REQUEST FOR PERSONNEL ACTION FOR PHILLIPS, DAVID ATLEE.
Originator: CIA
Document date: 07/27/1965
Document type: PAPER - TEXTUAL DOCUMENT

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104-10128-10285

2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

• SELKET

(l' ben Filled la)

ti:

DATE PREPARED

REQUEST FUR PERSONNEL ACTION

27 JULY 1965

1. SERIAL NUMBER

2. NAME (Lass-Firs-Middle)

024345

J. NATURE OF PERSONNEL ACTION

PHILLIPS, DAVID AiTTii

REASSIGNMENT

6. FUNDS

V TO V

O TO V

V TO CF

CF TO CF

4. EFFECTIVE DATE REQUESTED

MONTH

DAY

YEAR

JUN

65

7. COST CENTER NO. CHARGE.

ABLE

6185 0875

10. LOCATION OF OFFICLAL STATION

5. CATEGORY OF EMPLOYMENT

REGULAR

8. LEGAL AUTHORITY (Completed by Office of

Personnell

9. ORGANIZATIONAL DESIGNATIONS

DDP /WH

FOREIGN FIELD

BRANCH 2

16-10

16-10

(SANTO DOMINGO, DOMINICAN REPUBLIC] SANTO DOMINGO, DIMINICAN REPUBLIC?

STATION

11. POSITION TITLE

12. POSITION NUMBER

113. CAREER SERVICE DESIGNATION

ATT POL OFF

OPS OFFICER (CHIEF OF STATION)

14. CLASSIFICATION SCHEDULE (GS, LB, eSC.)

115. OCCUPATIONAL SERIES

GS

0186.01

0274

16. GRADE AND STEP

08 5

104

D

17. SALARY OR RATE

16,920

S 18,1TQ

18. REMARKS

FROM: DDP/ME/BRANCH 2/MEXICO CITY, MEXICO STATION/0340/

AEHORANDUM SENT TO DOL VIA DP ALQUESTED THE APPOINTLEST•OF

ME, PHILLIPS AS COS, SANTO DOMINGOI

_ STATION APPROVED

ON 1Ó APRIL 1960. MR. PATLLIPS REPLACED MR. EDWIN M. TERELL 03

WHO HAS BEEN ASSIGNED TO WE/BRANCH 2/RRADQUARTERS, EFFECTIVE

6 JUNE 1965.

Jale Lo

FORM 259 HAS BEEN SUBMITTED

96.

1-FINANCE

1-SECURITY

18A. SIGNATURE OF REQUESTING OFFICIAL

ROBERT D. CASHMAN

C/WH/PERS

Security Approval has beer granted 2or

the use

Renantlated by fais request

DATE SIGNED

19. ACTION 20. EMPLOY. 21.

OFFICE CODING

CODE

CODE

NUMERIC

AIPHARETIC

28. ATE EXPIRES

мо.

DA.

re.

29. SPECIM

REFERENCE

30.

SICA

13- HOME

36. SERV. COMP. DATE

ню.

DA

SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL

22. STATION

23. INTEGREE

24. HDQTES. 25. DATE OF BIRTH

26. DATE OF GRADE

CODE

но.

DATE OF LE

DA.

RETIREMENT DATA

CODE

31. SEPARATION

32. CORRECTION/ CANCELLATION DATA

DATA CODE

TYPE

но.

• DA.

rR.

EOD DATA

33. SECURITY

ХЕД. НО.

34.S0X

35. YET. PREFERENC

CODE

А НОЖЕ

I-SM.

12-10 P.

41.

CoOt

PREVIOUS GOYERMMENT SERVICE DATA

O NO PREVIOUS SERVICE

I-HO BREAK IN SERVICE

2-BREAX IN SERVICE (LESS THAN 3 TEARS)

3-BREAX IN SERMICE (MORE THAN 3 TEARS

45. POSITION CONTROL CERTIFICATION

B7. ONE, COMe DATE

vR.

42. LEAVE CAT.

CODE

38.

CAREER CATEGORY

CAR/RESY

CODE

39.

CODE

PROY/TEMP

FEGLI/HEALTH INSURANCE

O-WAIVER

HEALTH INS. CODE

1- YES

43.

FEDERAL TAX DATA

44.

FORM EXECUTED CODE

NO. TAX EXEMATIONS

FORM EXECUTED.

1- YES

2-H0

10. SOCIAL SECURITY NO.

STATE TAX DATA

CODE NO. TAX STATE COOL

16.0.P. APPROVAL

DATE APPROVED

1089 1152

USE PREVIOUS EDITION

14/0

RETSAN TO CIA

Background Use Onty

Do Not Reproduce

GROUP 1

EXCLUDED FROM

14;

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1 RESIGN EFFECTIVE -

(Date)

(N ben Filled In)

EMPLOYEE NOTICE OF RESTINATION: SPARE.

= FOR THE FOLLOWING REASON:

AuG 3

340 PM '65

MAIL ROGU

MY LAST WORKING DAY WILL BE -

DATE SIGNED

SIGNATURE OF EMPLOYEE

FORWARD COMMUNICATIONS, INCLUDING SALARY CHECKS AND BONDS, TO THE FOLLOWING ADDRESS (Number. Sirees, Cily, Stase, Zip Code)

Items 1 thru 7

and

Items 9 thru 18a

INSTRUCTIONS

Le reguire horation which perine of to the sciod iguer , and NOT 0 the dure:

status of the employee unless specific items remain unchanged.

Item 5 - "Category of Employment" should show one of the following entries:"

Regular

Summer

Part Time

Detail Out

Temporary

Detail In

WAE

Consultant

Military®® 0:

Temporary-Part Time

em - in the faction Dese posit chould show all evels of organizaion fern irisy.

MISE

Major Component (Director, Depusy Director, esc.)

Office, Major Staff, etc.

Section

Unit

Items 11 and 15 - "Position Title" and "Occupational Series" should be the standard abbreviated title and

series of the position occupied as shown on the most current edition of the Position Con-

trol Register or Form 261, Staffing Complement Change Authorization, explain under Item

18-Remarks.

Item 18b - Signature should be that of the official authorized to approve for the Career Service to which

i should ye belond the met career Service should concur in eem be, Remarks.

If more than one Career Service is involved, tbe gaining Career Serr-

ROUTING- The original only of this form will be forwarded to the Ofice of Personnel through the appropriate

Career Service official(s). In the case of requests specified in HB 20-800-1, which require advance

approval of or notification to the Office of Security or the Office of the Comptroller, one copy on!

will be sent to the Office(s) concerned

SECRET

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