(104-10218-410106 tee ano nerotemtet 4 m Me se RRR EON et A nee Ste nN ne ata NEN NR es wt eter HERE i ON FORM 3-39 a ae noes FES cael « PERSONAL RECORD QUESTIONNAIRE PART If ~ OPERATIONAL INFORMATION INSTRUCTIONS TO CASE OFFICER This form euvet be filied sa by the case offaeer of appropriate authority an formatson. Ft 89 not te be shown to the aubsect. Normally, headquarters vif? be unable to issue en approve! uniess requester an PRO parts £ and if. Hosewer, sm an emergency provastons! approval way be placebdle prowssions of FH 86-¢3185. paragraphs Ga, @. 228 and 2d. Thereafeer plete the case wust be folfiewed as set forth aa FR f0- 215. . Three (3) completed copies of PRO pect £ faneludeng cosy sn subsect’?s handwriting, sf posesbie) and tea (2) come pleted copies of thas form aust be sent te Seatquarters at soun a8 possible. Date acqusred tater must be sent to headquarters an PRO format s4 feo (2) copies Fill an ef! atens, sf inforeatson obtesmenie. FF etem not applicable erste "NA.* EF addstional space required for item, use reverse esde of page keyed to eppropraate stem aumber. CRVP TONY 2. PSEUDONVS SECTion | CONTACT AnD OEVELOPMENT INCICATE HO®, WHEN, WHERE, SHY, AND @Y siC SUBJECT #AS FIRST CONTACTED OR DEVELOPED. ” ee, * : . Perse ok ‘5 * ° om . ne ae re 2 : toe Poy Teme . + > * 8 . - . sat ae : j * Py + ad i ~ x a * * eo toy 4 Foe an . ae te tay ee ‘lay byate ts tt : bole ee we 3.7 ‘ va Ste eee re a ea oS SSOECKTE WHETHER SuasECT COULD BE TURNED OVER OUTCKLY BND FN A SECUPE SANMES TO HANDLIRG. EF SO, INDICATE FO #HOM, rT a oyu So ce Sr Si 7 1 . . “7° aad . na - ‘ i ‘ re . : cen - . wey rr 5 - — * aoe “ - ‘ : ce - ~ : - Lrg er . met ue Paes we . + aan 3. LIST OTHER CASE OFFICERS we MAVE HANDLED SUGJECT OR WHOM HE KNOWS OR HAS PNOWN, BEEN FNOAN- the bases of the best avasinbie ine furnishes ecrvers to wif geestions obtained? by complysng weth the ap- fhe usuel method to documen? of can- GIVE NAMES BY BHAICH THEY HAVE $1050@ vec ceavious enrrsows. SECRET Kepastiiston sir: <a Ste nnete i ante atm RENEieh 4) amt Hee LN AMONG ek chdnet we cee Atte Me oe ent i at ; Mw himain been x 2 3 4 t $ f 2 L y { : F 3 7 < mp od : “A i ‘ opr oeerrmees neeen i | 3 3 3 2 wetereete ne one é
6 * ‘ e . . t H Tween ee . wee eee wee -- a a ~ - pos . . ‘ . ‘ 1 ; ECRET j : , Sccrion 1 _ ee MOTIVATION AMD COWTPOR __. a 5 ‘ we 2. ESTIMATE SUBJECT" S MOTEVATION, (Be detasled, fof poassbie cite evidence, Do wet use stock coseens auch as “enter a , i commaunast.%) . ; : i t . aot a , ‘ a . . ey ae : « - : ” way? : - ' eel ‘ j . - . . H . ’ nn . . ~ oe . “ _ ‘ i “~ e r > . : | j . : ; wT wee . . . 