FORM - REQUEST FOR PERSONNEL ACTION - REASSIGNMENT & CHANGE OF SERVICE DESIGNATION FOR DAVID L. CHRIST.
Originator: CIA
Document date: 04/30/1963
Document type: PAPER - TEXTUAL DOCUMENT

## Page 1

104-10111-10088

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

DATE PREPAREO

7=

REQUEST FOR PERSONNEL ACTION

30 April 1963

1.

SERIAL NUMBER

2.

NAME (LOSt-Firse-Middle)

559090

CHRIST. DAYID L.

3. NATURE OF PERSONNEL ACTION

A. EFFECTIVE DATE REQUESTED 5. CATEGORY OF EMPLOYMi:.

MOMTN

DAY

VEAR

REASSIGNMENT & CHANGE OF SERVICE

DESIONATION

V TO V

8. FUNDS

V TO CF

CF TO CF

CF TO Y

9. ORGANIZATIONAL DESIGNATIONS

1X

7. COST CENTER NO, CHARGE-

ABLE

3125-1990-1000

1O. LOCATION OF CEFICIAL STATION

REGULAL

B. LEGAL AUTHORITY (Completed

Office of personne;

DDP/ ISD

Development Complement

Washington, D. C.

11. POSITION TITLE

12. POSITION NUMBER

19. CAREER SERVICE DESIGNATION

PHYSICAL SCIEN

- 9991

14. CLASSIFICATION SCHEDULE (GS, LB. ePC.) | 15. OCCUPATIONAL SERIES

6. GRADE

AND STEP

17. SALARY OR RATE

8. REMARKS

1301.07

-16

13)

17,006

FROM:

IAS

Foreiga Field Undetermined.

1 6 MAY 1963

Dale

Security Approval has been granted der

the use contemplated by this reques:

Chiel. Versonhel security Division

cc: Security

1BA. SIGNATURE OF REQUESTING OFFICIAL

DATE SIGNED

188. SIGNATURE OF CAREER SERVICE APPROVING DATE SISNES

OFFICER

(JAMES R, SHIELDS)

SHIELDS ISD/GMO

SPACE BELOW FOR EXCLUSIVE USE

OF THE OFFICE DE PERSONNEL

19. ACTION 20, EMPLOY. 21.

OFFICE CODINS

22. STAT ON

23. INTEGREE

CODE

CODE

NUMERIC

ALPHABETIC

tes:

24, HDOTOS / 25. JATE CE 21975

1 26. DATE CF CRADE

то.

ол.

YR.

27. CATE OF .:

мо.

De.

re.

28.NTE EXPIRES

мо.

DA.

YR.

29. SPECIAL

RET'REMERT JATA

REFERENCE

- [SC

CODE

- MOME

35, VET. PREFERENCE

36. SERV. COMP.

DATE

37. LONG. EMP. DATE

CODE

MOME

DA.

ra.

то.

: 50%

PREVICUS GOVERNMENT SERVICE DATA

-

31. SEPARATION 32. ICRRECTIO/CANCE.._DT:CO JATA

DATA CODE

TYPE

као.

=•.

TR.

EOD DATA

3& MIL. SERK CREDIT/ACO

1 - YES

2 - NO

3°.

CODE

FER / TÉALTM INSURANCE

E- MAIDER

MEALTH INS, COOF

-•ES

33. SECURITY

3u. SEX

REO. NE.

NG. SOCIAL SES DITY NC.

41.

CODE

¿= NO PREVIOUS SEAVICE

NO BREAK IN SERVICE

BREAK IM SERVICE (LESS IMAM 12 MOS!

BREAK IN SERVICE (MORE THAN 12 MOS"

FE. LEAVE CAI.

SODE

$3.

FORM EXECUTED CODE

1 - YES

2 - NO

FEDERAL

TAX DATA

A3. TAN ERIMOT: JAS

dale.

FORM FXECUTED

1 - TES

2 - 40

STATE TAX DATA

CODE

NO TAR STATE CO0E

Exemio.

