovw 6.) The possene famed in stem } above mey eiso be notified in ease of emergency. “VF SUCH NOTIFICATION 8% NOT DESIRABLE ‘BE- CAUSE oF WEALTH OR OTHER REALONS, PLEASE $0 STATE in ITEM 6 ON THE REVERSE SIDE OF THIS FORM ca rinus aye ON NE VeRO SEIvE CURRENT RESIDENCE AND DEPENDENCY REPORT snes 6} wae PE wus : CONFIDENTIAL eee va? ber Bor trad, ete ore we Loss to
CONFIDENTIAL (When Fife Ing 8, ¥YOLUNTARY ENP RIES Capertence in the handling of ampluyee emergenties has shown that the obsance of certain personal date olten delays and compli catns the settlement of estate end financial matters, The information raquasted in this section may prove very uselul to your fusmily or attorney in the event of your dreube sty of death and willbedisclosedonly when circumstances warrant, PMOIC APE NAME wort “ADORRSS he Atay RANK ICD reg eI TU TIONS wire erin rou HAVE “ac COUNTS “ated “yeees NAME 1 WHOM tHe AG: Cuunets ARE CARRIED. Ke V9 F Ws Nien / Bink ' D. W048 J Pct | loves T 17th act Penn. Pyevaes 5, Woshine fa. DE. Cige lean Pegi ute "ARE VOU A MEMDER OF THE NOATNOEST PELEGAL CRRUIT UNION? id YRS vee (-] NO if ¥F8, OO YOU HAVE A JOIN? 4CC OunTt CD rea a ea WAVE YOU COMPLETED A LAST BILL AND TESTAUSNT! " be veo (—] MO. an t¥es® where is document located?) At home. WH beve aul bespons ble pe reo fir ss ite mene YOU PRE PLANNED An SPRANG eo BUREN ANGIIP | oP yous CHILORGN H 1% Case OF COMMON OUMUASTHH TO GOTH PARE veo Cc NO. (14 *¥ a0" give matrel a) and o-bire ee) r HAVE YOU gxudureo a POWER GF ATTORNEY? { j veS Ce] HO, (f° ¥ 090%, 2 whe rogecaa the powee of uetoeney®) Bat PISG Lefer J feove, ADOLTIONAL DATA ANO/OR CONT NUATION OF PRECEDING ITEMS hes cht) A hee dM tata, Lett bom oe a Ct Vee a? we el lg f Ae CONFIOENTIAL te
14-00000 ' SECRET Te ff C . Supplement to Staff Enployee Personnel |. BDenlel Flores Effective 10 April 1969) : ; ; i . i 1 1 : qv Fone oeessa rg sor $595 foieiscs '  SeeRET renrT
14-00000 SECRET nae tree : UNITED STATES GOVERNMENT EPTED: Ve ‘ “A Se BL rE Z orm 3 3 reee 16350 IIiti tt secatt be vas aber eae E ae
to" + ne Wha. -| ELECTION, ‘DECLINATION, OR WAIVER iMPORTANT OF LIFE INSURANCE COVERAGE AGENCY INSTRUCTIONS FEDERAL EMPLOYEES GROUP LIFE INSURANCE PROGRAM ON BACK OF ORIGINAL TO COMPLETE THIS FORM— FOLLOW THESE GENERAL INSTRUCTIONS: e Read the back of the “Duplicate” carefully before you fill in the form. ¢ Fillin BOTHCOPIES of the form Type or use ink. ¢ Do not detach any part. FILL IN TRE IDENTIFYING INFORMATION BELOW {please print or type): Naa “te OF, (pay 2 i EF fores. Donie( _ + fs gust fis ; : EMPLOTIAG DEPARTMENT OR AGENCY _tocarion Co by State, iP (73s t i emiddie} DATE OF BIRTH (month, day. year} SOCIAL SECURITY NUMBER 3 MARK AN "X" IN ONE OF THE BOXES BELOW [do NOT mark mare than one}: Mark here ELECTION OF OPTIONAL (IN ADDITION TO REGULAR) INSURANCE if you I elect the $10,000 add-tronal optional insurance and authorize the required deductions WANT BOTH fram my salary, Compensation, of annuity to pay tne full cast of the optional insurance. optional and Ths optional insurance 18 in addition to my regular insurance. regular insurance (A) Mark Nee me —— OECUINATION OF OPTIONAL (GUT NOT REGULAR) INSURANCE i detiine the $10.000 addtional optonsl insurance i understand that i cannat elect op- if you 06 NOT wanton tional msurance untd af feast | year efter the effective date of th ¢ dectination and unless OPTIONAL but atthe time ft apply for st fam under age LO and present satstactory nied al evdience ofingursbilty | uaderstans sien thal my regular insurance 1s not effected by inis decuna- teuler 4B) teu of additional ophanal insurance insurance WAWER OF LIFE INSURANCE COVERAGE Mark here ft you - 6 dese at is be meurad and I wave (overage prude: the Jaderat Cengiopees Group Lite WANT NEITPdER insurance Prugtam: § wrmleratand thet § cannet Ceheet thes waive gral Obban Feguiat in regular nor Gast aehe @ yeeved ot inecl } pes aster tre eer tie nate of te weve! BAD Uaioe al fhe Te § appry foe vacates bam ander a6 10 aad pened aal.glactors Madd al @ealoneg Of at trad Oopliana CE) ruratenty b yeteratand ate inet § rednt poe of later Rawe tae $19 ONG addtional Ngurahle Aptana Meueants witless here the regula: meutencs ene a ee BD I SOIT es eer ts ee Dee a ee er red A ARIE a me AE ae te eee 8 ERED L8H RE OPER? i" SIGN ANO OATE 1 VOU MASKED 8OX "A" O8 “€", OR EMPLOYING OFFICE USE ONLY COMPETE Trae “QPATIGTICAL $1US™ Yrebre BO TUBA ; Frek GeylisG FOAM IQ YOVR EMA OING OfFict SVE ea St ms eect Aton a {east rme wag dete F nek) 1 So oo * “ 4, . . aN * anereneneueenenne Se % f oa : “,. F oe FO fees o. 6 “a F bere ta ay Cable Baten ws TR. or Penamnel Pate . same a0 nee et a odd Sap PPE oF Tetum be otee ort Bape dae Peng ate t < we fore, of a I , | we ee TOK a oe nee ny piace pias 2 ete
14-00000 8-E-C-R-E-T » TPAD:IUG REPORT = rational Interrogation Course lle. 2-6 . Pull tine = three weeks) 4. 22 November 1968 Student: Flores, Daniel Office: WH Grade : 08 BOD : Mar 62 Number of Studentsa Enrolled: 9 Service Desgignation:: D COURSE OBJECTIVE RATING Class Performance : Satisfactory Interrogation Aptitude: Average GENERAL CLASS PERFORMANCE Excellent: 3 Batisfactory: 6 Unsatisfactory: 0 GENERAL CLASS APTITUDE POR INTERROGATION High: 2 Average: 6 Low: 1 FOR THE DIRECTOR CP TPAINTIG: @? DEC 59 Bate Chisf Instructor Lan G-KeCoRoZ-P
14-00000 a’ SP CeR-E-T eee TRAINING REPORT Course No. No. of Studente Dates of Course OPESATICNS COURSE O04 pe 4 /h 268 Regan Finished oT Mp FULL Time) , ” 0 afore LEG \ RODENT IDENTIFYING INFORMATION STUDENT IDENTIFYING INFCSWASION \ ; ASME OF STUDENT Foo PATE + ~ Moret bs PERFORUAN *h OEVALUATICN FLORES. Dandel Hanges from inadequate to lees than satisfactory (in terra of @ \ Wo. Weak , . new and dnexperienced case officer). Hen echieved the basic lewel required. Gatiefactory, character A - Adequate ized neither by deficiency nor excellence. Po - Freficient ' ‘More than satiafactory. Kas acquired a solid beginner's pro- fielency. This rating may be interpreted ea representing "average" on our reting scale. S$ - Strong Exceptional proficiency, characterized by thoroughness, initia- tive, originality, and an exceptional student understanding of the case officer role in clandestine operations. Performance is so exceptionel in relation to requirerents of the work and in comparison to the performance of cther students doing similar work as to warrant special recognition. O - Outatanding COURSE OBJECTIVE This course is designed to prepare selected staff officers from the Career Trainee } Program for field operationa officer work with the Clandestine Services, The etudent’s { urderstanding of the Clendestine Services doctrines, policies and operetionel ecacepts i ani his ability to apply these related’ itema is measured by a series of practical exer- elses. Successful completion of the Operations Fasiliarization Course (OFC) ia a pre- ; requisite for admiseion to the Operations Course. ek nee ; . ‘ RATING LETTER TRADECRAFT P INTELLIGENCE AND OPERATIONAL INFORMATION REPORTING P Pp . eoemneenante ace kn wap CLANOSSTINE SERVICES OPERATIONAL PROGRAMS The trainee alao received basic instruction and practical work in photogrephy, ineiuding the use _of a iSem camcora snd in darkroon nreceduress in | emt in the use of In acdition, he wes given general famtifarization on such subjects sa| and euthentication, observation and eaketching. Phie rating corresponds to the statement which aocat accurately reflects the atucent's level cf perforsance and tnrea into account everything sbout hin which influenced hia effectivenses, This rating is a reflection of the degree ta which the inatructore fee] thet the etudent is both suitable sara competent for over- aeas eervico in the Clanieatine Gervices, Overall] performance retings of a1] atudeata La thia clea: WRAK a ADE. UATE a FROFICLENT 4 strong GUTITABUING cube mguseneime cere O8-CoRK-P &
