REQUEST FOR PERSONNEL ACTION
Agency: CIA
Originator: CIA
Document date: 02/24/1960
Document type: PAPER-TEXTUAL DOCUMENT

## Page 1

104-10256-10308

2. Name (Last-First-Middle)

REC

• T FOR PERSONNECACTION

+ 17508

Date Of Birth

Mo.

Da

Visi

Ye.

8.

Yes-

No.

Ketmt.

Code

9. CSC Or Other Legal Authority

10. Apmt. Affidav.

Mo.

Da.

Yro

14. Ver Pref.

None-O Code

10 Pt-2

11. FEGLI

18.

Yes-ti

Code Mo.

No-2

5. Sea

ó.

Mo.

CS - EOD

Da

Ys.

LCD

Da.

13.

Yes - 1

No - 12

Code

14. Organizational Designations

PREVIOUS ASSIGNMENT*

Code

15.. Location Of Official Station

RECORDED

Station Code

102

1á Dope. - Field

17. Position Titie

Dept

Code

USild

Fron

19. Serv. 20. Occup. Series

ade & Sten

27-

Nature Of Action

Code

18. Position No.

Date Qi Grade 25:

Ma DesceYs

ACTION=

88. Eff. Date

Mo.

Yr.

DEPARTM

29. Type Of Employee

PRESENT ASSIGNMENT

SIX WAN

Code| 30. - Separation Data

(4i2) 13-3

35, Position No

38. Grade &

34 Or Rate

SD

41. Date Of Grade | 42. PSI Due •

Do ::

Yr:

39754

A.. Requested By (Name And Title)

R90241

8.: For Additional Information Call (Name & Telephone Ext:)

- 2300240

-*.:

SOURCE OF REQUEST

Clearance

Carder Board?

B. Pos. Controf Cal

C. Classification

Remarks

Signature

CLEARANCES

Date

cal: Stallor

Sinton®

Code.

was:

To Sor. 57: Occup. Series

43. Appropriation Number

•Date

FORM NO

MAR

57

1152

Store

(4)

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