45. POSITION CONTROL CERTIFICATION

A6. O.P. APPROVAL

DATE

APPROVED

8.6M 1152

USE

PREYTOUS

EDITION.

SECRET

14

=/nv

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## Page 2

4-00000

DESIGN EFFECTIVE_

SECREI

(shen Filled In)

EMPLOYEE NOTICE OF RESIGNATION

FOR THE

FOLLOWING REASON:

(Date)

& HEY TE::

MY LAST WORKING DAY WILL BE

DATE SIGNED

ISIGNATURE

OF

EMPLOYCE

FORWARD COMMUNICATIONS.

INCLUDIES SALARY CHECKS AND BONDS.

THE FOLLOWING ADDRESS (Number, Street, City, ZOne, Seal.

INSTRUCTIONS

Items 1 thru 7

and

-

Items 9 thru 18a

The initiating office should fill in each of the referenced stems.

Items 3 thru 7 and 9 thru 18 require information which pertair. only

to the action requested, and lOT to the current status of the er.

ployee unless specific items remain unchanged.

........

Item 5

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

Regular

Summer

WAE

Part Time

Detail Out

Consultant

Temporary

Detail In

Military

Temporary - Part Time

Item 9

- "Organizational Designations" should show all levels of organizatior.

pertinent to identifying the location of the position:

Ey Major Component (Director, Deputy Director, etc.)

Office, Major Staff,

etc.

Division or Staff (subordinate to first line)

Branch

Section

Unit

Item 11 - "Position Title" should reflect the standard abbreviated title give

in the most current edition of the Position Control Register or re-

ported on Form 261, Staffing Complement Change Authorization.

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

the Career Service to which the employee belongs.

If more than ont

Career Service is involved, the gaining Career Service should appre

and the other Career Service should concur in Item 18, Remarks.

ROUTING - The original only of this form will be forwarded to the Office 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

the Office of Security or the Office of the Comptroller, one copy only will

sent to the Office(s) concerned.

SECRET

---

## Page 3

SECRET

(When Fillod In)

0-43

DATE PREPARED "

2

• REQUEST FOR PERSONNEL ACTION

30 АркП 1963

1. SERIAL NUMBER

8. MAME (LO

yiddle)

559020

CHRIST. DAVID La

?. MATURE OF PERSONNEL ACTION

A. EFFECTIVE DATE REQUESTED

8S. CATEGORY OF EMPLOYMEMT

монти

DAY

REASSIGNMENT & CHANGE OF SERVICE

DESIONATION

7. COST CENTER NO. CHARDE-

у то у:

Y TO CF

ABLE

B. FUNDS

REGULAR:'"

O: LEGAL AUTHORITY (Cosplotod.by

Office of

porsonnel).

CF TO Y

CF TO CF

3125-1990-1000

D. ORGANIZATIONAL DESIGNATIONS

10. LOCATION OF OFFICIAL STATION

DDP/ TSD

Development Complement

Washington, Di G.

18. POSITION TITLE

12. POSITION NUMBER

18. CAREER SERVICE DESIGNATION

PHYSICAL SCIEN

9997

1A, CLASSIFICATION SCHEDULE (GS, LB, ótc.)

18. OCCUPATIONAL SERIES

16. GRADE

AND STEP

17.

SALARY OR RATE

1301.07

16

13)

17,000

25

REMARKS

FROM:

LAS

Foreiga Field Undetermined.

RETURN TO CIA

Background Use Only

Do Not Reproduce

16 MAY 1963

Dale

Security Approval nas been granted for

the use contemplaied by this request

Chiet Personer Stay, Divisiona

cc: Security

IBA. SIGNATURE OF REQUESTING OFFICIAL

0.3

JAMES R

SHIELDS

19. ACTION 20 EMPLOY.

CODE

CODE

DATE

SIGNED

MUMERIC

FOR EXCLUSIVE

22.STATION

ALPHABETIC

CODE

CODE

180.

