Latina ss SECRET (When Fabled fay @ | sectiom vide. ce ~ FORLIGN LANGUAGE ABILITIES We woul Rep err ENCE © IN ORDER LESTLE LAM Guage . . _—_-- _.. Faurwacent means! ADEQUATE [ADEQUATE] Guha sen . (féat below gach fanguage in native |ooviouay for FOR . NATIV CONTACT AC aCe mie which you poesese any degree e 46 UVergrawcn | teaver [SHOTEEOEH S E lemcuoncesy (arte stun of competence, Fadicate your FLucHe. | FORT GN mn HESITENCH] CARENTS f Auk profioiancy to read, arite of —— COUNTRY - ere.) wevens? apesh by placing @ check (X) in . ref ereerentien poten atm the appropriate boaer aan nell LEMOEM ABD ENTAENSEVENLSS OF Stuayv "ACADEMIC STUDY" U&DER “HOW ACQUIRED”. INDICATE 2. 1F YOU KAYE CHECKED sees ere tenance enavermeeste neni en i eA ec emences cena eee unseen ter erent si Ae yar er tn a 3. DESCATOE 4OUR ANILETY £0 DO SPECEALS SEU LANGUAGL ORS INVOLVING VOCABULARIES AND CERMENQLURY ON HE SCLENTEPEC. KNGINGERING, TELECOMMUNICATIONS, MILITARE OR ANY OTHER SPECIALIZED FIELD . SECTION IX GEOGRAPHIC AREA KXOWLEDGE —~ en ere cena eee ener ceteris aR meron eh, TD LES? BFLO® ANY PORLIGN HEGIONS GA LauWTREeS OF BHICH YOU HAVE RNO#LFOGE GAINED AS A RERSULT OF RESTOEREE, TRAVLL, STuGY GA wOHK ASHIGHMEAT, UNDER Cotuun * TYPE OF SPECIALIZED KNOMLLOGEs INDICATE TyP# OF KNGALEDAL Sucn as RABIN COASTS a obh BME DD al. AD alt A Uo PQADS ool NEIL RLES Q Alem PARILES., Ba en nae cate ere . : :  pates oF : aNd wt TOGE Ac au i ¥£O RY ' AME OF REGION OR COUNTRY TYPE OF GPECIALEPRED KNOWLEDGE RESIDENCE. neat : BONS - RANT STtyBy PASSEGN> TRAVEL, ETC. pence | ANEA ue mentee een teem te eee freee Swaden olitical : na x USSR political : x Soviat Satellites | rolitical | | x 2, INDICATE THE PURPOSE CF VESET, NESIGERCE OR TRAVEL FOR EACH OF THE REGIONS OR COUNTAIES LISTED ADOVE BA « nt SECTION X TYPING AND STENOGRAPHIC SKILLS . . — aye ee ee ne a cg tt nr ae 1. Tre peo CFP.) SHOR THANOD( T.P.M, §. SHORTHAND SYSTEM USED + CHECK CX) oli A : nom - GREGG SPCEOaRITING Steno TYP 4. FRGICATE DIMCA BUSINESS MACHINES WITH WHICH YOU HAVE WAD OPERATING EXPERLENCE OR TRAINING (Compfomelor, wipes SECTION XI °° t. graph, Casd Punch, ete.) na SPECIAL QUALIFICATIONS 2. Serene tre em b ACTIVE OR HAVE ACTIVELY PARIECIPATED. INDICATE YOUR PROF ICTENCY LIS? ALE HOMBILS AND GPORTS §N with yOu AR in. EACH stamp collecting, swimmior, tennia nae ger nt at march micHe FET yOu FOR A PaATECUL AR PESULTING FROM EXPERTENCE OR TRAINING, 1HOICATS ANY SPECIAL QUALIFICATIONS, POSITION OR TYPE OF WORK rasearch and analysis exper teane in school and at work en = re EXCLUDING EQUIPMENT. NOTED IN SECTIOW K, LEST ANY SPECTAL SCALES YOU POSSESS RELATING TO OTHER EQUIPMENT OR WAP CHINES SUCH AS OPERATION OF GHOMTRAYE HADIO, MULTICITH, TURRET LATHE, SCIENTIFIC AND PROFESSIONAL DEVICES, FIC. bats tf YOu ARE A LECENSEO OR CERTIFIED MEMBER GF ANY TRADE Of PROFESSION (Pilot, Blectricean, Radia Operator, Teacher, Lawyer, CPA, Medical Technician, @fe.), INDICATE Int AIND OF LICENSE OR CERTIFICATE, NAME OF PSSUING STATE, AND AEGISTAY HUMBER, IF KROHN, : - 2a ee ee nt FIAST LICENSE OA CERTIFICATE (Year of iesue) @. LATEST LICENSE ON CERTIFICATE (Vest of ivtue) Gao 7 ad SECRET _ §
