About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline

104-10163-10054 JFK Assassination Records Archives 1 (7/16/1964)

handle is hein.jfk/jfkarch12393 and id is 1 raw text is: 104.10163.10054

*   .    .*


I. SUBJECT (TYPE NAME IN ROMAN LETTERS - SURNAME IN UPPER CASE)
             A so                        d-r1/AP
     BernaRKM A                 201-25169 I
2. ALIASES, VARIANT SPELLING, CTC NUMBERS, ETC.


841Al? A 7w% fIe'?7 X1,


REQUEST FOR GREEN LIST


REQUEST FOR GREEN UIST
  NAME CHECKN!   154403

        DATE -      1964-


TO   CHIEF, Fi/D


3. DATE AND PLACE OF 4tRTH
17 arch 1917, Havana, Cubn (of Awrican parents)
4. CITIZENSHIP -                                         O  C
      stateless                                          OFC   6GAO
5. PRESENT ACTIVITY AND LOCATION                         ROOM, BUILDING
     Prise-Fight  Manager, Mami,  Flordia                             76
                                                         23. TvE OF REQUEST (ChECK ONE)
                                                         o  FIRST TIME SUBMITTED
                                                         o3 ADDITIONAL DATA
                                                            RECHECK FOR CURRENT
6. OCCUPATIONAL SPECIALTIES, EDUCATION
                                                          4. INTEREST IN SUBJECT. (CHECK ONE)
                                                          o ESP'NIAGE OR CE ACTIVITY
                                                            OPERATIONAL CLEARACE
                                                         O  OTHER
7. PAST ACTIVITIES INCLUDING MILITARY SERVICE
                        ACTIVITY                             LOCATION          DATES

   Subject lost his U.S.  citizenship when he joined
   the Cuban Police in  1950, but did not acquire
   *Aba  nationality.  He  served as Captain In U.S.
   Air ferce dC-ing lar.g,


 S. OTHER SIGNIFICANT DATA (POLITICS, RELIGION) - ADD EXTRA SHEETS WHEN NEEDED

 9. DESCRIPTION     (HEIGHT)         W  rEIGHT)  (EYES)       (HAIR)               (OTHER)

     N               $f48in          150 lbe      bion         bee
10. SPOUSE (IF WIFE. GIVE MAIrN NIAME)

    Olara Elena FERNAXDE   de RAaM
n1. OTHERMEMBERS OF IMCDIATE FAMILY A: - ASSOCIATES

     Maria lana   SAREER  dutr
12. INFORMATiON REQUiRED (OfEi9L *PLCI  LL   GENERA TERMS SUCH A   06A~v*1 MAr RbuLr is w SLARhITHAT:DOES
         .          NOT FULLY MLi REQiREMENTS.rJ


               ALL  PRTINENT  IwOATION


INSTRUCTIONS:

FO., ,  ,. ........ .n ..


INSERT CARBON; FILL OUT FORMS COWPLETEL.
SEND 'OTH SHEETS TO FI/0.               SEE CSI 10-7


I,,


                                                                     N
-.aaSrine..~,,Sc..1, ~             s~  ve.       t~~S          -  ~        ~ ~     .,..--r .~.


  RETURN TO CIA
Background   Use  Only
Do Not Reproduce


I


t


L

What Is HeinOnline?

HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Contact us for annual subscription options:

Already a HeinOnline Subscriber?

profiles profiles most