FORM - OUTSIDE ACTIVITY APPROVAL REQUEST.
Originator: CIA
Document date: 02/20/1963
Document type: PAPER - TEXTUAL DOCUMENT

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104-10117-10111•

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

195221

CIA INTERNAL USE ONLY

(Claseify When Filled In)

70

THROUGH:

OUTSIDE ACTIVITY APPROVAL REQUEST

SEE HR 10-7 BEFORE SUBMITTINO TO EAB AN ORIGINAL AND I COPIES OF THIS FORN

DIRECTOR OF SECURITY; ATIN: EMPLOYEE ACTIVITY BRANCH

(Operating official, aduiniatrativo.and/or socurity officer)

Signed) John A. Mayo, Jr.

to coma;

03

Beerity 0882095

DATE

PO Februsty 2953

• 1 MAR 1963

Employee has been briefed concerning his

responsibilities and conduct in this matter.

ROOM NO. AND BLDG.

PHONE

6727

NAME AND GRADE OF EMPLOYEE (Print or

FROM

type)

DARNET, FIONE

1. DESGRIPTION OF OUTSIDE

STIVITY FOR WHICH APPROVAL IS REQUESTED!

om So Soughin • Hestera E1r1l1satla

2. FULL NAMES OF ORGANIZATION AND/OR PERSONS INVOLVED

3. DATE(S) OF PARTICIPATION AND LOCALE OF ACTIVITY

SprInE Bemastes = 2963

4y-june 63

Sabraska & HaRs. ATAB+,

Hashingtos, D. G.

A. REMARKS

na CIA employ-

ment except as authorized by feadquarters Regulationiul Or

/ SIGNATURE OF REQUESTINO EMPLOYEE

S. CONCURRENCES AND/OR APPROVAL MITHIN OPERATING OFFICE

FOR COMPLETION BY EMPLOYEE ACTIVITY BRANCH AND RETURN OF ORIGINAL TO EMPLOYEE

Date

- 6 MAR 1963,

Security Approval has been granted Id

the use contemplated by this reques

Chief Personnel Security Division

CIA INTERNAL USE ONLY

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10.--==

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