201 PERSONALITY FILE ACTION REQUEST FORM
Originator: CIA
From: SB/CI/K
To: RID 201 SECTION
Document date: 1966-09-08 00:00:00
Document type: PAPER - TEXTUAL DOCUMENT

# DOCID-32349653

## Page 1

Date: 12/21/04

JEK ASSASSINATION SYSTEM

IDENTIFICATION

FORM

AGENCY INFORMATION

AGENCY : CIA

RECORD NUMBER : 104-10072-10107

RECORD

SERIES

:

JEK

AGENCY FILE

NUMBER

80T01357A

DOCUMENT

INFORMATION

AGENCY ORIGINATOR : CIA

FROM

: SB/CI/K

TO

: RID 201 SECTION

TITLE

201 PERSONALITY

FILE ACTION REQUEST FORM

DATE

09/08/1966

PAGES

1

SUBJECTS

: DMITROOK, ZIMA

DOCUMENT TYPE

CLASSIFICATION

SECRET

RESTRICTIONS

CURRENT STATUS : RELEASED IN PART PUBLIC - RELEASED WITH DELETIONS

DATE OF LAST REVIEW

: 08/02/93

COMMENTS

: JFK15 : F49 : 1993.08.02.17:53:50:870036

Released under the John F. Kennedy

Assassination Records Collection Act of

1992 (44 USC 2107 Note). Case#:NW

65924 Date: 10-25:2021

[R]

- ITEM IS RESTRICTED

104-10072-10107

NW 65924 Docld:32349653 Page 1

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## Page 2

DESTRO

LI RUUUUMUNS

AFTER USE

1O. COUNS ROCATION

INFORMATI

CEL

ADDRESSEES

22: CRYPTONYM

23.. SIGNATURE OF REQUESTER

FORN 831 DOSORETO

GOOPIOUS

NW 65924 Docld:32349653 Page 2

SECRET.

NOTE: SOB INSTRUCTI

201 PERSONALITY FILE ACTION REQUEST

TO:

FROM:

RID/201 Section,

Name

RID /CR

ОРЕН

TYPE

ACTION

AMOND

Room GA-20 Tube Address:

FOR

2.

FFICE

DW - 6

ROOM

5C19

YES

9.

DATE 8 SEPT. 66

PHONF

6.991

TUDE

ADDRESS

FT-I

FILE

RESTRICTEN

PERMANENT

CHARGE

00

TRUE NAME

(Piror)..

9. 1201. NO.

-80391

о.;

TYPE

ZMITROOK

RIMA

NAME VARIANTS AND FELECODES

foee inntructions.

(Firat)

E 2

М. на

(2aa8)

SHIRAKOVA, RIMA

(Middle)

N 2.

412

н 2

7.

COUNTRY OF BIRTH

TAN:

CITYATOON OF DIRTH

Moscow

88:

19...

SOL

.

• 00:0000

TeAcher

•| PROF 13

DOCUMENT. SYMBOL & NUMBER

DELA: 46115 4117446.66

"CSSRiMoScow E-123 APT. 31H053223

17: COMMENTS (ROIR. fOr: Indes.

& VLAdIMIRSKAYA

Pa:.

HUSBANd, VALERIY 2 MITROOK bORN 29067. 37 ENGINGERN

STUdENT SHOT. FIBURES IN WARCEN REPORT AS INTOURIST FO

GUIdE PROVIDES FOR LER OSWALD ON DIS ARGIVAL IN MASCOO

IN OCT 59. PHOTOGRAPHS ATTAChed

80

CODE

107401

19. ACTION D

5B/ CI/K

SECONDARY DESS

CODE

:00

HAND CARRY OR FORVARD BY TUBE IF TRUE NAME AMPEARS ABOVE. Y

201

NO.

803914

AB

scene?

600-80 0

---