SIGNATURE OF CAREER SERVICE APPROVING DACE

E. SISMED

OFFICER

SHIELDS

JAMES SEE PERSONNELEMO

24, MDOTRS 1 25. DATE OF BIRTH

127. DATE OF LEI

CODE

но.

DA.

YR.

но.

DA.

vR.

то.

DA.

TR.

-

2B.MTE EXPIRES

но.

DA.

YR.

29.

SPECIAL

REFERENCE

30.

RETIREMENT DATA

CSt

CODE

- FICA

- MOME

36. SERV.

coMP.

DATE

137.LONG.

COMP. DATE

то.

DA.

TR.

но.

DA.

rR.

31. SEPARATION 32. CORRECTION/CANCELLATION DATA

DATA CODE

TYPE

то.

DA.

YA.

33. SECURITY

REO.

10.

34, SEX

EOD DATA

35, VET. PREFERENCE

CODE

- MOME

- 5 рт.

= 10 рт.

PREVIOUS COVERAMENT SERVICE DATA

CODE

O - NO PREVIOUS SERVICE

- NO BREAX IN SERVICE

- BREAK IN SERVICE (LESS THAN 12 MOS)

- BREAX IN SERVICE (MORE TMAN 12 MOSI

43. POSITION CONTROL CERTIFICATION

38 MIL. SERK CREDIT/LCD

- YES

CODE

2 - Мо

39.

CODE

M2. LEAVE CAT.

CODE

$3.

FEDERAL TAX DATA

TORM EXECUTEO CODE

МО. ТАЯ ЕЛЕМРТІОМЬ

- TES

2 - 1о

FEGLI / MEALTH INSURANCE

0.

NAIVER

HEALTH INS, CODE

1 - YES

del.

FORM EXECUTED

YES

+ то

"O- SOCIAL SECURITY DO.

STATE TAX DATA

CODE

NO TAX STATE CODE

ЕхЕмА.

46. O.P. APPROVAL

DATE APPROVED

17.TO:-NCICE

FORM 1 / 52

8-61

USE

EDITION.

SECRET"

7/20

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## Page 4

I RESIGN EFFECTIVE.

(Dote)

(ühen Fillod In)

EMPLOYEE NOTICE OF RESIGNATION

_FOR THE FOLLOWING REASON:

8 MAY 1963

MY LAST WORKING DAY WILL BE

DATE

SIGNED

SIGNATURE OF EMPLOYEE

FORMARD COMMUNICATIONS, INCLUDINE SALARY CHECHS AND BONOS, TO THE FOLLOMING ADDRESS (Number.

street

• City, zone, Stare)

Items I thru 7

and

Items 9 thru 18a

Item 5

Item 9

::=

INSTRUCTIONS

The Initiating office should fill in each of the referenced items.

Items 3 thru T and 9 thru 18 require Information which pertalas. Inly

to the action requested,

and NOT to the current status of the em

ployee unless specific Item remain unchanged.

NS MEE CO

"Category of Imployuent shoula show one, If the following entfief:

Regular

Summer

as TEWAE IS;

Part Time

Detail Out

Temporary

Consultant

betail In

Milftary

Temporary - Part Time

- "Organizational Designations" should show all levels of organizätion

pertinent to identifying the location of the position:

RST

NE

Major Component (Director, Deputy Director, etc.)

Office, Major Staff,

etc.

Division or Staff (subordinate to first line)

Branch

Section

Unit

Item 11-

"Position Title" should reflect the standard abbreviated title given

in the most current edition of the Position Control Register or re-

ported on Form 261, Staffing Complement Change Authorization.

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

the Career Service to which the employee belongs. If more than one

Career Service is Involved, the gaining Career Service should approve

and the other Career Service should concur in Item 18, Remarks.

ROUTING - The original only of this form will be forwarded to the Office 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 only will be

sent to the Office(s) concerned.

SECRET

---