Bree me ee G-EeCeR-E-T LAKKATIVE COMMENTS sea and their releticnghip to overell Stenificant ptrenetne and wenkne Phis secticn euplifics ond explatas, perforaance in the Gperations Course. ae necescary, the raviog dettero given ebove. fr. Flores’ overall performance in this course was at the high proficient level, He is a very friendly and personable Individual who put forth a good deal of effort to do well in the course. Mr. Flores takes a very practical approach to solving problems and his attitude throughout the course was excellent. Mr. Flores acquired a good understanding of the principles and techniques of Clandestine Services operations, and in problems requiring _ jin the live exercises he He was particularly effective in debriefing situations and demonstrated Mr. Flores demonstrated a good understanding of Clandestine Services programs in Foreign Intelligence, Counterintelligenece and Covert Action. His performance was graded strong in handling of a / end in a Counterintelligence case study - very well with his colleagues and with the instructors. and a Covert Action case study his understanding and analynes were didged highly proficient, He received a rating of adequate in photography. Mr. Flores has good writing ekille and acquired a thorough under- standing of intelligence am! operational reporting procedures and formats of the Clamicutine Services. His intelligence reports were consistently complete, accurate ond clear. His operational reports suffered occasionally from weak organization, and un one occasion he had diffleulty distinguishing operational from intelligence informution; but his reports were yenernmlly complete and accurate and showed a sound understanding of operaticnal reporting requirements. : Mr. Flores is a personuble and intelligent individual who got along’ With his excellent attitude anil strong deaire for a career in the Clandestine Services together with his willingness to werk hard, Mr. Flores should have little difficulty in ueveloping into an effective cace officer as he gets greater experience, FOR THE DIRECTOR OF TRAINING; 23 August 106d Chiet Ingzructecr ante 3 « SEU Re E-T
Operations Course, Phase (__416 hours, full-time) Bs + D--C-R-E-T TRATNIWG REPORT & March - 3 ap 1968 Date Student t FLORES, Daniel office : CTP/OTR Year of Birth; 1935 Service Pesignation: 87 Grade + G3-07 No, of Studenta: [| Began; | | Finished EOD $ March 1962 COURSE OBJECTIVES: The course is designed to prepare junior clandeatine services officera for related to the | jot officer will be capable o t Upon completion of training, the developing and fuplementing actions which will contribute to the elimination of | jin the lof the world in furtherance of U.S. policy. Ha shell -also be capable of developing plana for the of |dn support of United Sates/ in and will be able to plan for the use of and | operations in direct support of other intelligence activities. noe ACHTEVEMENT RECORD: The performance rating and narrative comments below are derived from a synthesis of all observations and evaluations submitted on each trainees by the instructor staff. Student rating is indicated by the asterisk. ADEQUATE STRONG 32 PROFICIENT _# 46 —2.. on INCOMPLETE NARRATIVE COMMENTS ¢ Mr. Plores ie a self-sufficlent, steady worker, who demonstrated an excellent _ ability to adapt himself to the various training situationa. His proficient ’ performance during Operations Course, Phase [i-}-63 did not fluctuate appreciably from beginning to end. Mr. Plorea was alwaya mentally alert, receptive to inatruction and responsive to instructional exercises. He cheerfully accepted all responsibilities, consistently produced satiafactory results, and appeared to demonstrate a sense of pride in hie | accomplishments. His conscientious effort, sincerity, and cooperative attitude enabled hia to develop 4 sound working relationship with hie colleagues. Continued on Page 2 2
GeE-C-H-£-T TRATH[BS PEPORT Operations Course, Phaso I1-3-68 4 March ~ 3 May 1968 (416 hours, full-time) - Student : FLORES, Danted Office : crp/OTR Service Designation: 8J 2 NARRATIVE COMMENTS (Continued) Of noteworthy mention was Mr. Flores’ pleasant, industrious performance on, throughout the| | He established a ’ cheerful envirorment for his colleagues asi completed assigned responsibilities with enthuelasm, determination and cooperation. His sustained high-level performance and ability to adapt to the[  _—=_—fearnmed him the respect and appreciation of his classmates. : The degrce of performance attained in the course indicates Mr. Flores has gained a sound familiarization of the) activities, responsibilities, |: akills, and concepts. . FOR THE DIRECTOR OF TRAINING: Chie? Instructor, 2 3-E-C-R-E-P
14-00000 SECRET TRAINING REFCRT ° CS RECORDS I § NAME OF TRAINEE: Flores,. Daniel - COURSE: CS RECORDS II . (Bicgraphic Research) DOB: 1935 SDs SJ DATE : 9 ~ 16 May 1968 . OFFICE: CTP GS: 07 HOURS : 30 - part tine OBJECTIVES 1. To provide briefing in the Cé requirement for bicgraphice research, the importance of thia research in the investigative process, and in the importance of the rele of the bicgraphic researcher. 2. To provide tnotruction in the mature, content and means - of eceeas to repesitcries of bicyraphic i:fermation in the Cd and ‘ othor elenents cf tho Agency and the ceczunity. go To intrcduce the ecncept cf research and investigation ‘ and the preececes involved therein, ani'to provide practical work ’ in research as dene at headquarters. : 4, To alert the students to the nature of analysis in producing ove finished reports cf Licgraphic research. 7 ' 5. To provide practice in writirg the report of bicgraphie research, . METHOD OF INSTRUCTION the ecurse ir presented by means of lecture, discussion and demonstration. More “than fifty percert cf the class tine is devoted to an exereise in biegraphic research, an exercise in onalysis of the materials recovered, and preparation of a rerort of the research. i ADJECTIVAL RATINGS USED IN THE TRAINING RZPCRT ; EXCELLENT Etudent demcnatrated unusuel ecmpetence in achieving : , the ecurse cbjectives, Hig understanding of the ccurse } ’ ecntent was unusually thorcugh and perceptive. Where : ; . skills were taught, he 4excustrated particulor facility : ‘ in their use. . ‘ : SA SATISPACTCRY  6tudent's achievement cf the ccurse objectives was ecmpetent. He demenatrated gccd understanding of the : . ' @Gurse content. Where ekilis were taught, he demon- : ; strated basic facility in their USEe. .. UNBATISPACTORY Student did not denonstrete adequate goupetence. Althcugh he may have rade secre pregréss, he fell -shert cf the mininum standards for achievement of the ccurse objectives, . SECRET
14-00000 etanem ar at en an ee ee TT . EL MURITO ONLI Aaah op thee me ee SECRET NARRATIVE RATING CF ACHIEVEMENT: 1 “Mr, Flores showed considerable ability and experience in ? his handling of the practical problem. He should have no ; trouble in doing work of this kind with a minimum of supervision, Cverall. atjectival rating of achievement: . . . Satisfactory Va Overall adjectival ratings of achievement cf all employees fa the course: _ EXCELLENT: 2 SATISFACTORY: 14 UNSATISFACTCRY: Atterdance at this course dces not provide the student with operational kncwledge and background sufficient to qualify him as «n independent Fesearcher, capable of making operational . Judgnents. NOTE: CS Records I (tatroduetton to Records) is a prerequisite for this course, . . FCR TSE DIRECTOR OF TRAINING: t 24 MAY gg Chief Instructor Za SECRET
SECRET (When Filled Fad TRAINING REPORT (120 Nourse) INTELLIGENCE TECHNIQUES COURSE jCavte oF course 29 Jan - 13 Feb 1968 RO. STUDENTS COURSE RO, NAME CF STUDENT 4 foo Hare Mar 1962 KEY TO RATERS FLORES, Daniel inadequate to fesse than satiafactory. . 1 Hae achieved the basic level required. nog excellence. ® - Weak Ranges from Satdafactory, characterised neither by deficiency Ass Adequate tore then satisfactory. Has scaquired a solid boginner‘s proficiency. P» Proficient & - Strang Bxceptional proficdency. Characteriaod hy thoroughness. initdative, originality. and ean exceptional atudent understanding of the work lavolved in intalfigence production. Perfersance is eo exceptional in relation to requirementa and in comparisen te the pers formance of others doing eimilag vork at ta warrant special recognition. O- Gutetanding EVALUATION OF PERFORMANCE EN SKELLS RATENG wa WRITING BRUEF ING OVER- ALL PERFORMANCE EVALUATION the extent to which the student possesses the ski-lls and techniques required in the production of finished in- telllgence. The rating is not necessarily arrived at by mathemitically averaging in the skills ratings, Dut takes into consideration any outstanding Strengths or weaknesses ‘that should be reflected in an evaluation of The RATING LETTER is a consensus of the view of the faculty. the performance of the stuwent a5 & whole, REPORT OF OBSERVATIONS, JUDGMENTS AND IMPRESSIONS This is a general, unspecific, narrative report of observations, judqments, and impressions, tt includes fotangl- ble factors such as the student’s attitude, cooperativeness, attentiveness, maturity, and judgment, it also includes the general Impression the student has made on the faculty. fnis report will not te included unless the Instructors - belleve that It would add sanething ta the previous evaluation of perfermance In skills as well as to the evaluatlon of the OVER-ALL PERFORMANCE of the student, Geus een mamaria ‘ jearta | | FOR THE DIRECTOR OF TRAINING: ee mw ED Gmraga dec ace Fabre tins prvana cael en PERTH EGET E BT aogey | ' vorae 2070 servis SECRET iene son . eon 7 a a peg heb ae
