## Page 1

Date

Page

:

07/22/96

1

Heleased under the John F. Kennedy

Rosassination Records Collection Get of

1992 144 USC 2107 Notel. Case# Nw

B8613 Date: 03-18-2025

JFK ASSASSINATION SYSTEM

IDENTIFICATION

FORM

AGENCY INFORMATION

AGENCY : INSCOM/CSF

RECORD NUMBER

:194-10012-10477

RECORDS SERIES

: DOD-AFFILIATED PERSONNEL AND INCIDENT INVESTIGATIONS

AGENCY FILE NUMBER

ZF000003W - PAGE

935

DOCUMENT INFORMATION

ORIGINATOR

USA

FROM

TO

TITLE : REQUEST FOR NATIONAL AGENCY CHECK

DATE

: 07/00/66

PAGES

:1

SUBJECTS : SLOVODA, VLADIMIR

FAMILY HISTORY

-

RESIDENCES

EMPLOYMENT

CIVILIAN SCHOOL

DOWLING, JOHN JOSEPH

DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT

CLASSIFICATION : UNCLASSIFIED

RESTRICTIONS : 3

CURRENT STATUS : RELEASED WITH DELETIONS

DATE OF LAST REVIEW : 03/20/95

OPENING CRITERIA

COMMENTS :

NW 88613 Docld:34531187 Page 1

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ÃY REQUEST OR NATIONAL AGENCY CHECK

(AR 381-130)

1. DATE

REQUEST

-28 Jul 66.

2.

CONTROL OFFICE:

3.

LAST NAME - FIRST NAME ? MIDDLE NAME

- ALIAS(ES) • NICKNAMES • CHANGED NAME

DOWLING JORN JOSEPH

5. DAY. MONTH. YEAR OF BIRTH

6. PLACE OF BIRTH

25 Uct 48

8. RELATIVE'S NAMES

Oak Land.

Cali

9. DATE AND PLACE OF BIRTH

a. FATHER

PDOWLING JOIN J.

Waterbury, Conn

b. MOTHER (moiden name)

COLLINS, TRANCES

UNK

c. SPOUSE (maiden name)

4. SOCIAL SECURITY NO.

560 68 6542

7. SERVICE NUMBER

10. PRE ENTADDRESS

84 1 716105

11. CITIZENSHI:

3016 Murray

ridge Rd

San Diego, Calif

3016 Murray Ridge Rd

San Dieso, Calif

1. Sa

a. FROM

b.

TO

RESIDENCES (List all from loth birthday or during last 15 years, whichever is shorter)

c. NUMBER AND STREET

d. CITY

e. STATE

1952

1966

3016 Murray Ridge Rd

San Diego

Calif

a. FROM

-66

-66

o. FROM

9-63

YES

NO

X.

13. EMPLOYMENT /List all from loth birthday or during last 15 years, whichever is shorter)

b. то

C. EMPLOYER

d.

PLACE

3-66

7-66

Bill Burgers Drive-in

Car wash

Linda Vista

14. LAST CIVILIAN SCHOOL

b. TO

6-66

C. NAME

d. PLACE

16.

REMARKS

15. ITEM /"Yes" answers are expanded in Remarks)

a. IS THE SUBJECT AN ALIEN OR A NATURALIZED CITIZEN OF THE UNITED STATES?

b.

ANY FOREIGN CONNECTIONS, INTERESTS, EMPLOYMENT OR MILITARY SERVICE?

C. ANY FOREIGN TRAVEL OTHER THAN FOR THE UNITED STATES GOVERNMENT?

d.

EMPLOYMENT BY A FIRM HAVING A CLASSIFIED US GOVERNMENT CONTRACT?

e.

FORMER US GOVER EDENT EMPLOYMENT OR MILITARY SERVICE?

1. ANY QUALIFIATON DE DO FORM 398 OR DO FORM 98?

2 ANY ARE A SO IN RECORD?

fir odditi

Failure

FAD

lication

request

18. FROM:

inquiry

Ac of S, G?

submitted

Fingerprints

identifiable

F't Ord, Calif

19 THRU:

FINGERPRINT CARD FD 258 MUST BE ATTACHED

REPLACES DA HORM SAD. I DEC S8. 93'55 OBSOLETE

FORM

DA, 0413027

summertabl liai

NW 88613 Docld:34531187 Page 2

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