14 ¢ £ . t 2. INDICATE BHAT CONTROL, IF ANY, EXISTS OVER THE SUBJECT. (If no control, of sf there is o feck of real control j i ~~ i t : t "3 } SECTION 218 COVER 3 A : $. COVER USED BY SUBJECT AND CASE OFFICER IN THEIR MEETINGS. ; a : ant co es aieied oe, . bogs rato . i ° E q + . “ i ' . : 2. COVER USED BY SUBJECT IN OBTAINING HIS INFORMATION AND IN CONTACTING HIS INFORWaNTS, ‘ L 4 H re i arr wet GE + . we . . aa . - so Cony : a 4 : - = nee ¥ 5 a : 3. INDICATE SERVICE FOR AHICH SUBJECT THINKS WE CHEE work} (is sorking). . i 4 : £ 5 i TNTELLIGENCE CORNECTIONS AND TRAINING 7 q ; t. EXPLAIN SUBJECTS KUOBN PAST GR PRESENT CONNECTION @ITH ANY OTHER INTELLIGENCE SERVICE. INDICATE Trt CRTENT : ; 4 ; SuCK CONNECTION 15 KNOWN OVERTLY. : Pr 3 : : ; 3 : i t a } Mos . wypoop - i i 5 t } : : 5 Et OL, pasa 2b. ~ at Kowal and / Ast wrseenl auc’ : : See Wis weeue ie 15 Oct OL, po ls ah Ti Peieste whens A Uist cre thdeg scat wf i i i : ra aa re Tr vetital ihietiveinde : 2. List OTHER TNDEVIDUALS (Agents, refateves, freeads) WHO KNOW OF SUBUECT®S PRESENT INTELL IGEN aCTiwt Vics. ; i 4 a | s - 4 ‘ : t i i q ' 7 3 ¢ i ’ i r 1 k H ‘ EXPLAIN ANY TRAINING SUBJECT HAS HAD IN CLANDESTINE OPERATIONS. : rs ° ae . i 5 ' : Hoe MYLECHRGINE tee Had PARAME ax le g % | a : j 12Ruo, 62 - 4 Fi ° “| 4 : j ' ia i a a x 4 . 3 an | f. INDICATE GIWER FOREIGE POWER SUQSECT BOULO BE MOST LERELY FO COLLABORATE wa TH BECAUSE OF wis toeaLoay on Past f 1 i ; £ ASSOCTATIONS, EXPLAIN. : : } { f 4 i i oF 4 | : d Be Payee, woe arr ee . i - SECRET i , : Belt ae Lee ee wee eee nee ee cere eee ee ee se te ne ae ae e nt F in
eetyneere= semen snrareene memes pepe mpm Segre RRR a : ” eR tee + eaten ini ES sees ot en +m ethenaloe Mt fassTHied seteuihineese + LRT RG POTTS? snenmoeeeg te 55" -—orcremmarns f fae re ee tame oe — _ ae ‘ . g x Bg P § $3 fs OB C & 3 : cae EE & @ ‘ ” ie 3 4 2 . Oo 2 S ag f, > he » af . a3 28 ZH 5 28 sa 2 23 8 Gaia
ocean tar RCC ONSITE EPH MERGER TROT MEY CnC Urm Aen Heat ER YA LA SI ea tHe taza” BNE Am SOREN oe —oANINR eRe i murAneenm ahem ainsi rptipent tftreitndtn AO atte Rerun ensnteeenrtt Aap retrain rer cinieniincry aah MAYA AAR OTE wy 5 Gee nd eee Aa ete SECTION WE OPERATIONAL USE ~ CONTACT : -_!. ft. TF SUBIECT HAS BEES SED OR CONTACTED GEFURE, FROSCATE ACTivity &M With HE B85 ENGAGED AND THE MATEON &l HAS FumMI SHED. 2. INDICATE HOS AWD FROM MOM SUBJECT OBTAINS ENFORMATION. whe at enti he arte 4 ti Rec ae A. GNDECATE SHAT wAS BEEN TOLD SUBJECT AS TO THE OESPOSI TION OF INFORMATION HE FURNISHES. SECTION VEE PROPOSED LIAISON OR OPERATIONAL ACTIVITY ¥. GETAIL SUBJECTS PROPOSED LYAIS3% TYPE CONTACT OR OPEPATION@L USE: . &. @HERE SUBJECT ES AN OFFICIAL MEMBER OF A FOREIGN GOVERNMENT: me WHERE SUBJECT $3 AN OFFICIAL MEMBER GF AN ODYORE AGENCY: #. EXPLAIN NATURE Of