wE-CoR-E-T FEARCRMANCE RECORD The . sess scrcimstesesnenhemesetetinttnttemeneseteatent-nttneioueseetteanetoth Couree Description A. Statement of Objectives 1. 2s B. Course Method 1. Approximetely one-half of the course ie devoted to lectures, one-fourth to seminers, exercises and deconstretione, end one-~- fourth to individuel study. 2. Student achievement ie judged on the besie of performance in one written examination and perticipation in seminere end exercises. SAAS Ca Written Work Exanination m2 Orel Work Seminere, Exercises The tat, ete Comment SRCUP Tf Excluded fra sutoetic downgrading end declasetficetiogs Be Ke CoRK-P
14-00000 mt ee via TMADITAI pePCwT ree 226 - UE. TON BATS ATATION namn ro, 2-68 2 Jan. “8 cate 1968 eTuoarr i FLORS, Daniel VIE « CIP "Bear YEAR OF BIRTH: 1935 St ICE GESIGHATTON: GJ GRADE ": GS-07 Bikes OP PUDENTG 1 [| Began mov nar =: March 1962 Finished QOURIE GuJ ACTIVE AND corrsurt fee Gperat.oas Familierizgation Course te a fcar-wees course danigied to provide the et.dant with am understanding of th Clandestions ‘arvices progrems, operational eetnods and reyorting techniques ~tpectal enpneaa.e ta given the beaic eleavnts of METHODS. Pha fostructional methods used inclute’ qlase 4Jecxesions, lectures, files demonstrations, practical exercises and case studiev. Practical axereises were i The operational programs of variais Clandestine Bervices | Divisions wars dlecussea vy representatives ef the respactive Hesdquirtere ecapmnents. BUMEATIS CP PRRPORHANCE - ween The student's rating ie based on understanding af the eater ial presented as , Gemenctrated by his participation is class Giacuseicas, the preperation of intelligence aod operational reports, the application of cperat inal principles in the practioal emercises Gnd the grade regeived on @ comprehensive written ezaainatios gire: in the final week of the coursé vbich covered all areas ct omrse.content. Cthor factors eonaidere’ in doteruiving the final rating wore tra etsztent’'s interest, attitude sad Preparetion for assignments. ‘Tse ouaber of etudetee receiving each adjectival reting 6% Overall caursé performance ie shown below. This stutent’s rating te indicated by 4a asterisk. Explanatory serrative comments ere tatlztel vith « rating of ARRQUATE or STR}. When considered pertinent by the traiaizg staff, commeanta aay also be include’ with a PROFICIENT (average) rating. . UNSATISPACTORY Abmuars * proyrcrere gEONG Mr. Flores® overall performance in <he course was at the solid profictent level. It should be noted thzt he demonstrated a particularly good attitude throughout tre course. He took full . advantage of the training offered to increase hia knowledge of the v Fea Gis gia ee oF Tus . y Feb, 1063 -- ae OC GRP
14-00000 We te meme may telnet ot ok ae ee ee a witae ‘exhibles. °° S~E~C-R-E-T ORTENTATION TO INTELLIGENCE FOR CY'S (Class of Decendtr 1367) Syration: l-22 December 1987 - STUDENT = : Baniel FLORES (30 hours, full time) YEAR OF BERTH: = 1935 : OFFICE : CT GRADE : GS-07 SERVICE DESIGHATION: $J E00 2 March 1962 NURBER GF STUDENTS + COURSE UBJECTIVES < CONTENT AD HETHOOS in the Crientation to Intelligence Course the objectives are: (1) to Instruct the student In the basic -oncepts and terminology of intelligence; | (2) to describe the history of U.S. Intelligence and the current role of ‘Intelligence In tha national security structure: (3) to outline the composition and mission of the Intelligence community, noting the Agency's significant role therein; (4) to define.the mission of CIA In supporting the DCI and to Identify the functions of the Agency's major components, particularly In the collection, production, and dissemination of Intelligence; and (5) to Identify and discuss major problems facing the Agency. The area surveys and ‘Articulating the united States’ elements of the course are designed to Introduce the students briefly to some of the Intelligence problems presented. by major regions of the -- free world and to stimulate thought about the American way of [1fe and tts 7 felationship to these areas, . instructional techniques Include lectures given by members of the Ortentatlon and Briefing Faculty, guest speakors from Agoncy components, seminars, directed reading, review exercises, training flims, and Intelligence ACHIEVEMENT RECORD The Individual student avaluation Is based on his score achieved on a This test, consisting The rating written examination given at the concluston of the course. of "100 items, covered all major aspects of the course content. assigned to this student is: - - PROFICIENT The evaluation system used was 43 follows: GO = Outstending = 0-3 wrong $ @ Strong e be8 wrong Pe Proficient = 91§ wrong A 2 Adequate = 1525 wrong W © Weak = 26= wrong Fu THE DERECTOR OF TRADES S=CoCoR-f=T I: Pare “|
14-00000 * wee en KEMORANDUM FOR: Daniel Flores re ae i aan antral! “ee 2, Getober 1967 r THROUGH : Executive Secretary CSCT Selection Beonrd SUBJECT $ Application for Carecr Training Program 1. TI am pleased to inform you thet you have been accopted for the Career Training Program. last. my: congratulate you and wish you the maximum profit and plenaure from your proposed training. 2. You will remin with your present. Component until the beginning of tho next Inteyrated Training Program, to begin i1 December. At that time you will be reasalyned to the CTP T/0 where you will rennin until your training hag been completed. 3. Should you have any further questions, do not healtate to call on the Program Officers. Chief, CTP ree gg ie H fre rrem et
14-00000 SECRET { Bhan Fal tod tat MILITARY STATUS QUESTIONNAIRE. fe: (READ INSTHUCTIONS O8 REVERSE SIDE) “DO HOT WRITE IN SPACES BELOW . ho + PET MIS GATE (Mr atarepene) 1-6, SERIAL NUMNE iS ; APEX ea! ARG WGE an . wed wie SAME 8 astedectntaier ~ ~ eens 05. ay) 1 | ae neces, Lebel: OC TE OP BIRT OG CRfe Ae aded ty we, 7 Gf “ } arta mc FEMAL e - bE ALS Lx f! F< Deen eee ee beh ee wo tS wee ee 8. orriv Pay where ee ACHIGNE LD &. SCHEOULE ANU GRADE 80-8). GrPice CONE ppr/opsen {jo GS-0 Se 7 TO CURR @. INDICATE DHAPT CLASSIFICATION, b?. Op art STATUS t suasect Toe CuRAe LAT ies: ves SCS Xite- | VETERANS COMPLETE THE “FOLLOWING 2P ANY 10. MIL. GRAQR ON SEPARATION CME) _ 1OA. VRS'MOt l ACTIVE SEAVICH pane A GMS. tt. sTat us AY Time OF SEPARATION (Check nz) Wacavean |" [ui neseave | [aionarves [7 [el een 12. TYPR OF BLPARATION (Chock ona) B. RANE 04 OP oe RyICt On at PARATIONIGhack + one) (8) COAGT QVvaRD (3) MAR ING AIR FORCE 04. Yrer ae SEPARATION : PLEASE NOTE fA-feoe thant @ yea; i-@ yea ap more) . ALTMOUGM TOU MAY MAYE A SERVICE CONNVCTEO OMABILITY, DO NOT CHECK THE HOR WARTING OSE RVICH CONNEC THD OCAGILITY® UNLESS YOU WERE 14 BA 34 7a : ACTUALLY AK TIRED POR THIS REAION. EF OTMEA WISE, CHECK “WONDRARLE . OiscnAMga® OR *RELHARED TO INACTIVE OUTY® 45 APPROPRIATE, EVEN THOVGN YOU MAY AE ORAWING A DIGABILITY ALLOWANCE OR COMPENSATION, 38 ¥a- 18) RETIRED ASK an Ba 6a HE} AKL KABEO TO INACTIVE OUT Y ¥ (2) HONOMABLE OBCHANGE mo AE TIA Do CAS THAN 20 view SERIE MEMBERS OF RESERVE FORCES COMPLETE THE FOL FOLLOWING jess RE TIME HAS (ove mare) yes. eave & a et ee a ne ae snp msninnrnaasiarinbhnennananngatnn " eoboaah 13. RESERVE BRANCH OR SERVICE 14. ORIGINAL ENTHY DATS IN ARMED 43. GRANCM OHM VICR 6-49. MNTRY UATE . St avicus "TS. BERVICH SERIAL NO. 16. MUS, AFSC, DESIGNATOR, OR RATING 90-50. SURV. BEA, NO. 100-08. NOS, APSC, : RIC. 17. baths GRADE 08, RESEAVE CATHOORY (Check one) 9-68, MIL. GRADE @7. CATEGORE : (i agagy [ | Gi aranoay| [tree tineo 4 neneces ee ae = 18 EXPIMATION DATS OF APPOINTMENT OR ENLISTMENT (Munth and year) O87. CA PIBATION BATE FE. MGRILIEATION ASSIONMENT ’ 20. MIL. MOMILIZ ATION &SS1G Ma NT SO. RESMRYVE VMIT TO WrHiCte ASIIGNED OR ATTACHED PE, AGSIGstR OT Yh? os 7G. MOBILIZATION CAT RGGHY 24. COnemems eer $36 , cocoate OMe IOUS EOLT IO, SECRET . , ‘ el i
