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104-10124-10267 JFK Assassination Records Archives 1 (3/3/1972)

handle is hein.jfk/jfkarch11277 and id is 1 raw text is: 1O4.iO124~1O267 -'--WI-. -~~ -V .y- .- CIA INTERNAL USE ONLY (Classify When Filled In) OUTSIDE ACTIVITY APPROVAL REQUEST COMPLETE AND FORWARD ORIGINAL AND 3 COPIES To EMPLOYEE ACTIVITY BRANCH DATE TO DIRECTOR OF SECURITY; ATTN: EMPLOYEE ACTIVITY BRANCH 3 Ma h 972 (Staff, division or office head and sec\1Y, officer, where. assigned) Do esic Contact Service Attn: Admin, Staff NAME AND GRADE OF EMPLOYEE (Priat or COMPONENT ROOM NO. AND BLDG. PHONE type) FROM .. Dos-(Dat /0) 1. FULL DESCRIPTION-OF OUTSIDE ACTIVITY FOR WHICH APPROVAL IS REQUESTED INCLUDING NAMES OF ORGANIZAT IONS- OR INIVIDUALS .CONCERNED..zdATES. LOCALE, ETC.(Refer to HR 10-7 before completing) Cou =s in conversation Cinese being held at Sl., Dallas, T:. Continuing School of ducation - Course meets every Tuesday -vening froma?:30 M to 9:00 PM at C nt Hall on S IU Campus. Course las t1 am 7 Za ch through 3-0 Iay 1972. 2. REMARKS BY REOUESTOR I ENGAGING IN THE REQUESTED ACTIVITY* I WILL MAKE NO REFERENCE TO ORTDISCUSS MY CIA ASSIGNMENTS OR DUTIES. - r (WILL, WTL NOT* -BE IDENTIFIED AS EMPLOYED BY CIA FOR TE FOLLOWING REASONS: .. .. .... 1c ruing it au cve r capacit; y t*.ia itgdcy se no reason to hide IfNATR !OF REQUESTING EMPLOYEE. 3. COMMENTS.AND CONCURRENCE OF STAFF. -DIVISION OR OFFICE HEAD A ji ac .7 S~ R. Y/ (ir tar' DCS CNC DATES EOF OPERATING OFFICIAL DATE EMPLOYEE FOR COMPLETION BY EMPLOYEE ACTIVITY BRANCH AND RETURN OF ORIGINAL -OEPOE DATE: 4- Z hIA SECURITY APPROVAL: HAS BEEN (GArE, DMEE FOR THE ACTIVITY CONTEMPIATED BY THISR R T 'ION ^iA tUTrDUAI IIQC flIlV -4 ---5 - I ~.1 K 7

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