DISPATCH: OPERATIONAL AMBANG PERSONAL RECORD QUESTIONAIRE PART II - OPERATIONAL INFORMATION
Originator: CIA
From: CHIEF OF STATION, HABANA
To: CHIEF, WHD
Document date: 1959-05-29 00:00:00
Document type: PAPER - TEXTUAL DOCUMENT

# DOCID-32412727

## Page 1

104-10179-10087

Heleased under the John F. Kennedy

Assassination Records Collection Act of

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

65487 Date: 10-28-2021

RETURN TO CIA

Background Use en

Do Not Reproduce

7O

DISPATCH

Chief, MED

201-239395

PROM

Crear or Statione HabsralM?

Operationsl

AMBLIO - PR2 PUrE II

MOUNTO

Operationel Approval

A.

1H-A-5209,

22 Мл 1959

B.

HKF-A-2,705, 16 October 1958

29 895 1959

Н."43" - 1HT 0ND

NDELING CAN MI MICH

Attachod in quadruplicate 1s FRA Part II for Subjoot, in Sparational

Approval 1s roquested.

Attaolmente

PiQ Fart II (l, copios)

Diatributions

3 - Headquarters w/attach. as roto

2 - Filos w/attaoh. (singlo cop

wCO/pra

27 Mar 1959

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104-10179-10087

DESENSTTRED

SECRET

PERSONAL RECORD QUESTIOKNAIRE

PART 11 - OPERATIONAL INFORMATION

169

DISPATE 1-4-5222

STRUCTIDNS DO CASE OFFICEE

apropriato nurdorary on the. bania ol. he

regurater.

13. mores,

Thereolles

255:

brailable

sip.

as coo

пле-

AMBATO

SECTION I

CONTACT AND DEVELOFMENT

'MDICATE NOR, AMEN. OMERE, ONY, AND OY ONDA SUBJECT DAS FIRST CARIAGICO OR

Hoodror C. O2len net Subfoot In Ostober 1958 then tba lattor vas bond of tho Cirio

Roslatanso lovemant In labana.

Threo alandestloa sootinga voro bald vita subjoot

prior to 1 january 1959, valah, 10 addition to Ollen and Vellaco A. Grovers, Mato

also attanded by Ignolo l'endora, a sember of NaC (oirlo resistancs) who artfinally

NA8D194A.

AMITMTA SUBJICY COULO DE TURMED OVER QUICKLY AND

1 50.

INDICATE TO ANOM. "

CASE OFFICER

100 250 DONGID pappalty.

"NO MAVE MANDITO SURITES ON

OIVE MAMES.

THEY

Subjoot loney Sberrool?. ROCHON, Cllon's predec

00s0r, but aleo as an COACI orfloes.

Ee bad aldo not bellade d. Grossery.

97

SECRET

SHIZEDS

3/100

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104-10179-10087

DESEE D

NOTHI

SECTICA LIL

CONTROL

000188.0)

pridearo: Do no!

vison bee so cowert of clandentino salationahip vita subjoot at talo tina. A

IADICATE AMAS CONTROR. IF'ANY:

R1S99.0000 THE SUBJEÇT, Ill rio control, on il

o control coolata oner sabjent.: Ha has sos boen an agent and has recalvad i

SECTION III

COVER

1. CONCA USEO BY SUBJECT ANO CASFOFTICEE "E THEIR MEETINGS.

Olies has unod oover of (@DACIl artloer la bla sootsage vita Subjeat.

COVER USEO BY SUBJECT IN OBTAINING MIS IRTORMATION AND IN CONTACTING HIS INFORMANTS.

prior to 1 Jamary Subjoat sraely disoussed sovolutionary astlero knova to bín an

hend of :!Ft. He did not "supply" information in tho sanse of an agent osso Or 00

relationablDe stoco I January,1959 ha bas provided no Iscorsetion al Interest y

3. PASICATE SIRVICE FOR BHICH SUBJECT THIRAS ME CHiLI DOERD (LI

marland).

Susjost 111l sot ba horklag for is:- Hoverer, ve hope eventally to euploit the

palstloal-notion potental as subject by using hia to latluenco gorarment deolaioni

1n Parer es tbe Dalied Statas Interesta and in aspostlion to Commanlas dosigna.

SELTION IV

INTELLIGENCE COXMECTICAS AHL TRAINING

1. CAPLAIM SUBJECT•S ARIEN PAST OR PRESIST ANECTIÕN ATTA ANY OIMER INTELLICENCE SERVICE, INDICATE TRE

SUST CONNICTION IS KAORN OVERTLY.

alandestino sotlas, Inaluding latalligazoe colloatlos.

8. LIST OTHER IMOIVIDUAIS (ABPR8D,,-0181

frigadas suo

ON OF SUBJECT'S

to Sobjoat and attended their sostings.

S. AAPLAIM ANY TRAIMING SURJECT HAS MAO I CLRNDESTIME OPI

RATIONS.

SECTION Y

RADICATE OTHER

ASSOCIATIONS

COLLABORATICS POTENTIAL::

LICK DODER SUBJECT DULD BE MOST LINELY TO COLLABIRATE MITM ALCAUSE,OF

LOROLOGY ON FAST

SECHES

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104-10179-10087

SECTION VI

SUBJECT MAS BIIN, USTO

" CATION HE MAS YUAMI SHED!

INDICATI HOR AMD PROM THON SIBIE?, COTAINS INSOGNATION.

