## Page 1

Released under the John F. Kennedy

Assassination Records Collecton Act of

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

BS613 Date: 09-18-2025

Date

Page

:

01/14/98

1

AGENCY : INSCOM/CSF

RECORD NUMBER: 194-10004-10360

RECORDS SERIES : DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS

AGENCY FILE NUMBER : PAGES 11-12

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

DOCUMENT INFORMATION

ORIGINATOR : USA

FROM : BURKE, JE

TO : ASST COF, G-2

TITLE : I RESTRICTED ]

DATE : 08/21/68

PAGES

:2

SUBJECTS : MARTI, MANUEL

SECURITY DETERMINATION

INVESTIGATIONS

DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT

CLASSIFICATION: CONFIDENTIAL

RESTRICTIONS : 3

CURRENT STATUS : RELEASED WITH DELETIONS

DATE OF LAST REVIEW : 03/07/95

OPENING CRITERIA :

COMMENTS : DOCUMENT REGRADED UNCLASSIFIED ON 20 JUL 94

NW 83613 Docld:34529176 Page 1

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REQUEST FOR AND RESULTS OF PERSONNEL SECURITY ACTION

(AR 381-130)

THRU: (Include ZIP Code)

DATE

21 Aug 68

0300

TO: (Control Office, Address and ZIP Code)

DCS OPNS

USAINTC

PO BOX 398

•It Holabird, Md., 21219

(Enter naCon tod Code me. Code or ACTION AGENCY to which resulte are to be sent.)

DOSI

Third US Army

Fort McPherson, Ga.

CONTROL OFFICE USE ONLY

DATE OPENED

REQUEST NO.

Ässistant Chief of Staff, G-2

United States Army, VIETNAM

APO San Francisco 96375

DATE CLOSED

DOSSIER NO.

REMARKS

SECTION I - REQUESTER TO CONTROL OFFICE

1. SUBJECT (Last name in capitals, lirst, middle)

2. ALIAS(ES), MAIDEN NAME

3. 555 55493846 SECURITY NO.

MARTI, Manuel (NMN)

093 36 4601

4. DATE OF BIRTH

5. PLACE OF BIRTH (City, State and Country)

T6. GRADE AND POSITION

(Month, Day, Year)

May 17, 1946

San Juan,. PR

PVT

CHECK APPROPRIATE BOXES) AND LINE OUT INAPPLICABLE WORDS IN PARENTHESES

7. INVESTIGATIVE ACTION REQUESTED AND REASONS THEREFOR

BACKGROUND INVESTIGATION REQUIRED FOR:

(Access)

(Limited Access) TO

_MATERIAL CLASSIFIED

[ ALIEN REQUIREMENT

(CONFIDENTIAL) (SECRET) (TOP SECRET).

CONTAINED IN AR 600-200.

OTHER (Specify).

(Special Background Investigation) (Reinvestigation) REQUIRED FOR (Ultra-Sensitive Position) (Special Category Position).

X LIMITED INVESTIGATION REQUIRED IN ACCORDANCE WITH PARAGRAPH

24

AR 381-130 TO RESOLVE ADVERSE

INFORMATION ENTERED IN ITEM 11 OR ATTACHED DOCUMENTS.

OTHER INVESTIGATIVE ACTION RE-

QUESTED AND REASONS THEREFOR:

8. AS REQUIRED BY AR 6045, LOCAL FILES

PERSONNEL, XX INTELLIGENCE, XXPROVOST MARSHAL, XX MEDICAL, WERE

CHECKED ON (Date)

15 Aug 68

AND REVEALED:

] NO UNFAVORABLE INFORMATION

[/ UNFAVORABLE INFORMATION SUMMARIZED IN ITEM 11 BELOW WHICH IS NOT A BAR TO CLEARANCE OR ACTION CONTEMPLA-

TED.

9. LATEST INVESTIGATION AND/OR CLEARANCE (Indicate type, when made, by whom, and file or dossier

10. NO BREAK IN FEDERAL

number.)

SERVICE

EXCEEDING SIX

MONTHS SINCE:

11. REMARKS (Use continuation sheets as required.)

Request Limited Investigation re SUBJECT to determine if action UP AR 604-10 is

warranted - LI to include technical FP Check.