14-00000 CIA INTERNAL USE ONLY {Claessty Bhon Felled jw} OUTSIDE ACTIVITY APPROVAL REQUEST \ ae ttn nee one enee| map EEE NOT RIFORE, SURAT TING TO TAR AN ORIGINAL ANON COCIES OF THES FORM OT 9 4] DIRECTOR OF SECURITY; ATTN: EMPLOYER ACTIVITY BRANCH [ 16 April 1962 ea “admindetratigs and/or pecurity officer) os . wee ' any THO: Topared ing ing official, 1 Becurity Officer, KID wee ee eens cena n meee ne ctnn 9 renee inns snticnntpinnsiaeni ite nine nf hein 4 = seeming oe ae AH COAUE OF FMPLOVEE ana as Type) COMP NE ae ROOM HO. AND BLOG, PHONE _|__.FIOFES, Daniel __ 05-0 _| Dor/oPsER/RID/¥B/D}_3.B oe ere $. GESCHSPT IO OF GUTRIDE aACTIvity pum enicn APPROVAL 18 SEQUERTEDE Sertender 2. FULL MAMIE GF GROAME ZATION AND/OR PERSONS PHYOL VES Bartenters Unien Leeal 014 75 B- OATEIST GF PARTICIPATION AND LOCALE OF ACTIVITY Os ell different days ef the week. 91h P Street, B. v ____#ashington, De oO. &. *i@agags aremement In engaging in the requested activity I will make no reference to, or discuss ny CIA asaignments or duties nor will I make refereng! to or discuss my CIA emplo gent except as authorized Ly Headquarters Regulat i fi 10-7. ied LM tex SEGHATURE GF HAQUERTING EMPLOVE F $. COMCURBERCES ARD/GH APPROVAL WITHIN GPERATING OFFICE Qsened) Jolin AL Wioeteworels Chief, RID/ADMIA POR COMPLETION BY BMPLOVEE ACTIVITY BRANCH AND BEYURN OF OKIGINAL TO EMPLOYER ier CIA INTERNAL USE ORLY ie- 38) 0 B79 Tieee
ne . nn FLEA Le pe oo ee ti emma race — PL Oee CR RC NTE LR tee Footed pores Nu 2809 LTH BLPZEITS REGISTRATION FOR ee CSEASERR U.S 9 BOM HELO AL Fee Cats eGR ee BERETS acy be 1898 yc pes 4536490 GALI TE Tye onl, teem tee oe bee “be wee es wee se enmmcapenamemieatanns 0 ywtnn cere cece ne weenie pee tment oe 1 peared POSTED ty TORE pc Gale cot Savtee 3 Bre pw Row mance 1! | Bfs@ mewaberte . : . fowsee | mae f veae | as TOT PART A _ ony i 5 dow ~ 2 | a o. oo, \ —_ ~ . { - ! wo ob sy Ai wig — J f at rs - a eames 20 wee me th be ae . PARAL | 8 POE FRAT ANDRESS [ranger OE O anes COREE Ts Mile ANT GONE NT MELT . . , “2 fF co fo° ward get of bG! L fhe . De rts ween eee oa oe tee - , hon you cueerad hy, oF Tad petaw cay fF Pane on F Past erat Wy oF enerding ms ct pen re dac tee Satecal Genptepeee | camae Fpaith Renehty A EOL P ED snugt Ba err war lell aay ther i . . _ Uveedadd Satertas ope Cdevtrcet ot Creda Lote etre mews ply Oe cot ! weante Le Ore | “gaa > ty Ee See r feta 2 ba eee y Pe Vase Tete wena ta he mada frges og satan, coma nthe, ae en ty teersagetonendy? wo. yb 4 on’, | i il PART 6 it Lb al@ct fa entelt ov a hecithy harel te pe cite cn sr erme hansen Lautinase ves { foegeme mg share of tine tesat of Pha sees ee a fialvw bonm yiete cover nl brqebure af the plas cou poles? ag teu seeegeoneadeages FR Oye tM fis pest ad aA 10k eat A wEAETH BEMEFITS aA F te twee betow lat all elgdte favs cacrhacy o oye ly, sriglaehing fagally ydupied hitdeas, acd ttepet aden und theegefereeter & aoe lnetade alto any unmercad @ °F ata fecdina derhled hetore nge 1? and efey, hesause of the dieateley, i incapable ~ YF ae Sar hed EM Pak ‘ [ omtine stead OP ET utr ow rand Get, then pour use rreed Cod on unre Kiidren whe bee meth pad a regula parent hs peloton [ssaper oe rane os | ' at a Va Oe ghee LEM. Sf? WW ete scuphien Gat $ we feed "HF teewe od al setfeupport  [Affuch @ ductors sat denta bus a ditted child ogo TP of over.) omen: woe vane noe tap aretmain ana tee cen etm seminars = 8 vee eee pp tener nee ny te pentne 9 mene nurs ae sere gersrtarets e if anrglimant . Le Byres Mate cw Bretee re tye 4018 anty, fiApAt's OF PASAT MEMBERS | ee wry, tor} NAMES OF FAIL pod MeERS (abet, nee Yeon). wager item 3, a ata eee pete watee pee oe pe ee ween oe a ft areatice ant a oe . . ry fae gall wad fovndig wise enpwer om 8 » J tam 3 of 4 ep gtins, pa merece cate tates Cet at ean er eemnenmationte Sate et aw trey tha Symily beted obave include a busted wha a incnpuble at ell. tod ta Gwetinas for tnate Than une pant? (HP anveee bog felemplayag or anrestae eatcmenisl of phyecal govt. Oop mt nh can be oops PART a RINE TOU MIke 2, wOucest sib ePbart, Bats AIT TR TIA D .. Sines ~~ voce fe a apnea or are ce ment aig i TMG: rs 50 ‘eniott In-eny- plan ee 243) tus my alectan it fou getgear bar} . & qd . ad PyAdly | ' the Heulth Banofiis Act. - bast far cocemd by a plea under the Health Benefits Act trough the enroll: mM: a] pons ow { card aby hurband, wile, ar parnat, i het ita tu J olect to rancel my presen? aneail- ; fel bam enesad bp a heusth unuranes plan which os aut undat the Hegir 3 foarte genie funder the Health Benefits Act I Beretns Ae! wy ‘ gant under the Plo weet may 1 bwb oh Like BS, j : Gr Brg ofnes tensed toi) PART it) us wet in theme my eratlneat us wicars bee pe oo Ler inf ottet ev harem ta a Veet 6 essen aue ae en fet a Fs Eo Berutine nt ania nuestonr of gresaat play LP Ue cea th mennt abide pe nite gun ae [5 Beste of arent white pers chubye en - 104 Ppa wate te ten uh ck pleat Ror prope thee tf oe . ” id | reread tar vat He POG? H Farsi uatat | is nee Cees . VARI CE, awe ng lapentionsl false slatema:? 0 Bile mpphearion ne wilttyl miu epecsontation ealutis« therety 4a yvinlatian of ere law punithoble ky uv fae uf nel muse then $10 00 o¢ impriscamen! at Rot nore Dhan 3 gears, oF beth, (88 USC BOOTS or inee : . m1 ERE / pitt ( ia iS PAET { ~ Tene uatafien 89 sae nen tem 1 fede Ava ALL BESS CoP BAL Eas CHEE foarTe HECr Es oe Jy obtette fasion, CH HCE bags Ped i | PART FOI , - . Bate OF wu fab £9 . ately nene en eneee cobs erence i REMAEKS | re wb tet | Bega lees 335 Sit | ~y oF . ori «3 of, : came ea uanvneee teeeneset att act emu saree nec ene eNO IE Beene amermnnane -eockon Gf -qeiticntenrameeatintintr ert meen te . ome rare) gase tea Urtganere—— be Legray 3 [ors
CONFIDENTIAL, (when filled in) MEMORANDUM OF UNDERSTANDING lf hereby acknowledge that IL have read and understand the contents of Handbook 20-4, Employce Conduct, dated 29 August 1961, : ate : CONFIDENTIAL Same To
14-00000 STANDARD FORM 61 BEWItEO gyUSE ray BB CH SOREL E PUM WIS GIO FP WM LeReTER Ae APPOINTMENT AFFIDAVITS IMPORTANT. Before swearing to these appointment affidavits, you should read and understand the attached information for appointee CENTRAL INTELLIGENCE AGENCY WASHINGTON, Pe Ce (Place of employment} BT, 0.2. Se Bee cece atee tea meaneene cow eenne rene sauaumee cee A, OATH OF OFFICE — I will support and defend the Constitution of the United States against all enemies. foreign arid 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 dutics of the office on which I am about to enter, SO HELP ME GOD. ; B. AFFIDAVIT AS TO SUBVERSIVE ACTIVITY AND AFFILIATION Tam not a Communist or Fascist. I do not advocate 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 secks 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: ployee of the Federal Government or any agency thereof. \ FLORES, DANIEL + do solemnly swear (or affirm) that— "€. AFFIDAVIT AS TO STRIKING AGAINST THE FEDERAL GOVERNMENT Tam not participating in any strike against the Government of the United States or any agenéy 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 thereot while an employee of the Government of the United States or any agency thereof. I do further swear (or affirm) that Iam not knowingly a - member of an organization of Government employces that asserts the right to strike against the Government of the United States or any agency thereof and I will not, while an enwploycee of the Government of the United States or any agency thereof, knowingly become a member of such an organization. DO. 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 TQ DECLARATION OF APPOINTEE The answers given in the Declaration of Appointee on the reverse of this form are true and correct. 11 rar 1968 Mbit Bhone steers (geet ure a od apyweatess (Mare of entvence om: dwt p> Subscribed and aworn before me thie ...22th day of ..........hareh A bog &, at Washington, me Cy beac cues neces caesagetereeee to vagy es ceerecaeeeeree ee ay” - ¢ f vo? . F {seat] 1 Ragengl wee 8 odtae } Asad tent Clark _ ° Frage} ' $8 oe the & poem samgmored te BS €) bag FF Be Metaie Patri, the Bore af aw me NOTH --fae oath of ohi.e muat be avdaunetscod be @ perain epee and i 4 6 af rrr onsefos cat he sa seshes Swe Gicnet BIO As? of Jooose J@. 1064, 2 oY erpisadian of Are rwerrmeiswan shavwld te she