AGENCY RELATIONSHIP WITH SUBJECT: PERSONNEL KNDON TO SUBJECT. Ley ye Pus eather 2 = ry sntinmth tatiana bestaihbaadia ones | dp tres: Rear vein 20 ba srememephet ae rToET a fBiat vee eos ea cainnbtes? Aan dat eae ee ae ertenE bite Oc agnd see T a oeetteaad, Sepreromensy omer HB lakathit sno retal ae er FA e ‘ 8 Gehyaes + incernmenstsOtaienacpmeniahfindtnes! sethantes sth: temhectrmt Ament tne Pee unttin rtsoeiedeon wears venus te usenet gee vena ve
nee ame enemies sat mmm mene me seinen tee ney come en eg ene ee tebe ee te eee Fate oe ee ee ee ee oN “8 ms . 4 ° . ‘ SECRET ‘ SECTION 1 __ QUALIFICATIONS FOR GTHER EPATIONS 4 1. RMOSCATE SPECHAL ABs t Ties, TALENTS. OR QUALIFITATIONS POSSESS: > BY SUBFECT auice CouLG CONCEivabl> BF OF vache FOG OTHER OPERATIINS. Ae . a Tye fonk Us an popleey aay SOD raphe otra te rt pooh ie rae toes ¥I te : re , eee anew et ete et fom tte, Com | THE TS 1. €F «© £3 PROPOSED FO Par SUBJECT & REGULAR SALARY, IMOECATE Tek @£kary AwQuat. IF PAYMENT 10 Bf wase ga Eater aa ae COMMODITIES, SUBSISY GR OTHER METHOD, SPECIFY a&5 Give DETAILS. -q i Pea renthly, Srer wiheh tices Cua loduntions wher ay * wo Tse fia Ge TULIP. ory : subs tiles EXPLAIN ANY PROMISES. OTHERWISE NOY COVERED MERERS, MADE TO SLBsECT. (Exanple. Commetmenta Fegar ding evacuatsce of subject and famely.9 . . - wg tae fae . % a 4 eo, POM yg I ents ar a ne Coe ee Stan . ener’ ok > wae ae Laat 7 a7 see eye way ae GHOPCATE OTHER iss h STIGATEVE WEASLUPES TAKEN TO VER EFY BIOGRAPHICAL Uh ORMATION FURNISHED BY SuasEot, a) : : 3B. ENDPCATE MHETHER FF SOT PROVISIONAL OPCRATIONAL APPROVAL CA ORERATIONAL AP> PROVAL FOR SUSJECI'S USE HAS BEEN PREVIOUSLY OGT&aINED. - puisn eee ¥ 4 EVALUATE rSUBJECT*S CwataCiER, RELIABILITY AND SECURITY, CHETING EVICENCE MERE POSSIBLE. QpTe JKR oa fe feat maint IATL ExPLAiM ANY SETUATION OR ENDISCRETISN CE/OPERATIONAL SECURITY VIEWPOINT. PoveiGa peng dene . as MoASe: eres 1aawet to USE OF LEGUOR. OAUGS: GAMBLING, PARAMOURS. ally, bie ures ok beget a boa Sar es, Be ery and Sete a sadeast cerns qeternte prenrangemete ey tet peer e re , eet AD dR aaa sr peep sperte tng gg rere peer tT vara Tee) WeBledticeteontne netgear alee ene attain 8th hnmatntee + aime Inten eeruei orld vit ates capcan we oul Scene RS mete emeee Taek retbmeree + iE ‘ Vk i b ° | i a i 7 3 i 4 z 3 t 4 : i a