SUBJECT currently assigned to USATC, Ft Jackson, S. G.

Regraded Unalaceiier! "Thon Separated

Ї: 2

REGRADED UNCEASSIIES

From Cia Med triesures

BY

Marita

Auth Para 1.603

"'FOR OFFICIAL L'J

a Chili - This Protective

Marking is Excluded Fiom Automatic

'Dose 09336460der TireD'ME AND TITLE

J..

BUREE,

LTC,

GS

Chief, !

Scty Div

FORM

K DA, 5000. 2784

REPLACES EDITION OF 1 APR 64 WHICH IS OBSO

OR WHEN STOCKS BECOME EXHAUSTED, WHICHEVER IS SOONER.

NW 88613 Docld:34529176 Page 2

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"FOR

OFFICIAL

USE

ONLY

Protective

CBC D3NSU0465

DOCE DISCONNET

CHECK APPROPRIATLIBOX(ES) AND LINE OUT INAPPLICABLE WOKS IN PARENTHESES

SECTION II - CONTROL OFFICE TO REQUESTER

NEW FINGERPRINT CARD REQUIRED.

ITEMS RED LINED ON SPH (PSQ) REQUIRE CORRECTION AND/OR COMPLETION.

INCL

REQUEST CLARIFICATION OF PARA

TYPED NAME AND TITLE

ABOVE.

SIGNATURE

50GE: MOREOGECTION HE REQUESTER TO CONTROL OFFICERO TO SENION L PATEGOS AN CO

ACTION REQUIRED BY SECTION II HAS BEEN COMPLETED.

REQUEST INVESTIGATION BE CANCELED FOR THE FOLLOWING REASON:

CLEARANCE REQUIRE.

MENT IS TERMINATED.

SUBJECT HAS BEEN (Separated) (Discharged)

AND ORDERS ARE ATTACHED.

_OTHER (Explain).

SUBJECT HAS BEEN TRANSFÉRRED (Orders attached).

TYPED NAME AND TITLE

SIGNATURE",

SECTION IV - CONTROL OFFICE

AGENCY ST

DATE

USAR TRANS

2 DEC 1968

RESULTS OF COUNTERINTELLIGENGE INVESTIGATION: DET, APO S.F. 96375,

EDCSA, 13 Dec 68; SO 283, Par

YPE OF INVESTIGATION COMPLETED:

& ATTACHED DOCUMENTS FORWARDED FOR SECURITY DETERMINATION. 210, Hq, USAIC, I,

BACKGROUND

_SPECIAL

Ft Jackson SC

*CONTROL OFFICE COMPLETING INVESTI

GATION

REINVESTIGATION

X LIMITED

SIGNATURE OF OFFICIAL CLOSING INVESTIGATION

sutr

• COMPLAINT

DATE COMPLETED

& DEd 1ü68

Markin

USAINTC

nc

TYPED NAME AND POSITION

CHAD B.

WHITE

LTC, MI, Deputy Chief, ICOP III

SECTION V - ACTION AGENCY TO GAINING COMMAND

DATE

SAINING COMMANDLAND ADDRESS (Include ZIP Code)

N9 28113110

SUBJECT TRANSFERRED TO YOUR COMMAND PER SPECIAL ORDER NO.

(Copy inclosed).

CL (Include orders)

TYPED NAME AND TITLE

SIGNATURE

clos

SECTION VI - RECORD HE UNAL ACTION CACTION AGENCY TO USAIRR)

DATE

7 FAVORABLE DETERMINATION.

_ CLEARANCE GRANTED

(TOP SECRET) (SECRET) (CONFIDENTIAL) (CRYPTO) (SPECIAL).

From

CLEARÁNCE DENIED AND ACTIÓN TAKEN

IN ACCORDANCE WITH PARA 24, AR €04-5.

REMARKS:

..."

1.т.s

3J570

•5 30Y 301

fic reade

woe Data

11

3002

INCL

TYPED NAME, TITLE AND ORGANIZATION

SIGNATURE

HANGE M

NW 88613 Docld:34529176 Page 3

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