NAME CHECK REQUEST - IVAN BERDJANSKI
Agency: CIA
Originator: CIA
Document date: 09/21/1964
Document type: PAPER-TEXTUAL DOCUMENT

## Page 1

110470006-102411

FROM: (Requesters name) O

A <W. BRASKO

BRANCH

ROOM

BADGE NO.

EXTENSION

TO

TUBE

ROOM

DATE

INITIALS

RID/INDEX

DT - 5

REQUESTER

RID/FILES

DT - 6

REQUESTER

RID/ANALYSIS

GT- 7

R1D/201

DW- 6

RID/MIS

GT - 6

RID/INDEX

DT - 5

SURNAME

5KIX,

SPELLING VARIATIONS TO BE CHECKED

03 10

AKA, ALIASES

SECRET

DATE

NAME CHECK AND CONSOLIDATION REQUEST

RID CONTROL NO.

21 56P 64

CHECKING INSTRUCTIONS

SUBJECT TO BE CHECKED

GIVEN NAMES

IVAN

OTHER IDENTIEY IN TAd Occupation, sox,

CP membership,

SEX

DATE OF BIRTH

PLACE OF BURTS SR

CITIZENSHIP

RESIDENCE

US SR

RESULTS OF RID/INDEX CHECK

ROSTOU/DON, USSR

NO PERTINENT IDENTIFIABLE INFORMATION

COMMENTS

i 1.

CARD REFERENCES ATTACHED

INSTRUCTIONS FOR REQUESTERS

IN ALL CASES

Use gummed label; type or print all

entries.

Upon receipt of index card reproductions

draw a green diagonal line

across the

Items you do not want.

Edit (use green) the reproduced index

cards to indicate:

(a)

cards to be destroyed (mark with

green D and note reason for

destruction)

Examples: document destroyed; duplicate

or less informative than retained in-

formation; information of no CS value.

(b) corrections and additions, inclu-

ding Infinity symbol oo when

card in-

cludes all facts contained in the

document.

201 CONSOLIDATION

1. Return this form with the card repro-

(a) • Consolidate into

201-

(b)[] Open 201 file on subject.

RESTRICTION (If any)

CRSSTENZEM

T YES

NỢ

OTHER INTERESTED DÉSKS OR STATIONS

Note 1. Records of COI, SSU, OSS and CIG

are in RID/ARD, and

those that meet

Indexing criteria in CSHB 70-1-1 are

carded in the CS Main Index.

If you

believe there could be additional in-

formation of value in these

records,

you must request an Archives Index

search.

RID

DESK

Note 2. Information concerning foreign

public personalities (except mili-

tary) may be available in BR/OCR

x7997.

MATE

[SIGNATURE OF RECORDS OFFICER

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