i) ?. 3. 6Q. 2 H 3 4 i | } 1 } t 1 j ieee nee 6. | | | i é 5 LUST anv SUGNIFICANT PURLISHED MATERIALS OF weit ru Ang ttt Auton (De not subest co IMOICATE Tith@. PUL ECATION DATE, any Peet OF aHiTInG (Na fiction, ‘scientific articles, pects, novele, shnet. @tosdoe, ofc.) INGECATE ANY DEVICES milEN YOU Ad public apeaking = high school, college, church Lt SY Amy PROFESS FOMm aL , ACAUEMIC 08 uQNJUANY ASBNCIATIONS O8 SOLILTI ca fm aN ECH YOU ARE SECRET (Shen Pilbed En} rece SECTION XI CGNTIRULO FROM PAGE & List AMY PUDLEC GPRAKRING AWD PURLIC BEL ATIONS CAP ERI ENCE none E INVENTLD AND STATE auf INCH OB HOT Iniv ART PALENTFE MEMBER, LYST ACADEMIC HUNORS You MaYE ULCEIVED. 7. 4. A 4 | Mar Ber FNCLUS EVE UATLS (Proms and NO. OF EMPLOYEES UNDER YOUR DrOfcY SUPERVISION = nang GESCRIPTIGn OF OUTTES Xesearch, preparation of case stud&8e and anilyaes, lecturing. Spec lalization ee } pa G bl ~ Jan $5. up to A 05-9 SECTICN XE} ORGAME ZATION WORK EXPERICHCE ~ SiN o OFFiCEAL POSETION THLE intelligence officer a CE LAST COMPLETION OF & PERS TaES OE ICESORVIGTON/ AR ANCH OF ANG T CoMety ft | STC/ Soviet. Intelligence Branch nd research analyot:: pree unteve fequeated), Heneral interagt subs AE FONMERLY A CATIONS QUESTIONNAIRE OWWEL QUALIFS eeaenntintiienietiaeteeneaieeee ete een in intelligence saorvices of Soviet satellites. INCLUSTVE DATES (Prom-. and To: ) i NO. OF EMPLOYEES UNDER YOUR O1GEET PERWE fe SuPERY 340% none DESCRIPTION OF DUTIES 2. jwan 55 Mor 55 0 4. 1 | sufen OFF ICEAL POSITION fithe Same as above ~~ Branch was tranaferred i - | NO, OF EMPLOYEES UNDER YOUR Diartr OeSeR NP TION (OF OUTIES Study, fuidance and sunnort of operationa; preparation and c@ordl= i INCLUSIVE DATES (From> and Toe) } | i” DESCAIPTION OF DUTIES H i" INCLUSIVE DATES (Frome ond Tos) 2. j4- 4G. OF EMPLOYEES UNDER YOUR O1RECcY | 45. SUPERVISION ; . [5 DESCRIPTION OF DUTIES 4a. $ NO. OF EMPLOYEES UNDER YOUR N1RECT : SUPERVISION ¢ ne Pe ant rere + OFF EECE/SORVISION/ BRANCH OF -ASSIGNMEMT INCLUSIVE DATES (Frome and Tae y ] 3. GRADE] i + GOFFICUAL POSITION . OFFICIAL POSITION FETLE y OFFICHAL POSITION Tefig ¢ SECRET 3 * res ser abner ret GRADE [* GPFECE/O041510N/ OR ANCH OF ASSUGNME ST nation of intelligence and operational reports; preparation of administrative: documents; providing supnort to field Stations Acting deal chiet for 3 monthae ; : ee GRADE OFFICE/OLVISION/ BRANCH OF ASSIGNMENT ace tt EN renee er ter paren (Use additional pages if required)
74-00000 vem eo peat ONES SECRET ‘ | (then Friled In} 4 e SECTION xed CHILORER And OTHER _DEPERCERTS b NuMBER CF CMELONEN (including atepedtldeenp ‘and adopied cAaidred) @H0 ARL UNMARRIED, . UNDLA at YEARS OF AGE, AND ARE NOT SHats SUPPORTING, at? CEP ENDENTS Cinclading apocse. | eryreate, pester, atc, BHO OEFEND Oe whe Fe se at uecasf 108° OF Si 1 HEIR SuFECeT, C8, OMTLUREN AVER ZL YEARS iL7 | ee QF_AGC. Wht. ABE Sat SEE: SUPPOR LING. 3. PROVIDE THE FOLLOWING INFORMATION FOR ALL CHILOREN OND OLPLNOLNTS wae RELATION Sm ie yaaR OF BIRTH saa : i crrasensuer Fnooness | Chr Letopher Les Wigren | son | 1957 15 Mode St, Fairfax, Ellen Kader “igren | wife 1927 pees se eT TT -AUOU TIONAL COMMENT AND/OR CONTINUATION OF PRECEDING ETEMS- ‘Previous addresses: 218 Selmont Avenue, Brockton, biasaachusetta -- prior to Aagsacy employment 3200 16th Street NW, Washington, D.C, -= March to July 1951 1616 16th Street, Nw, Hashington, D.C. =~ July 1951 bs Auguat 19§2 2700 Que Street, NW, Washington, D.C. =~ August 1952 $0 April 1956 a DATE COMPLETED SIGRATLRE OF EWFRLOYEE - oho. ie > aA Chef sot + ~ v t 4 SECRET fo . oe 6 - & 1