2oj0rt as a alga offlesel of the fororeent bas asturali. :] 600e9s to aud knolledi

5 Informatilos an palliloal and coananlo nettera

INDICATE HAT MAS BEEM TOLO SIRUETO AS TO THA DISPOSITLON OR INFORMATIDA NE FLAMISMES.

Sabjeat knOus 0118n dA En eSTÁCer of QDACD.".

99

DETAIL SUBJECT'S PROPOSED DI DE SO TRE USE OR DUTIES.

Sabjent's potential la 1a tsa f1ald al polltioal sottos. Da TI AspAStA voLla bo

socondary and inoldental.

Ioternational Carusta enl rso la Laterastod la etrangthestra tlas beterssa Cube end?

ODY CiS pOlla1e0.

=24.

SECTIDA VID

24 POMPOSEO LIAISON OR OPERATIONAL ACTIVITY

*. DETALL SUBJECT'S PROPOSEO GIANS E SCATACI OR SRERATICNAL USE-

usi to devaloging hli as i palitteil cotton rasat

D. OMERE SUBJECT 18

SECTION

Vi-. BEACY-RELATIONSHIP WITH SUBJECT: :

DITA SUBJEGT, I.E, TRAINER, 09POS1TS

EXPLAIN NATURE DE AGENCY

RELATIMAS

PERSONAEL ANDRA TO SUBLICI.

lo agonay raletlonship esclata sila Subfoot.

DUMBER,

RIAUGIRATION. IF

AGENCY

SECRET

5/p

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104-10179-10087

SECTION 1X

INDICATE

ICa OTHEA OPERATIONS.

Воти

DISEASTR»

SEC

QUALIFICATIONS:FOI

OPERATIONS

18,'"N DUAL I ICATIONS POSSESSRO DI SUBJECT OMICH COULO CONCRIVANLY RE

COMHATHENTS

IT IS PROPOSEO TO PAY SUBJECT, A REGULAR SALARY:

INDICA

THE

WECKLY AMOUNT. IT PAYMENT

CONMODITIES, SUASIDY ON OTNER MITHOO, SPECIFY ANÔ GIVE DETAIES.

It la sas proposed to par subjent a salary.

MOT COVERED MERIIN. MADE TO

tana via tasonor.

SeeTlOd

CE AND SECURITY

INDICATE THE FIRLO AGENCIES AND FIELO FILES MITM MAICH SUBJECT'S MAME MAS BEEN CUTCALO ANO INE ASSURYS.

statson silas. Local DEdit tiloa.

sajoye a very sood reputation for bosesty end integrity.

WACID SIlAS. No derogatory trease. Dubjest

INDICATE OTMES INIESTIGATIVI MLASURES TAXEN TO VERIFY

•AL •NEORMATION PURVISATO BY SUBJECE.

subfoot 18 a padllo Siguro and blo background so pablo torontodgo.

INUICATE NHETHER

PROVAL FOR

APPROVAL OR

USE MAS BEIN PREVIOUSLY OBTAINED.

STROMAL APO

1. DATE APPROVAR OBTAIMED

EVALUATA SUBJECT'S CHARACTER.

RELIAB

ILITY AND SECURITY

sabjsot apperre to be and has the ropiration

of balag a parson of Miga sorül Charge

and Intagalty: Do lo s cost-opaten pa

Who thinks baforo ho aperks.: So le bod

Ivas to masteredlan that lafo

tron

no obtarned tron bin bai 1

curato. Is so a devored fanti"

EXPLAIN ANY SITATION

CHICPERATIONAL SETURITY VIL

¡ON IN MUTEH SURVICE MAr

1S VOLVED MM ICH MUST BE EV

SECTIO

SUBJECT'S PERSONAL HADITS

SIOURR. 544651 69481 ING, PARAMOUAS.

oderato no as Ilquor, to penbling hablto knon. do paramoura,

DESERIES

SECRET

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104-10179-10087

SECTION XILI

INDICATA SUBJECI'S

Hot sons.

VOCATIO

ITERESTS

SECTION XIY

GDI ERAL

INDICATE MMETMIR SUBJICT'S LAMGUAGI ADILITALS AND OTMER CHARACTERISTICS.

OF a COUNTRY OR

THAN MIS ONN

ARE SUCH AS ME COULO PA

NDICAT

ОМЕТНЕЯ

IN PRO PRATS I AML 11 DAS OBTAINCO

RESEARCH, CLANDESTIME ASSESSMIMT, MILES.

infarnation obtainad from fllo rescarah and trans parsonel contaot vIla Subj00t.

"THER. "HSO OUTPAS ACTION IS ACQUIRCO, IP AND BHEM TERMIMATION OF

SUMECT 13 EFFECtED.

(A1 10.

SECTION XY

DAERGENCY CORDITIONS RECONTACT ARRANGENENTS

GIvE fuLL DETAILS

MAKING CONTACT USELE, ACCOGMATION SIGARIS, 8181 ONERE COULO COMTACT 8E MADE: OMAS ARMA PIORS COULO INDIVIOUAL

sons establlabed.

SECTION TYR.

MISCELL NIEOUS OPERA

• DATA AND REMARKS

to operationa

1s one part and hat to a Feels to erado atrod ca a latel

DATE

25 tsay 3959

SIGNATURE OF

Hoodros C. 0110n

SECRET

FESEXSULZED

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