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![handle is hein.jfk/jfkarch72607 and id is 1 raw text is: 104-10120 10154] 2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992
FM-5 1152a (USE PREVIOUS EDiTION)
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Mo DA Yr REQUEST F PERSONNEL'ACTION ----+U-
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1. S 2. Name (Lee-Fret-Mddle) 3. Date of Birth 4. Vet. Pre . .Sex 6. CS -EOD
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7. SCD 8. CSC Retmt. 9. CSC Or Other Legal Authority 10. Apmt. Affidav. 11. FEGLI 12. LD 13.M- SERV.
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PREVIOUS ASSIGNMENT
14. Organizational Designations -Code 15. Location Of Official Station Station Code
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16. Dept.-Fleld 17. Position Title 18. Position No. 19. Serv. 20. cup. Series
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21. Grade & Step 22. Salary Or Rate 23. SD 24. Date Of Grade 25. PSI Due 26. Appropriation Number
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27. Nature Of Action Code 28. Eff. Date 29. Type Of Employee Code 30. Separation Data
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PRESENT ASSIGNMENT
31. Organizational Designations Code 32. Location Of Official Station Station Code
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33. Dept.-Fleld 14. Position Title 35. Position No. 36. Serv. 37. Occup. Series
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38. Grade & Step 39. Salary Or Rate 40. SD 41. Date Of Grade 42. PSI Due 43. Appropriation Number
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SOURCE OF REQUEST
A. Requested By (Name And Title) C. Request Approved By (Signature And Title)
B. For Additional Information Call (Name & Telephone Ext.)
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CLEARANCES
Clearance Signature Date Clearance Signatur Date
A. Career Board D. Placement
B. Pos. Control
C. Classification F. Ap C - 0
Remarks
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