14-00000 a “DECLARATION OF APPOINTEE This fourm is to be completed before entrance on duty. Answer all questions. Admitted unfavorable information about such matters a3 arrests or discharges will be considered together with the favorable information in your record in determining your present fiteess for Federal employment. However, a false statement or dishonest answer to any question may be grounds for dismissal after appointment and is punishable by law. — = mel sna cne S$, BE Cap nare cH gates “Poy PLACE OF BET were wad State ve cite and hiregn cuuniry} ” — roy s 7 Wr neta oAY SE AEE Me8 , TE VAS So. ee ee cece 2 {82 CASE OO EERE mT, LEAT wotiey, , ABE SLU ATR See royce ASD ML WEI H Crly @hD STETE rs) THEA PROME om, ly F LALES i . 4s 2. ~ “ DFS. Bities (bLe bear | ee Ab be MASH, 6, PE ly as See @ ORGS Tee LOITEO STATES GOP REUET EMPLOY IR aN carne a7¥ amy RELATIVE OF YOURS ee BBY BLOND OR WARK AGE} ITM WHOM YOU Link O8 HALT Le O WITHIN toe east zeuontos: (“J ves [7] 90 df wo, for each such relative Hii on the Blane bekvwe i additonal space ia Mevoasacy, complete wofer ftom $2 7 Ip PSHOs () te vecgany OR BOT TV wae. Poa % C4 PARTMENT Cat AGE WC OM weil BELATOSSIe | eH} Ger nut ERE apoagss rtrd (Give wereet Rumber, of any) EVALOTED { (Check one) ere ee eee erent eee —- |——— } INDICATE ANSWER BY PLACING “A IN PROPER COLUMN ‘yes NO INDICATE ANSWER BY PLACING “R" GN PROPER COLUMN ives! KO ile H wees meee a ee a ee i 8 (ap aad vow ae t22@ GP THE UNITED STATLS OF AWIARA OR (BD AS A | te 4 AVE YOU Fett FLED & WAKER OF LIFE FwSURANCE COVERAGE PO [7 MATT OP SMIAT AS BANDA LF VOU OWE ALLEGIANCE (O Tod LRITEO : open THE FECA AAL EMPLOVITS GROG? LIFE imSumance ACT? graris oF awimecas | a “ame Bh, he OFICIAL OF EMPLO TEE OF ART STATE, TERRTOR, oary.oe | (GO) F YOu HAbE FRED S08 A WAIVER, MAD IT OL0% CAMCILEG O8 Sin PALIT ED t REVORLOP _ff yuur anewer ig“ Yes,"" gore detasts int Itean 48 : cent spe ee us Le { F Re ey OE aed CR wart Fins SEPT AD FOue Ate AM OTe gio Peed imsTae | ¢ tt sitece you CAND APPLICA PION REA EIBG 6 Teed APRN T ERT, i STATE Sum eS TR A Te COR LY Ee GUE HRN ST USES SY OE The ws eT i A, aed YOu B668 ONC MERGED PRI TUMUNMERT BECAUSE: t Ge ARE PRA OR Oke COMPLE A Te Pum watame De Aes eh ' t ~ w, : : famatt | : i Q)) POUR COMUUCT BAS MOT HAT ACTOR? j _lt yuur enewer te "Yeo ge dotaitsinbremi® EE (2) TOUR WORE WAS MOT BATE ACTON? i- -}- A @ BRE FOL FRED OPM eT BES Tig Tey AnmLETMTe? mare Foe | . “ i P00) AROEAILG Cue mEEL CO ont BF ORCS OSE STATE Ue Lemke Lag t i i @, Moos FOU REMGAID AVILA CHF RIAL MOV alae THAT. { i GRO wa ERE AL Pree Pes Fld ART PEM ATE OF ART OE -2 Hee La 5 i URS wrete tree ne Cis any me ere cre oo met Ween 3 { i €:) TOUR COME? AS BOT 446 Tiss AC TORE? i AP ste ae POTEET pe ee ee POR Bote of 8 FITS EGR bak BaF ! : } WAAC Ad OTe A Leeeee s MU DT Bd MELE D kote @ Tent eas if Gd WAR BOHR WAS MIT sae AC TORT? \-- 1 he severe : a se & Otw mae S Pm Tek BAMLD SEVICLS LAER ; 40 pews smowae fg “Yoo” gore dm Figen 23 fee each coas. ‘ 4 © wave vou Bee i . 1D) eppeoremate dare (be has ge, CFF plore, (4) setsam fedan, | f fy OT re @ Sek om rin mages CoeeOrt aves? | - on ~~ d¢ pous amewes ta A,B ae Core Keo" gore Seterta ini 6 Smt FRED BPR ACE TE OEt.4 TG a ford armoRT MERE BALE | From Fd aes teasis as Punt can semeamher one hacing the | Voy GER beset h FF See. Fe a GABAA Cede BTe TPG Poa tey © | Reme and aditeses at emighy oi. apprusimate dats, and | YE tre ee etre, ere ee Te ee Te . . 4 Jeaoune 1” gach vaee } $1 paws snewes oo “Fos” gere states cf and caemend bee | ; ? { i .  Tweh Peder meses re dive fF a neue We i POG Id QA BBC ae TO ora e os Breed gPaagmass coean Bie an bons fs Shook amew oes spely 3 tener tee ee etn ee peter ene te tee emnatn tn miners Me on aise if. & . Goctenw mee i . cn ne ae eee rmmertenmeetnmae netmtreanen et trwctmmtnarmers + § 2 | cme iene eet en ne Hen tee cnet vane nee a oe tener wets veers ae tees tevenerse ewer ereerrer tet reeres . ee tae cote + seresesmenens vanes fe teen Ste nee net aes eneee heen . b., ne ete ee eee S eeesnaceeere i ; me Rake e- ere SE NOT tees eRMe vy mw ra 2 j cs ’ ae *. . NST Ba Vactese FoR APTN Tibia Peas aw Yeme panesl dots. dead ted thee Bp grantinnl aed Bu In oodles mance path obs @ cet Beene s Mod ay eine she fons) Betore Batya aad Begetisems ged wi te ed dwn gre ae greet aemrg Oe ep gh mbm at G fee Boe oe Gheceté Om pbr- bed Poe Bon diog cf aGB.e pee meew pep cone oh dec eed GB mbge gd ow Saved BET ATE bem hg aad ome Bh Reed af Foam «+ Aiton be peretbruah Bee bdemdita oF the Bp ym eton seme ted pee tie meee chen B ETD 6 og wi use Bret ham acting fg cored bts Og gues etiam Ged on athts Pe ti ates pegs 6 sad ctr Be gang Bee 8 By We Oars se gre be FELT SH amb, OF ode tee wte OF AB ot ee Ae be oe ®
STANDARD FonM 144 PE VISEG SL Tenens a reg Woe Cry Sime ce COM Sse PPM CHAPTE®D O1, HA AND BF STATEMENT. OF PRIOR FEDERAL Ci -1AN AND MILITARY SERVICE ANO DETERMINATION OF COMPETITIVE STATUS IMPORTANT: The information on thie form will be used (2) on determining ered tatde acevice for feave purposes and retention credits for reduction in force, and (2) an recording agency determination mf competitive status. te Parte TE theough V. should cumplete Part band the Peronnel Office should comple PART £—EMPLOYLE’S STATEMENT J. MAME (Laos, fret, anid Ste snsteal) 2 DATE oF ras OLED, AAA lé be A 3 LIST THE FOLLOWING INFORMATION COMCERAING ALL FLDEPAL AND DISTRICT OF COLUMBIA SERVICE YOU HAVE HAD PRIOR TO YOUH FRELENT APPOIMIME IT (Lo mos sm tude nusletary soevsce.3 tert oF aPrieh MERE 48 mR erte TO — thar J Monte ( DAY FAME AND LOCATION OF AGENCY 4 LIST PERIONS OF ACTIVE CEAVICE IM ANY BRANCH OF THE ARMED FORCES OF THE UNITED STATES = IF YOU HAD NO ACTIVE MILITARY SERVICE, WRITE KONE“ Pe VER Uren pinies tebe NT Tiay| 20 IMI bt AS | eee % DURING PERIODS OF EMPLOYMENT SHAN IN ITEM 3. GID YOU HAVE A TOTAL OF MORE Tietn @ MONTHS ABSENCE WITHOUT PAY. CLUDING PERIO(S OF MERCHANT @ARINE SLAVICE, DURING ANY ONE CALEnaR Ean? [] ves [7] WO UF ANSATA IS ° YES.” LIST FOLLOWING IRFORMATION, FROM— to mort ose CCH ARGE {Hon vf dishon Pp MOTH | Gar | YEAR PEP Kieran Feou— wv (LWOP, Furl, Susp, AWOL, Moz Maz} re morn | EE monn [ 7 G. DURING THE FLOLRAL SERVICE LISTED IM ITEM 3. FID YOU ACQUINE A PERMANI MP COMPETITIAE € Civil SEMVICE STATUS? (]rs [(] x (it answee @ “Yea,” in what agence were pou empheyed af the femme efatur wae ecguared?) A thd owe ov a cress vevesaat [ ] vrs [_] ao : @ Tet BOTs GP 6 OICEASE Of Crm LD WETTRAST ("J ves 0 wt G10 BM EhELUTLD BEFORE A NOTAAT PURLK Gm OTMED FA wists BUTOMIAD 10 AOMINMILD GATHE 7 ARE VOU : © Yeeg wees AReLE wie le OF A VTE RAR! | ore 0 wey Beeces (6 etism) that the ehove atatemants ere trues to the best of my bneog lecge and beleef. toe ra) , i Seuberrihed ond ewe to before ew on this — 2 Uae af, ; 1 rear 9 SCR fey r ey, ron ars BRAL the dete ef eogereting of Bisa PT com ansaen, rane BOTH FF woth te tedra betwee a Katarg Putts, Retiod pawg toad ote oe uve) Ym Ae 9.62 ot ww MATHIAS OR a te. C en - athe i be shew as The employee PART 11.—THIS COLUMN IS FUR PERSONNEL OFFICE USE @ BLILMTION GROUP 1. a cearatus [7] ves (je O Tver of rREOLNT APVUINT MENS Hi, CERVICE 12, TOTAL SERVICE | [al 13. BOMC AE DITAGLE SFRVICE (Leave pur pusos only): 14, feCOMCRE DITARLE Se eyice (MlP purpose onty}- 19. LE MPLOYMENT RIGHTS _ ("] ves (7] »0 {& HATLMTION RHMTD OO 1F Farivar DATE OF RETEN- T8N KIGHIS Otel seTOrey va ! wh ke keg Ale. _ Ry "apes TUR TICS. Pde Qu lee on the germarent gde ad Khe sovlsves’ » ctor! permasel berte tmaednetaly bebure os after the perenanel