14-00000 Section XI, 5. a 3. Seeurity: She has proven to be sonatL ty conscious, however, her i intimate relationshiop with LILAC, Ang rossible with others constitute potential security imarards, = sme is descreet in her rhone conversations with the case officer, and in the rechanies of mikinc- reetinres, She sometimes tums down reeting places surcvested by the case officer, sayinr that some of her F aequaintances visit the place or the area surested, ¢ or that Soviet and/or Satellite personnel are believed to visit the place or area, Tne ;reatest potential security , ragard, the wrlter believes, is tho tyse of situation, senmal and/or € rotional involverent, which she twirht allow herself to becore involved in. AGRO mate tAee we Letts See ate Section XI, 66 I ia 2. Inan effort to pave the say for LIWUC's retum to texico, she hus t -  incvereaded with various fexiem Covernrent of Nelals, and caused certain 4 {7 press articles in nis defense to be published, This activity, hovever, was ; “ : earrmied on with the Imovled:: and approval of KUBAIY nersonnel, She srevided : eopies of letters eritten, end received frem LINLUCK, clinscinim from tne press, + and surmarles of her conversations with Fexiean Covernmont personnel, | f + if f | 4 | a ote encocantrteoetnnintanannineniinaaber seteALORERRnsmtiitNetpRtmenne men former ecntmennr ey thnthet wer hina Hietneine wenewanitt Gn Se noe ” ° i . . . : ' oe . ' , ‘ i 1 ee eee Peed
14-00000 a . . ‘ aur * a * cre remem nee mi comrtne grememnee meneennnites F eTytenn oat eet meng teeth enema pene age a een ’ . fee ° 4 , - ee i. ° eo * “ . ‘ amy . SS _ a SECRET } AVOCATIONAL IRTERESTS it ; Fe IMVEREST IN SPORTS. wuSic. ETe- ; : ~ eee be _fistion mnm-fletion. F aed e ~ ey “oe # | 2 i SECTION XIV 3 7 ~ eae nee cee en “* @ » I t t+ ShRICATE GME THER SUBJECT"S LANGUAGE ABILUITEES AD OTHER CHAHACTERESTICS, ARE SuCH AS ME COULD PASS AS & HATAWE 4 . t OF & COUNTRY OR HEGION OTHER Tuam whS GAN. EXPLAUS, a xv i } t 4 s Siuet 3 ee a ee ner er % . 3 IND IC RTE WHETHER SRF OCRUATION 1% PRG PARYS 1 AND £f BAS OBTAINED BY RESEARCH, CLANDESTINE ASSESSUENT, FEES, "a i CORPESPONDENCE OR OTHEA WEANS. . 1 ‘ “s : 1 : tf GIMER TMAN ROUTINE ACTION 1S REQUIRED, $F AND GHER TERWINATION OF SUBJECT 15 EFFECTED, ® , ¢ i : gee pare. 238, sapray” ~~ ne TS ptneee we mmr mee me ne : Eg ot ae err Dos - { : * ; . a t i : i a } ; if : i F : EXERGENCY CONDITIONS RECONTACT ARRANGEMENTS : 3 : GIVE FULL GETAILS 2.6. RECOGKRITEO® SIGNALS, 5/M5 SBHERE COulD CoyTantT BF MADE: BUAY SOWA FONE ET Co > a : MAKING COMTACT USE? a Soop. red Moos rarer an te ms a Es t VAP DLT 7s = aa’ M 7 3 . tae oo a SPSSGAG Che ‘ reccotition Sedu dts olde ee 5: nese be & Reva e no en eam nisl mena a Alen ops tem Poin toe a et omen tintogprené&in we a fey ane DAEUALIND y erie seed Cha a MALe Heels te stthebes tye ag dp 1 SB . 4 a 5 AERO i RA URE ON TR TE eR 8 EH Me pe neg ee He eter rae geet ae aoe SECRET og 2 _ : ‘ : , me canes se necee oo ance manne 8 Bint he PO ts nm ma enn oe ite Ree tet et tenes te ee « we ee ne oer ee i ce ed - 8 ton Stoel gzreroe ‘ a . 4