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104-10110-10651 JFK Assassination Records Archives 1 (06/09/1975)

handle is hein.jfk/jfkarch72276 and id is 1 raw text is: 104-10110-10651


2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992
                          FOR OFFICIAL USE ONLY -


PERSONNEL  SECURITY PLEDGE AND
NAME CHECK INFORMATION RELEASE


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FBI  ONI  ACSI   STATE  PASSPORT  CSC HCUA  051  051/4   1&N  AGO   DODCI


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REMARKS:





     As a duly accredited representative of the Requesting Agency named above, I
understand that all personnel security information released to me concerning the
Subject by review of his file, by memoranda, by copies of reports, or by any other
means is furnished in strict confidence in connection with my official duties.
Accordingly, I hereby pledge the following:

     1.  The information is for official United States Government use only and
         will be handled in accordance with its classification.

     2.  The information, the source thereof, the identity of informants, and
         the collection methods will not be divulged nor disseminated to anyone,
         except officials of the Requesting Agency named above on a strict need-
         to-know basis.

     3.  The information will not be divulged in any hearing or board action
         without the prior written consent of the Releasing Agency.


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(4. 12.43)


USE PREVIOUS EDITION


FOR OFFICIAL USE ONLY


NAME OF SUBJECT (Last, First, Piddle)     REOUESTING AGENCY      DATE
                           IS

DATE OF BIRTH      PLACE OF BIRTH                                DATE F REQUEST
     01      _-1---


       In             n         19,       National Agency Name
on the Subject wi h the following results:


DATE


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