CONFIDENTIAL then Balled byt Complete in duplicate. The dota recorded on this formas essential in dejermining travel expenses allowuble in connection with leave at government expense, overseas duty, return fo residence upon separation, ond fev providing currentresidence ond dependency infar- motion required in the event of an-employce emergency. The original of this foemeill be filedin the employee's official personnal folder [NAME OF FMPLUTEL {Lael at Pinet (Wnaste)] SOCIRS SESMNILY NUMRER WAKE Alte ee Cr? . . RESIDENCE DATA p “ PRPOMTED Past PLACE OF RESIDENCE IN CONTINGNTAL U.S, (Mf apgminied ; abeoad) ee ase. 0 Be janoe _. . F_ace L) FSIGNAT EO As Pemuanend Rast a. . MARITAL STATUS (Cneck ene} Stas K Tiptanmes “| SGPAR ATED “| OlwoaRcEed w MARRIED, PLACE OF MARRIAGE Date OF MARRIAGE KAO A, felt, Stee get MERC the we LA “GES. IF DIVORCED, PLACE OF DIVORCE DECREE te de wecnes iz ANNULE Bo if wipowaO, PLACH sPousE Da —SSOSCSSCSCSCSCSCSCSCSS—CSSCSCSCSC(C ee Ouse G1aD iF PREVIOURLY MARRIED, INDICA. 7a NAMES} © oF 5 3POusH, REASONIS) FOR TERMINATION, AND DaTais) . % ___ MEMBERS OF FAMILY _ 7) PHONE Ma Co 8 3a a4 ee en. ADDRE 56 af Date ‘oF GIR Toe (* rhpsiet eS j TELEPHONE NO. AO. $3, MAME OF MOTNR® {Ge females duanfian? sOOWESE tater tp ppb OS L ek tian dh cdenapaaaiphamammnaeas anaden tenmeanienanammeds NY, AB BEF M TOLU OF VOUR AFFILIATION WITH THE O ONGANIZATION IF CONTACT 1B AE- QuiRQio in AN RMERGANC 7. - PERSON 70 GE NOTIFIED IN CASE OF EMERGENCY Aééomm) RELATIONSHIP MAME (Rh, Are.. i fe MAE £ HOME BLEEP HOME “pUuMag Rn LA IEE SE LPS Ee. abs- $37 2 SOME AN OAS 2S 77a Fae, BGG BS BODAEES (No., Siveet, City, Lana, Flares Ant fa het & MeLOovER, if ae > ABLE jacasais VOLE PrOmk 8 Eu TE Str WESANEIIM 6, OL Md F_SLe TROUT PIOUS ee wer eeOT Ee SiG OF TOUR AGENCY AF RILIA son? cae *Ne® give nawe nde SSHOoe oF weer Toes | |” fot ficen Ae beileves row work hud.) th Pie8 INOIVIDUAL AUPHOM ZEN FO MARE OXC ISDS On FOUR BE one, whe ann Male gua deiigions im cane ad amergerndry.) ey eg °0® give name and — movements sate tee ee ae eon fe seem ten we ee pee ree ee be eee SVOOH GS Peee8 CEH YET AL eee Peat oe mag eeen De eervariy ry Ova 8 Us Mages anuea ange? ie gees te  ee® ges Shalege why by stam 8.F fe ‘ Se en nnn area enone res The persons eamed in tem 3 above way else be notsbed in cose of paneer gency. Hh auch eofsheotees 15 act doswable becouse of heath ee other reasens, please ae state 1a stem & on the coverse ado of thie tara, CMS PERE Bay oH RRS MOR AID CURRENT RESIOENCE AND DEPENDENCY REPORT EN en a Ah SEALS REE ate” Ob yahcaee CONFIDENTIAL , -
14-00000 i CONFIDENTIAL CWhan Bitlest bad a. VOLUPTAHY ENTRIES Experience j in the ‘handling of enpinyee areeyercies has shoon that the absence of certain personal dota often delays and ‘comple. cotes the settlement of estate ond fiessescl actions. The information requested in this section may prove very useful to your family of oltarney in the event af your ds wath y ce te ser aud willbe disclosed only when cucumstances warrant. INTHE ATE NAME AND ADDRESS fae bee BARE rt, Tee PIP U TIONS wT ee “wince YOU HAVE AC CGURhTS meee vue. “pane 4 % ‘ee Geil oe THE ace COUNTS ARE CARHIED. - Bearer é afhes - GG Cope. ?. ee Age’ ee FCM ES ’ Lt e-h. HAVE VOU COMPLETED A LAS? BILE Bt VeoT sweet? | ves xX y NO. (lf *¥ea" where te document located") STER TO BOTH FantmTE? “HAVE vou } PRE PLANNED aM Pr te ie av) % rey yyerery™ OF YOUR CHILUREN IM CASE OF C OfMauH ©: { 7 ves Cc) 6D. (1 Fee” give ramet ay aed eddtese) HAYE YOU GHRECUTED A POWER vod OT Tee rr [ H “yas cw oO. "yee", whe ‘poesses the power “of atlorney?2 6. ADOITIONAL ¢ GATA AWO/OR CONTINUATION OF PRECEOING ITEMS eaeeeee atin 2 tte enna Sane issih neta mere seemed tet reer tern taste SN tre Sores as i Seg LSana tus VU Cree HC 2 pga fe 4? S56 3) Le Z ? a . iy Ea CONFIDENTIAL, . ae a eaenemeR Paar remaamentannematiemmmmnmmmemeen aapbiranetenyrammmammmamttitmdaemeatmmemmmamemmmamammammetaeneenameemmaten Pana pat
14-00000 ate t CONFIDENTIAL [ dw INTERAAL USE ONE Y i URNCLAGTUIED eee onan we af SS aeeeees ik] SECRET : jarea I ANT SAN ABT LAE RAE fife sd # ORS ES Foara tree Ee vymed are [ern AY ORES REQUEST FOR MEDICAL EVALUATION Sear mt ene tg ere i | 12 Sept aa, 2 & UNR GOR Mee wy + 3Re 4 Aug.35_. 1.8 PC Naus peer tam Ren Cran verti naa “leres, Daniel oo SAME BDO/LAL S279_ an viticer Sly” oe oe rat et COMA EOF LR Te EAM EERE NT FU ALC OMPANY (Mt RET “earel fresh atag ve AIS EEEREN THPEADE NT HG i ane eect enn men vemos gers wee end PE TITEL GEE 3 CAPR BOE Ay BaeE ty OC SiC RU 1 BOG ary? an oe alg RECATI QGP | BELAY tree nat Hees a POR at TEE Fay Teves Teta TB ese RCE EY EREIN en aren ne nee wife yes - dau yes 20 REQUESTED ACTION Pantie here emer ay Pte AF pavvvptable) Perec seats nine atin gt ne ane np LE ete 18 1 BECP Btn 6 Ot ek Ti gaty AA.oct_77. 2 APPLICANT bag STATION _ 1S PCS | tov ASSIGNMENTS. | ios ® pes RETUHNES é ; pes Sm ANNING SEPARATION T RETIREMENT ROUTINE [REGULAR ANNUAL 2E CRE RTS. Assignment toss been canclé@ed, Subject ia now lang considered for | Ops OL icer__. LATHE Et cepwedie’ Prine 55 § fon Outy REIGN TO DUTY SPEGIAL FRAIIING MDA CIARLS FG MAIGRET Ge TEGOAR RG OF EER 2) ROR NG MECH MNATE OPES OY tOR OMS USE Ofte ey mene oe ace emir a tne peter iatttninnie nme petra E © cert tme teense Coraag WTS FOR AMPUITANTS APNE PROC SS WG F aa too j Me DOE elem REE OM ADDITIONAL MEDICAL i ERE RABAT HIME Cocen as ope arben deed} ORS SGA TURE FOMk OTHER AC TOMS. Twa | ow RG GIELTES Gal Try ema, QUAL ONSQUAL | i peg desea te at ee Gabe eecearamaraacsiaaaanacreateoobuanljnnn aie poy = ’ % i {Te eAL US! ONLY } f COsys ENTIAL | beceay a : Fiery “ateaiiadan, 91 8 CUS eee, @lrweceticy ay . tee i | Maw asso ; « * i 5 = a 3 2598 La ee
14-00000 SECRET (OH how Kyied fas § UATE OF REQUEST _ 28 July 1976 3 PUSITigte Pehle [a “GRADE DUR: 4 August 1935 Ins tructor GS-12 6 Grrice Owiaion Vaymaesy a @ EMPLOVER GMAT. omy Tupore ees bay ne REQUEST FOR MEDICAL EVALUATION %, PURPUSE ‘oF Evaluation C" | Hoge/ToY an at [ | PRE. CMUPLOY MENT { _] OVZERGEAS AGSIGNMENT C) SNTAHANCE ON OUTY Cx] TOY STANOGY {_} BPECIAL TRAILING [] ANNUAL CJ RETURN TO OUTY {—) FITNESS FOR DUTY [_] MEDICAL RETIREMENT Tye OF CovER 10. OF GEPENDENTS 10 ACCOMPANY 1G OF OFPTNOTNIG REPONTG OF MEDICAL MIDIORY ATTACHED {J RALTURNM FROM OVERGRAS NO. OF DEP'S 8 OVERSEAS PLANNING EVALUATION (One bine’ most be checked) ne REGUEBTING Cee OE : aetna enaneNe  E N — ‘eiGhaTuRE ity CCM E MES Destination: World-Wide i) @ErGAT OF EVALUATION Cualified for TOY Standby until 1 Auseuse 1978, | GiGn AT mE OR Cite GF MEDICAL BFARF | ats / Pro 31 August 1976 2 vee 359 scietona 77 SECRET @ @iMPoORY Ck. Gv OoFsBR 6 2Be
14-00000 , DOB 193 Flores, Uantel 49 9 OFFICE DIVIGION BRANCH anne ERPETO POTS PRE. EMPLOYMENT aNTRANCE OM DUTY YOY GYANOSY SPECIAL, TRAINING ANNUAL RETURN TO HUTY PITMESS FOR DUTY MEDICAL ARTIAEMENT CJ CxJ CJ CJ [—) a) a) @ OVERGEAG PLANNING RVALUATION (One Block must be checked) J ves {_] xe 10, COMETS 11, BEPORY OF EVALUATION 7 PURPOBE OF EVALUATION SECRET , (Waren Futed Pat 1 BATE OF ReQUueBS ye June 1976 3. POSITION TitLE  SSS~«*&S Instructor las-13 rs ie aes 5. 5°. ne noQesTOY i [] OVERSEAD AQSIONMENT i? |; renee ‘BTATION ci’) i -) 1-7: eens Tee OF COVER 0. OF DEPENDENTS 16 ACCOMPANY NO OF DFPRMDENTS REPORTG OF MEDICAL MIDTORY ATTACHED Cc) RETVAN FROM OVERSEAS ata STATION NO. OF OEP, 6 @. REQUESTING OFFICER Oualified for TNY Standby until 1 August 1978, DATE i . Be wis FUN 969 she F gon? 8 GOrtraone ww] SIGNATURE BOR CHIE OF MEDICAL GTAPF SECRET E& BtMPORY Cu Ov oaress tase
14-00000 SECRET {hom Priled Int aE 1 VATE OF RE SLEST REQUEST FOR MEDICAL EVALUATION 10 Mar 75. os {4 GRACE TP UAME Ulan, ied, Wildle _ 3 POSITION Tine Flores, Daniel (NMN) V-s | Ops officer __|_Gs-12 ~ a : ne cen ee % OFFICE DIVISION BHARCH is EMPLOYEE S$ EXF. : DDO/LA/COG en EY £1: 7. PURPOSE OF EVALUATION | H0QS/TOY [J PRE. EMPLOYMENT . | OVERSEAS ASSIGNMENT ero ENTRANCE ON OUTY acre ee ta een TATION "rer eet tr pre cer eaedeunseneennneaeeeseenenseittnt TOY OF PEE TOY STANDBY ie C TYPE OF COVER SPECIAL TRAINING NG. OF OEPENDENTS TO ACCOMPANY NO OF PEPENOENTS REPORTS OF MEDICAL HISTORY ATTACHED ANNUAL RETURN TO DUTY | RETURN FROM OVERSEAS FITNESS FOR DUTY STATION NO. OF DEP.'S MEDICAL RETIREMENT @. REQUESTING OFFICER B OVERSEAS PLANNING EVALUATION (Une blick must be checked) rs SIGNATURE t] YES ROOM HO '&@ CGCHMENTS 1 April 1975 Usk bE IOUS SECRET th ey i 26s eon 3 te 359 BOTH stad ae
