104 10131 10014

14-00000 FILE: SECRET (When Filled in)

REQUEST FOR PERSONNEL ACTION

SERIAL NUMBER	NAME (Last-First-Middle)
016229	SWENSON, Harold F.

NATURE OF PERSONNEL ACTION REASSIGNMENT

FUNDS	EFFECTIVE DATE REQUESTED	CATEGORY OF EMPLOYMENT
	MONTH DAY YEAR

V TO V||COST CENTER NO. CHARGEABLE|LEGAL AUTHORITY (Completed by Office of Personnel) ---|---|--- V TO CF|3132-1000-1000| CF TO V| LOCATION OF OFFICIAL STATION|X CF TO CF

ORGANIZATIONAL DESIGNATIONS DDP Task Force W Office of the Chief

POSITION TITLE	POSITION NUMBER	CAREER SERVICE DESIGNATION
ATTACHE, POL OFF	0663
OPS OFF (D BR CH)

CLASSIFICATION SCHEDULE (GS, LB, etc.)	OCCUPATIONAL SERIES	GRADE AND STEP	SALARY OR RATE
GS (15)	0136.01	15 (2)	$ 12,445

REMARKS From: DDP/WH, Br. 2, Buenosaires, Argentina, #0084

CONCURRENCE Date 29 OCT 1962 Approval has been granted for use controlled by this request Security Division Chief, Personnel Security Division

1 cy Security

SIGNATURE OF REQUESTING OFFICIAL|DATE SIGNED|SIGNATURE OF CAREER SERVICE APPROVING OFFICER|DATE SIGNED ---|---|--- LOUIS W. ARMSTRONG, C/TFM/Pers.||

SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL

ACTION CODE|EMPLOY. CODE|OFFICE CODING|STATION CODE|INTEGREE CODE|HDOTRS. CODE|DATE OF BIRTH MO. DA. YR.|DATE OF GRADE MO. DA. YR.|DATE OF LEI MO. DA. YR. ---|---|---|---|---|---|---|---|---|---

NUMERIC ALPHABETIC

NTE EXPIRES	SPECIAL REFERENCE	RETIREMENT DATA	SEPARATION DATA CODE	CORRECTION/CANCELLATION DATA TYPE MO. DA. YR.	SECURITY REO. NO.	SEX
MO. DA. YR.	1 CSC 3- FICA 5 NONE	1 CSC 3- FICA 5 NONE	EOD DATA

VET. PREFERENCE CODE|SERV. COMP. DATE MO. DA. YR.|LONG. COMP. DATE MO. DA. YR.|CAREER CATEGORY CODE|FEGL!/HEALTH INSURANCE CODE|SOCIAL SECURITY NO. ---|---|---|---|---|---|--- 10 NONE 5 PT.|10 NONE 5 PT.|CAR/RESV CODE PROY/TEMP|O WAIVER 1 YES| ||||HEALTH INS. CODE

PREVIOUS GOVERNMENT SERVICE DATA CODE|LEAVE CAT. CODE|FEDERAL TAX DATA CODE|STATE TAX DATA CODE ---|---|---|---|---|--- 0 NO PREVIOUS SERVICE|1 |FORM EXECUTED CODE|NO. TAX EXEMPTIONS|FORM EXECUTED CODE|NO. TAX STATE CODE EXEMP. 1 NO BREAK IN SERVICE||1 YES||1 YES| 2 BREAK IN SERVICE (LESS THAN 3 YRS)|||2 NO||2 NO| 3 BREAK IN SERVICE (MORE THAN 3 YRS)|||||

POSITION CONTROL CERTIFICATION 46. O.P. APPROVAL

GROUP 1 Excluded from automatic release program doc.c FORM 4-62 1152 OBSOLETE PREVIOUS EDITION AND FORM 1152A.

DATE APPROVED