REQUEST FOR SECURITY CLEARANCE: DAVID MORALES.
Agency: CIA
Originator: CIA
Document date: 3/11/65
Document type: PAPER-TEXTUAL DOCUMENT

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104-10121-10289

(When Filled In)

REQUEST FOR SECURITY CLEARANCE

MAME LAST - FIRST - MIDDLES

11# - 261

Morales, David S.

POSITION TITLE

POSITION NUMBER 131 - 381

OCCUP. CODE 187 - 18)

Ops Officer

LOGATION ICITY, STATI, COUNTRYI

Lima, Peru

16-70

REGULAR

TYPI OF APPLICANT

CONTRACT

CONSULTANT

MILITART

NAME OF REQUESTER IOR OFFICIALI

Joseph B. Ragan,

Chief/CPD

ASBIGNHENT OFFICE, DIVISION, BRANCHI

DDP/WH

CONVERSION ACTION

SA -SE

TYPE OF ABSIGNMENT AND FUNDS

USY

IF OTHER, SPECIFT

HOB

uy

CLEARANCE

PROVISIONAL FOR INDICATE NAME OF POOL OR GROUPE

REQUIREN

Full Clearance

PERSONAL MISTORY STATEMENT

ATTACHHENTE

PHOTOGRAPHIE!

MALI • VETERAN

VETERANS STATUS

MALE - NON-VETERAN

APPENDIE!

ASPENDIX H

FEMALE - VETERAN

FEMALE - NON-VETERAN

REQUEST FOR WAVERE TH

REPORT OF INTERVIEW. !

REQUEST NO. 11-15)

18714

REQUEST DATE (6-111

11 March 1965

TEAR OF BIRTH (20-90)

1925

GRADE (19-641

GS-15-3

OREN, CODE 145,001

TYPE 08 APPL: 1401

HDATRE. A FUND $80J

SECRET

CLEARANCE SEEI

RECRUIT. CODE (RUA

VET PREF. B SEX (81)

Security #: 39418

Case Officer: Robert D. Cashman *6576

Clearance Memo to SA Branch / CPD

Attn: Jo Ann Varney

5 E 69

SPACE BELOW FOR OS USE ONLY

RETURN TO CIA

Background Use Only

• Do Not Reproduce

FORM

3-61.

377

USE PREVIOUS EDITIONE

SECRET

(MFG. 5-61)

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