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104-10215-10156 JFK Assassination Records Archives 1 (06/16/1964)

handle is hein.jfk/jfkarch76894 and id is 1 raw text is: 104-10215-10156
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S-          (TP  NA   IN RSECRET
1.SUBJECT    TYPE NA   N ROMAN LETTERS - SURNAME EN UPPER CASE
                                             %.                        REQUEST  FOR      N
                 .                                                       NAME CNECK    =1
 2. ALI.aS, rANIANI SF'LLLING. CTC NU48ERS, ETC.                            .,
                                           S.            -DATE

 3. DATE AND PLACE OF BIRTH
                                                                         I ORIGINAT NG OFFICER
 I. CITIZENSH P..AE


OFFICE DESIGNATOR o OIQ Af2$
ROOM, BUILDING
EXTEhSION    *DI     LG I
13. TTPE OF REQUEST (CNECK ONE)
Q   FIRST TIME SUBMITTED
o  ADDITIONAL DATA
     CHECK FOR CURRENT
14. INTEREST IN SUBJECT (CHECK ONE)
Q  ESPIONAGE OR CE ACTIVITY
      RATIONAL CLEARANCE


5. PRESENT ACTIVITY AND LOCATION
      837  s.wr. dt~i st.


u. OCC{,UYAII. PrtIATIES, EDUCATION




7. PAST ACTIVITIE. INCLUDING MILITARY SERVICE
                          ACTIVITY


'AY   a.O34


8. OTHER SIGNIFICANT DATA (POLITICS, RELIGION) - ADO EXTRA SHEETS WHEW NEEDED


LOCATION             DATES


9. DESCRIPTION        (HEIGHT)         (WEIGHT)       (EYES)         HAIR)        (RACE)   -LOTHE


10. SPOUSE (If WIFE. GIVE HAI     A9PEj


Dram       0au~


11. OTHER HEMEERS OF IMMEDIATE FAMILY AND ASSOCIATES


12. INFORMATION REQUIRED (DEFINE SPECIFICALLY.  GENERA  TERMS SUCH AS *DEROGATORY' MAY RESULT IN A SEARCH THAT DOES
                      NOT FULLY MEET REQUIREMENTS.


INSTRUCTIONS. INSERT CARBON; FILL 0
                            ;SEND BOTH SHEETS TO F
  S501   sit *su.n.u. ..Ym. . -


UT FORMS COMPLETELY.
1/D. -               SEE CSI  10-7


                                              SECRETI
.                                                             ;.--.-3.G7-


2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF


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