14-00000 SECRET « Mame (Laee, Farat. Waddie} - 2 pate oF arRtee a. Gace Flores, Danie) 4 Aug 1935 GS-10 4 OFF CE. Diwestow, BeaNcH (or overseas siation and $. PRESET POSITION @. EMPLOYEE CATEMSION eadating cover af teteral asaagnaont "Hine 7. PROPOSED STaTio’ Po Ops O1ficer/0636/GS-13 sTimated Date 0 Of DEPENDERTS TO ®. TyPg OF COVER AT NEw STATION £0. Cslemateo parse OF ft. wo. DEPARTURE ACCOMP ANY | | . Sept 71 two 18. CoOmMENTS Vice: Please schedule appointments week of 31 May 1971/7 Mr. Flores! Spanish capabilities are native reading and high speaking which more than meeté the language requirements of intermediate reading and speaking fo i : 2 Son 4 V4 19. ROOM HUMBER AND BUILDING IG. EXTENSION 3D 5309 Hqs 7431 ta. BATE OF REQUEST Li Mar 71 1%. OFFICE OF MEDICAL SERVICES OF aareasngprasnatacenne a seastpsnninneutndnn sit atpasnsiatnete! teen nneuanat 18. OFF ICR OF SECURITY OISPOSITION 18. OVERSEAS CANDIDATE RGVIE® PameL DIsPOsI Tian Po gun 1971 vu ABA QUALIPI VERSEAS ‘Ss Chairean > Uvardais Cand? ?.>e Pay tee Pane) REQUEST FOR PCS OVERSEAS EVALUATION 8ea
14-00000 ‘ SECREY (Where Potted Fmd £ UATE UF MEuuUeee REQUEST FOR MECICAL EVALUATION Ll Mar 72 po Bitton’ TILE | 4. GRADE | Ops Officer | .GB-10 ©. EMPLOYEE'S EAT. SB OFeice cuisGN owancn pop/we _ 7431 T PURPOSE OF EVALUATIONS | [TJ woasrov [x] OVERSCAG AGHIGNMENY 2 NAME cae Preet, Pulle) Flores, Daniel (Dependents of) \ PRE EMPLOYMENT i £To September 1971 BTATION oo TOY OF PCR PCs TVPE GF COVER ENTRANCE OM DUTY TOY STANDBY Fd SPECIAL TRAINING FiO GP ORPENDENTS TO ACCOMPANY 1 ____‘Beo HO OF OLPENDENTS REPORTO OF MEDICAL ANNUAL MIBTORY ATTACHED RETURN TO OUTY Cc] RETURN FROM OVERSEAS FITNESS FOR DUTY STATION MEOICAL RETIREMENT NO OF OEP.S oo008@ea000 & OVERSEAS PLANING EVALUATION (Une tech mem be aber ded) @ MLQUESTING OFFICER em Bidwatuna [x vee | "1 te ROOM HO & AUILDInG Gar. C4 {33 8300 Ms 7433 vite daw Please schedule appeiateaeste seek of 31 Msy 1971. TV eee OF Beak ete Ue “ * we ew we Ge ‘8 alr pate Tee “> jpeeens Ode ged PGF wee a Bb age COUT ern ce | Vee BR Tt aeceq? tee: At ane CaS iran neem cents HAAR: Lae net ite eenceeeteeepnrs te So
SECRET Chen Piled fat 1 VATE OF REUUESTE REQUEST FOR MEDICAL EVALUATION 1) Mar 72 2 Awe Lost, Pivel, Piilad . SB POSECiG¢ BPLS TG. GRAUR Plores, Daniel (Dependents of) | Opa Officer Gs-10 SB. GFFICE GivihiOyw BRANCH @. EMPLOYEE 8 EXT. a , 7431 7. PURPOSE OF EVALUATION {__] noassrov [x] OVENGEAR AGBIGHMEMT e PRE-EMPLOYMENT ENTRANCE ON DUTY ’ FDY STANDBY ‘N JOUUUdDdQdOO SPECIAL TRAINING - . £NT3 YO ACCOMPANY NO OF DEPENGENTS REPORTS OF MEDICAL ASNUAL HISTORY ATTACHED e- RETURN TO OUTY “ ee ‘ C_] RETURN FROM OV ERSZAB att : FITNESS FOR CUTY MEDICAL RETIREMENT NO. OF 047.3 connec amenorrhea B. REGUESTING OFFICER S OVERSEAS PLANYING EVALUATION (One block aumst $e cherbed) . — BIGNATURE f D4 t vee . f i po OGM NO. & GUILDING Taay. 3D 5300 8 Hqs | 7431 the CG emt mee Pieass achedule appoiatwenats week of 31 Hay 1071. TS 1 at — OY saat ann Saeoeeaaeremmanel penn cena eee ee pone” file Oe Bee Be oe 7 om En Nn At oes 34 RESGST SP Pea ear Gin Wesatad awe owis VS Per 18 ; 8 Tf + ——oe ° ~ =“ | BONATURE FOR Cael OF wEOical Btaee vo ee 2399 > Be POPOL KR secre? apa a>e8 @ he Cae wate”
4 C) . 0} SECRET  Pregerg, Barbaeyely | ta Fee @r83 eros) i | 3 soa SE TEES Cea ETEPETESEYTaPT PYToC Ce A STON LCE PET RCC PIO MY _ pre MP aSY i tS PELPONED POSITION (Fille, Number & meer o. BENE DEED 22 At ton, ae ore tcor/063U/GE-12 Oatk. oF tt. BO, OF DEHTWENPS TE | Qapebur ans : ca anata nts Aer eneree eantenie 9. rt Av Si@ STATION aa. Co Ce ; | NN Please echedule appointments wees of 312 Nay 1971/ cope 4 aa ie, Pluree’ Spanish capabilities are astive reading aod bigh speaking which sore than weete the languaye requirements af intermediate reading asd speasing for the Siation, t9. Bare oF wequesT 3L Mar 71 1”, orQualitied Qvevsese Poe 13 June 1971 18. QFFICE OF GECuBITY BESPOSI TION 7 18. 13. ROOM W WUMBER Ano is SE > e. ay 3b $309 i i i O38 /pro \ = 18. OVERSEA CAMGIOAVE BEVIE® FANA) DISPOSITION rs a a — ¢ $ ‘ REQUEST FOR PCS OVERSEAS EVALUATION never Lo neneerabas a SECRET (i ws
14-00000 SECRET DATE GF Bihiw 4 Aug@ust 1995 GS-08 4 mame (Leet, Fieat, middie, Flores, Danial ‘ &. GRRILG DIVISION, B@aNCe C oF YOrEe aS Btetion and eoisting cover if teterat sees gnaent } DDP/WIH/4 - PPUPOSED STATION \ Opa Officer Paceases Pustiion (Fitle, Nuaber, Urede) ops Mf 0376 GS-09 bd 10. Esreyvasil OATE OF Ot, MO. OF DEPENDENTS TO OEP RO Frew E ACCOMPANY ofa $8. Loamanyg 1 : 37 April 69 1 VICE - 89's ATTACHED, t ‘ 6 #OGM MUMBER ABD BUILDINGII@. ExTENBEON “8. Gated OF REQuaE? 5 | #D5309 Has. 6815 fP OIG GF MEDICAL SERVICES SFUP a5ITION ~ oo — ; MEFICE OF GECURITY BISPORI TI 4= a +®. GOUPRCAR CAMOIOATE BEVIT@ Pots LiBPOSi fiom ee _ 25 WEE EES guaulyic. ‘mt . ¢ Pratrrin. Geo77 3 vore gos aCOucsT FOR PCS OvEaSTAS fyalustioe ; “eae . evees : : pte cea.e Um 4 { R390 TY SECRET (me ge nl my
14-00000 ae SECRET (be teary feadtia fh gerd * : fA TE OF eee aE | REQUEST FOR MEDICAL EVALUATION i | 6 March 1969__ ' ae cette ne Se ettteentttemnees mentite Sle Fatt Ns uae in eAeNedasanemsenn fa. Oeacr [Fwace ‘haat, Pteas, Brinsley [9 woserios TELE . Flores, Daniel (dependent) _ _o., Ops _ Officer _ , GS-08 6, FOr OEE? Lag, fi OF RICK, “Oivisiun, DAANCHO _DDP/WH/4 ce eee | OBI e, PUnPCst ae T WALUATION . remanent tn nit Ginter eaten tat ow ate wean a nee at pS aR ' 7 a d HOUSE! TO ( PRA -EMPLOYMENT ie ] OVERSEAS ASTIGNMENT PaTion f ‘| TOV SY ANDAY [ia OR PSS Tie PCS ‘cover | J ENTRANCE ON DUTY . | ‘ “ofa. 37_April_1969_ | } PP SEVER UCIT TTS RUCE PANY NO, oF DEP ENIE errerrerG Pry POR ¥$ OF MEDICAL MISTORY (AF 49) AT PACHRU { } ANU ca etal soc angeentinpatet, tea | C3 GPRCIAL TRAINING ooo L ] RETURN FROM OVERSEA RaRTURP TO OUTY PLTNESS FOR DUTY MEDICAL RETINEMENT © RB RAQUAETING UF FICER CIGNA TURE eo Wl/Personnel ROOM NG, B BUILOING 3D5309 Has. t6. Conese tS Wire || wavotn pUdID AIRES GUALLPYED FOR SD ' PROPOSED 08 PCS t a po eat R StdR aI URE POR Coie OF “eee Ne aw “grape ng 2 Fane 259 wee Fae vide a ebimaoow SEGRET a beSe Boe Frame B,
14-00000 SECRET ob, wamg (Laat, Firat. Widdie) ?, Gate uF BERT a. GRaot Flores, Daniel 4 Auguat 1939 GS~ 09 nat tenn tensa PED ota anne Pn ine sent ates ett at REP A A AOE @. OFF Ore, SI¥ERtOw, BRaseH for overseas a8 atien wad S. PRESET POSIT Eon S. GMPLOVEE ERT EMBED eedeting cuvar gf fafevaf saahgnaont > DLP / wil/ 4 Ops Officer 6815 ~- “y. Paoposed STATI ow Tp. eboney POSITION (Fills, Auaber, Ovade) | | Ops Off 0378 GL-09 py. TePt OF CoveR al Whe BT8TIOn . ee So. aTIMATED OATE OF [fis NO. OF DEPENOENTS FO Gt Paw Pine aCe OMPANY ofa 27 April 69 i 8. Commrats Vick 89's APTACUED, Ce nn nn ne enn ne aoe 48. Gate OF REQUEST 04. QIGHATURE OF PEGUFRTING GFPIC EAL 16. ROOM HUMBE® 2m0 BYUILOING]I6. EXTENSION 6 Warch 1068 ~ $b0309 Eqs. 615 UF, OFFICE OF MEDICAL SERVICES DISPOSITION 16. OFFIC OF KECUBIFTY O19POGS TiO PROPOSED OS PCS. wee - 1O. OVESSTAS CaeGiDale H€ vide Pana Re mieY ‘ : & ee ia 8 bey ‘ 63 21 69 "Ss . REQUEST FOR PCS OVERSEAS EVALUATION wf ro8e 9tgg bee see rrens ‘SECRET eo ye: tal aregoe “oot Benin ne TE SM - $+ @@
14-00000 wm te 8 ge e ae " SECRET (Bhen Filled in} 2, qe “es if is 2. MAME (Laat, Fired, Mickite) [as pasition rive 4 FLOR. 2. DARIBL_ Filet - ? pee enema eetnnet  enatltt — e.Clen — . S. OF PILE, VIVISION, BRANT HH am &. cavcore er ee DNP/OPRR rn ane a 7. PuRPUSE oF ezauenee aca a ip esa a mi Warton nant nent mH [ | KOaS/TOY { j PRE-EMPLOYMENT { 7 OVERSEAS ASSIGNMENT STATION TOY Of PCR regent mp TYPR OF COVER NG. OF HE PENDENTS TO ACE OMPANY NO. OF OF PENDANTS’ AL PORTS OF MEDICAL HISTORY (SF 83) AP TACHED Cre ee ree SOE RD Re Ee at ee | BA ATION > cieetiieeedaeenenn et a) FITNESS FOR DUTY NG. OF BPS : 8. OVERSEAS PLANNING BYALUA TION (One block must be shocked) 9. REQUESTING OFFICER — SIGNATURE | } no atte ber beaks, fodde i Adgm? 2ecaiGga ny SOMATURE PGR CHRP OF MEDICAL BT APO ty hb -} Ok NERICE O& dE NT 5D SECRET EP kas rose 259 vet Vows.
