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104-10250-10035 JFK Assassination Records Archives 1 (5/10/1966)

handle is hein.jfk/jfkarch18256 and id is 1 raw text is: 110250-10035


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1. NAME. (Loat, Frst. Middle)                   2. DATE OF BIRTH               .
                   ' *  * -a Not eproduce
   'HICKS,   CAIVIN   W.                           8   NOV -1924                 GS-13
 4. OFFICE. DIVISION. BRANCH (or overseas station and  S. PRESENT POSITION            6. EMPLOYEE EXTENSION
   existing cover if lateral assignment)
   PDDP/I'f/CS/CS   Dev  Comp                     OPS  OFFICER                   6815
 - PROPOSED STATION                             8. PROPOSED POSITION (title, number, grade)

                                                  OPS  OFFICER   -  0977  -  GS-13
 9. TYPE OF COVER AT NEW STATION                10. ESTIMATED DATE OF 11. NO. OF DEPENDENTS TO
                                                   DEPARTURE             ACCOMPANY
                                                   SEPT   66             7
                                                              14. DATE OF BIRTH 15. REPgfT.F3 MED.
          12. NAME OF DEPENDENT TO ACCOMPANY    t3. RELATIONSHIP               HIST.      ATT.
                                                              MONTH    YEAR     YES       No

    CATHERINE L.                                  WIFE         MAY    1925    _

    THERESA   L.                                  DAU          JAN    1953                X

    MICHAEL   C.                                  SON          J      1954

    MARY  C,                                      DAU         DEC     1955    _

    LISA  ANNE                                    DAU          OCT    1957

    DANIEL   C, O1EB SO                                                         ..1959

    PATRICIA   E.                                 DAU          MAR    1960               X

16. COMMENTS



   FORM   89  ATTACHED   IN  DUPLICATE.      PLEASE   SCHEDULE   .MEICAL   AS  800N
   AS  POSSIBLE.





17. DATE OF REQUEST       IS. SIGNATURE OF REQUESTING OFFICIAL   19. ROOM NUMBER AND     20. EXTENSION
                                                                BUILDING
   10  MAY   1966                                               GH  56   Hs           6315
21. EVALUATION AND SIGNATURE OF

                                       Date          2 JUN  1966

                                       SecuriY  AUETFOaP  has beeO EVALUATION
                                                                 Yhirequest





                           REQUEST  FOR PCS OVERSEAS  EVALUATION


(4)


.,  259a


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