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104-10117-10112 JFK Assassination Records Archives 1 (10/04/1962)

handle is hein.jfk/jfkarch72481 and id is 1 raw text is: 104-10117-10112


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


CIA  INTERNAL USE ONLY
  (Cla.sify When Filled In)


                             OUTSIDE  ACTIVITY APPROVAL  REQUEST
                 SEE HR 10-7 BEFORE SUBMITTING TO EAB AN ORIGINAL AND 3 COPIES OF THIS FORM
                                                                     DATE
TO     DIRECTOR  OF SECURITY;  ATTN:  EMPLOYEE  ACTIVITY BRANCH          4  oct 1962

THRou . (Operating official. adminisrative a d/or security officer)

                        9   My,  r             EpoesE~         --    ~'   c^^^^~ni ? his
                   A.  MAYO,  Jr.t                                                   r::.tter.
           D  Security   Officer

       NAN       E           Print or type) COMPONENT         ROOM NO. AND BLDG.   PHONE
FR     r  , : res ,° aie1~GS /OPSEV/PJ/B/ 18+403 6M27
1. DESCRIPTION OF OUTSIDE ACTIVITY FO  HICH APPROVAL IS REQUESTED: PrivSt  Stady:


        English  Composition - Mrs. Dorothy  Owens
        Bacgrounds   of Civilization  - Mrs. Mirim  Haskett
        World Politics  - Ehilip X. Burgess
        Introdnction  to Economics  - Mr. William Wendt



 2. FULL NAMES OF ORGANIZATION AND/OR PERSONS INVOLVED


        American  University, Washington   D.C.
 3. DATE(S) OF PARTICIPATION AND LOCALE OF ACTIVITY


       September,  1962 - February,  1963
4. REMARKS


Washington,  D.C.


      In  engaging in the  requested activity  I will make no reference  to, or  discuss
my CIA  assignments or duties  nor will I make  reference to or   's uss my CIA  e   oy-
ment except  as authorized  by Headquarters  Regulation 10-7.


SINTUR OfREQUESTING EMP LOYE E


5. CONCURRENCES AND/OR APPROVAL WITHIN OPERATING OFFICE



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




                                                       -cquest








                FOMCIA INTERNAL USE ONLY                                                (9-38)'


9.61 879 EDITIO  us

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