Wo tte . . _ CONFIDENTIAL, oa 7. iWhen Filled int ae ST VOR PRE-EMPIAYMENT MEDIOAL EVALUATION “BYQU 6 October 1961 2. PiAwe thot) iFieat tMiccted 3, SEX PLORES, DANIEL ki | Mote | [ Femate ry CACAMIZATIONAL ASSIGNMENT (SS FOSITION, THLE AND GRADE ee | File Clerk GS-C!, . SGP/OPSER fe Cl SC 6, MEDICAL BTAIF REQUESTED TO CHECK OFSIALD ACTION BTLOW, RETIRH ORIGINAL COPY TO 19 OUFiCS OF B OF PERSONNEL. oe { [te Feriing Receipt of Addie hf oe he Spree Proce : Rocpeeat Employment Rejected Por tor 6 wing a Homoat iacical Apemagpen MMedicat - tanmae L Medical Reatons cane ewe oe 9. REMARKS 259 Forwarded aa of 6 October 1961 FORM 1D, 570 Ginolote Previous 2 CONFIDENTIAL Ss LT + og 7 7 TORT NE nate TA EM a tee 7 ee sae tee wee oT weet
SECRET a (thee pelled Ind QUALIFICATIONS UPDATE Rep INSTRUCTION CAREFULLY BEFORE COMP! AG LIGHT COLORED INKS NG, TUL OR PRINT, AVOID Us Now that your qualifications are a matter of computer recard, they must be pertodically updated. Taw ss done axtoe matically for much informatio: Aowerer, same must be obtained directiy from you This forms for the purpose. Section f must be completed ws adi cases, You need provide cikher information antsy if there have been changes since you subsauitled your Form 444°. “Qualitcations Supplement fo the Personal History Stafement,” or a prerions wpicte form, if you are in doubt whether mrornation Ras been previously submitted, enter itis the appropriate section, Tae sisned and dated form should be retucied through administrative channels to the Fue Room, Office of Personnes, Roem 38-13 Headquarters, whether information ts added ur net. Additionally, a qualifications uvdute may take place at any time there ts information to be added or changed simply - by completing and returning an update jorm on your initiative, BiOGRAPHIC AMO POSITION DATA SECTION § IMP. Sim, WO. wand (Laat-Farar-widdte) DATL OF BIaTH 036130 Flores, Daniel 08/04/35 eecTion ff —__ ERUC ATH ON Ss HIGH ®CHOOL AOoRe$s (City. Stare Country} YEARS ATTLNOLO ( Froa-fo)) GRAIVATE Cy res [J se LAST MEIGH SCHOOL ATYFROLD COLLEGE OR UNIVERSITY STUDY te? : ee wee UOT YEARS ATYENDED | per scace veaR |NO. SEurgte. +4 TOrs RECEIVTO! RECE S WED; HRS. (Specely } as , | 120 bes TF A GRADUATE DEGRE® HAS HALEN NOTED ABOVE BHICH REQUIRED SUBMESSION OF A WRITTEN THESES. INOICATE Yee VOTRE OF Tre THESIS AND BRIEFLY O€SCREBE ETS CONTENT. Pele fecst Se pale. American mueesé & hinhnhs TRADE, COMMERCIAL AND SPECIALIZEO SCHOOLS GTVCY OR SPECHALT ZATION wo BO. OF WOM TEs NAME AND ADDRESS OF SCHOOL stuoy | on SPECIALIZATION. FROM ws WHOL DF Mow Tag soe te ra ae steerer mate ' Section ote MARITAL STATUS t Pag sen? S?afus (Single Wereciet Cradoee? Seprrated Dewne 2 Ane OF BPOUSE tieaer> CFseee.) f SPECHEY (¥erdoo} ca weet roe geteene eevee age ne nee Ree nara afte Sa fi Nar Arte Aft tne ene tere 3 Bare OF BIRTH &. Peace OF arr (Cite. State Counteg) B. OCCUPATION & Pacatnr tweLovee YP Chet gesgnte =F vouwye C THPEMEWIO LE? COuNPAvist Ss} ce DATE UB. CHTETAIEP BL GLO > | “SECT108 1¥ “PEPEROERT CHILDSER ARO OLPEROERTS CTRER Than Spouse a pene pn tena eee ee ee nae genre at nee ce arnt te mnt cern : ' fe ake pPer wt rae e; Gata amy QF OR tw P Teter leugeve Gs PERMRHER! BLT Had a en cnnrmenerterg macs safnacernunes came se aname wena: fauan ancy aaa arimeamna ms os ary - e30 i ' a t & ' O Bhatte | | . j : ween He cemeteries ems fetta me conewmin ti Gt ve eee acamans tome atte Ye men euelnmmae nena anafteememtrannitn camor end Gan memeys anette = van = \ Q ano i i i a) eucere i H , SECRET tere BARA
SECRET (ther Filled fay > ete et AE SECTICR V- GEOGRAPHIC AREA RMOWLIOGE AnO FOREIGR TRAVEL . aerate Oa et ee ee gent —o- 9 i . { ferme Fone REQUIEED Bye cteace Ea? AUT OF HEDTON TvPe GF SPECHALIEED DATES Ge Peavey SaTe @ Frage tse ae re 7 : os sear V8 COUNTay BACHLEDCE i OR RESTOLNCE | = Btyry Md - brag me etuvs jrartess +e . be ee ee we db G5 a Spa -— fe ES P| t 2 —— oe ee arr Sr — H we sr i | i : | { ! i SECTION Vt “TYPING AND STENUGRAPHIC SKILLS ar aaa caetarara Vat PuETENESTT ERE ce nee oe tern einen nen ete iy rm tl Terie (“Pew siz. WORT ANG, WPS ean a) TNOTC ATE BOUATHAND SvSTEM USTE Croton Cel REP RIO PATE Ete, — atu s Cl eoten [7] seecoesitine (] svexorers C setciey: SECTION Vit ‘SPECIAL QUALIFICATIONS ee . PROVLOR ENF ORMATION GH MUBTIES SPURTS. License S$ PuBLEs aT MATL REALS CE SEwECES Beir £0 MAY HAVE TACT STEED SECTION Viti MILITARY SERVICE CURRENT DRAFT STATUS VT Was YOUN SELECTIVE BERVICE CLASSIFICATION CHANGED) 12. wee CLASS cf ICATION : ° (} ves C] wo H ROCAL STLACTivEe SeRrece GUARD MUMBLA ANO ADDRESS uF OUFE@SED, “GIVE BLASON ‘ 2. TATUS : MILETARY RESERV ° BATIONAL Gu [I] tal Onat” Gusto [] Atm mariOwaL cuano ' 1 CmeCR MEGERYE OF GUARD OBLAME> { ] anny MARINE CORPS : Cast suano | gation 10 SHICH TOU BELONG C} navy i ate roece (J coast au e CURRENT Rana, GRAD! O8 gare & GATE OF APPOINTMENT IM CURRENT RAMA Ts. € UPI Phe part OF CuNe FT eT OM IGA TO = fl sts STAND OY {prec {heey Mion ASO IGRED oF acapy siseave — ["] STanany{ atm) TOve until Curca ¢ eat REREawE TATE COAY 4. %. TEAC HED OIL IgAaT IO & eth PAs MILITARY SCHOOLS COMPLETED (favended &cetive, Beserve Buty. of a8 Crvatdan) ME BARD ADURETS OF BCMOOR gtuoe OM SPECIALIZATION oats cowrritio &, TN pave a ~ me an 7 at i [pices section 4 FROFESSIOMAL OCIETIES AN OTHER COGeNI ZATIONS a Hate GF wi asl egw? eve esate poem BAe ABD CHae TER anoear ag (sueber, Street Coty State Ceantep} vate Renee atcntnne etree ett ate ete mn tt stim annennt td anteners e inter eine & Sen gh nae ine nan et ~ serene fmm { Deca aeenpe crane etree ningrneneines penne stung them anime erate atest maint ene tn ea nimnmnnean mann wa oem mumanme fenecines toon foe nema» i Fn ae meneenemnmuneererin mpg eens acer bate: ae me qemare ie tte he ae a san, entree taeesinee apy erat @ceimenne fer seclite & Spe oea 4 ca re nano nbs RUSTE en Ini ute pe AEN nN IN sen sen Seance teeta PH tte verge tmpy-ecuocpettnmnantinetnehm eenterne embers maar Co terme mma nm ae Pevaser de uessis a en meee mr cater amends he ee - } . , Fa 4 tae i Y, - - ¥ Fb dese Pore } i v we & ian
1 te COMP tl BIELGKOUNGS Civ ol SPtbas bogey THIEL UN Gn ate oe met PHEILWIUPHY GOP 2h ae WEP LOGS Boks 3 & Beer a) taeot ~es_ it THE AMIS a ene * > ° - . . . wanep OF 0 OP ROL sae Tye Ne ee Se : a) ~ . — ' WASRIRCTOM, GUUIGF CE Eh ta Date A Place of Bink: 4=c-35, San Karco, Toxag i no IM ce em te meer Aamisuos ascora, Pull Sth TALS % ah oa ePMe op a WU alae THER GS SATE TGaape , Bsahay ee wines eens ene pHOENE | UNE paieesre : 62 i resuivus exconp: San Marvogs High School, Teatn?t 5/55 wd, RECHCECS I 3:c¢ 3 ° Gp4 ie i . i 3 ¢ 3 TOOLS OF RESARAGIE PASEO: HOMCEL ARN SEE PASSO ADIGE Fabee tr Ne oe wsngs Civ d . 3 & 3. 06¢C¢ 3 . re) 3 CATALOG SUMP j | i | Fe Lak ks . . 4 TITLC OF COLaSR ee re covT ATL NEW STUDENT AUS ee [MTRO ACCCUNTAS 3 u r HOV SPANESE EF 3 & 7 maak PaLdy Peasy 3 y 6 1939 STAB i S35L1 | | | | i AD POL | | | 2 5F wwe Cc o a pa De oe - a a e ‘ to SUPFNER 1966 COLLEGE UF ARTS & SCLENCES SUSSEA SEACE LoL? TOURS ADV SPAN EI PROB RELIES TRCUSHT oe . 2ugst .t : "38959 47378 © hae 6 SPR 8 LSS LOY Ned wat rs 4 see wef wed ad gi FAL L 1965 CCLLUPGE CF SRIS & SCTEMCES SCRTEYP ENT PULET LATTR AYER SEM f HULBEN AGE SCVEt OV & Pcl CAL AvER SPRING L967 COLLEGE GF ARTS f SCLERCES INTERBATL LAW & ORGANTZA LAP AYER TNTORNATL RELA MODERM SPACEESHE OGAMA SPAR ESH LOUTH GC NOVEL US POLTTECAL SYSTEM t PIAS 33456 335R4 37556. 535948 Nad test Gab Med Boas Owe & a _oneetienheansieaniinannenseiettnnsnens iteetartntetttantittRt NE cere her ot SOB et oz we fn ie he SOTAMNT ( Course cancelled by Uniz. ) to oP} heb At GR 250 whe & ME CEN vais Beta 33440 33529 37354 R7SS1 53150 wat eed et ne we Fe PF tee had net ead eb tot Let At a ea SP H 5 3 i 4 4 ‘ "Et boas, H : . 1¢ “pepe € “ene ! t } Pi OAPIS & SOLLSCES ee ‘ tt 3 A ” , | ‘ i : . i rast, 3 A '} . ' : t 1 j . : _ : “1 | i ~_ . Pay Ean A: ee eee sana eens ype ens Setar eireretunns seen  uitwue Cece . won on w waere verity beg ee etetsticswey et ian ay ces hes eciug Vou e Fall 1006, eee ee et ene * “ fore ty be r  . en tae ‘ re ite an. . -? pos tye ef vo é ie 4 ele te 4 reese ths ‘ wa sete, Meg are Boat ne eg weg hp tw ~ Fe 8 “oo