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104-10128-10027 JFK Assassination Records Archives 1 (02/08/1960)

handle is hein.jfk/jfkarch73030 and id is 1 raw text is: 104-10128-10027 2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

    -                                                                       REQUEST NO. (I /CS1


REQUEST FOR SECURITY CLEARANCE


MIME (LAST.- FIRST - MIDDLE)                                (12-*28) ,
   PHILLIPS, DAVID ATLEE
POSITION TITLE                    POSITION NUMBER (31 - 86) OCCUP. CODE (37 - 42)
   OPS OFFICER                                         016.01
LOCATION (CITY. STATE. COUNTRY)  ASSIGNMENT (OFFICE, DIVISION, BRANCH)
   Washington, DC                 DDP   Division  CS/CS Dev Coup
               REGULAR   CONSULTANT CONVERSION ACTION IF OTHER, SPECIFYI
TYPE OF APPLICANT        MILITARY

            TYLEOFASSINMEN                              AN  . FUNDS II


NAME OF REQUESTER (OR OFFICIAL)
   G.M. Stewart/hc


XXI HQS Ij S  I I FF I I1V  jI W


             PROVISIONAL FOR (INDICATE NAME OF POOL OR GROUP)I          ..J SECRET` CLEARANCE (81)
                   CCLEACRANC)E
   REQUIRED
              PERSONAL HISTORY STATEMENT  APPENDIX I     REQUEST FOR WAIVER    RECRUIT. CODE (82.84)
ATTACHMENTS   PHOTOGRAPH(S)         APPENDIX II   REPORT OF INTERVIEW 004
            X MALE - VETERAN        FEMALE - VETERAN                VET PREP. & SEX (BS)
VETERANS STATUS - ______________
              MALE - NON-VETERAN        FEMALE - NON-VETERAN


   PLEASE EXPEDITE

         03
   Mr. Washinko WH Division, advises that Mr. Osborne (Office of Security) has
   indicated that subject would be granted immediate sec ty ciearai e, subject
   to poly.

   Former Staff Employee. Your Case 10696.

   Presently Contract Agent.


   HAND CARRY


   oOT?'

                         SPACE  B  LOW  FOR  OS  USE ONL












                                                 RETURN  TO CIA
                                                 Background Use Only
                                                 Do Not Reproduce


Pe.


FOR No. 377


USE PREVIOUS EDITIONS  SECRET


'E-8573 Dev Con
REQUEST DATE (6-I1)
8 Feb 1960
YEAR OF BIRTH (20-30)
1922
GRADE (43.44)
os-ih
ORGN. CODE (48-48)
1600
TYPE OF APPL. (48)

HDQTRS & FUND (80)


N


(9)

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