104 10120 10274

104-10120-10274 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992 REQUE FOR PERSONNEL ACTION (43133)

  1. Serial N 2. Name (Last-First-Middle) 3. Date Of Birth 14. Vet. Pref. 5. Sex 6. CS-EOD Mo Da. Yr. None O Code Mo Da. Yr. 5 Pt-1 10 Pt-2
  2. CSC Retmt 9. CSC Or Other Legal Authority 10. Apmt. Affidav. 11. FEGLI 12. LCD 13.Reak. LCD Yes-1 Code Mo. Da. Yr. Yes-1 Code Mo. Da Y Yes No-2 No-2

PREVIOUS ASSIGNMENT 14. Organizational Designations Code 15. Location Of Official Station RECORDED CONTROU SO

  1. Dept. Field 17. Position Title 18. Position No. 10 Sert Do. Ocoup Series Dept Code usfld Frgn
  2. Grade & Step 22. Salary Or Rate 23. SD, 24. Date Of Grade 25. PSI Due 26. Appropriation Number $ Mo Da. Yr. Mo. Da. Yr

ACTION 27. Nature Of Action Code 28. Eff. Date 29. Type Of Employee Code 30. Separation Data Mo. Da. Yr

PRESENT ASSIGNMENT 31. Organizational Designations Code 32. Location Of Official Station Station Code 33. Dept Field 34. Position Title 35 Position No. 136. Serv. 137. Occup. Series Dept Code usfld Frg 38. Grade & Step 39. Salary Or Rate 40. SD 41. Date Of Grade 142 PSI Due 143. Appropriation Number Mo Da Mo Da Yr

SOURCE OF REQUEST A. Requested By (Name And Title B. For Additional Information Call (Name & Telephone Ext.)

CLEARANCES Clearance Signature Date Clearance Signature Date A. Career Board B. Pos. Control D. Placement Approval has been granted C. Classification E. Security by the request. Remarks F. A 3 time for personnel Security

FORM NO. 1152 1 MAR 57