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

handle is hein.jfk/jfkarch46988 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
      PE OF COVER AT NEW STATI                  10. ESTIMATED DATE OF I. NO. OF DEPENDENTS TO
                                                   DEPARTURE             ACCOMPANY
                                                   SEPT   66 _           7
                                                              14. DATE OF BIRTH 15. REPgfT.F? 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          JL     1954

    MARY  C,                                      DAU         DEC     1955    _

    LISA  ANNE                                    DAU          OCT    1957    _

    DANIEL   C, O1EB O                                                          ..1959X

    PATRICIA   E.                                 DAU          MAR    1960               X

16. COMMENTS



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





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

                                       Date          2 JUN  1966

                                       Security A   rova  has beeO EVALUATION
                                                                 Yhirequest





                           REQUEST  FOR PCS OVERSEAS  EVALUATION


(4)


.,  259a


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