OATH OF OFFICE, AFFIDAVIT, AND DECLARATION OF APPOINTEE - FRANK B. BESSAC

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 0000426594
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: June 24, 2015
• Document Release Date: October 12, 2011
• Case Number: F-2011-00571
• Publication Date: October 20, 1946

u. a.u s~
G &O. nepL ar etc. 4os:. ..:.: .
mend (2). will uiform myself of and observe the provisions of the Civil Service law and rules
o o
er
Y Y eY or
o ~t}un of value to any Fer pn, firm; or corporation for the use of influence to procure my appoint-
c? Do further certify iliat (1) I have riot paid or offered or promised to pa an mo
th
D...ole mnl Y.__.--- swear i of F - t2 t vv~1T`su?rt"arid'i3een ltution __---------
_.._- ..... _- --- _-- _, -___-.. ppo..... thegonstofthe Unitm
evasion W11--that
will well and f a tlrfully discharge the duties of the office on whicTi I am
alicitit.fo enl6f
','SO HELP ME GOD; .
-_ States ac inst :all.enemies foreign and domestic; "that I will bear true faith and allegiance
to the same 'that Itake this obligation freely, withqut-
day mental reservation 'cif purpose of
I
further sviertr (orra#brm) that I do hot-advocate; nor am Ia member of ariy politi&al party
or organrzgtion that 4dvoCates the overthrow of the Government of the United States by foioe
;-or violence i jand th it duriag such time as I any an employee of the Federal Government I will
Overtfrrgw; of.the vernment of the [f rited States by force or violence; T
and 1 activity; political assessments, etc.,
and [strike out either (3) or (4)1
7
., answers green me -irt Declaration of Appointee on the reverse of this sheet
are : and correct;
(4) the answers 2n med my Application pr Federal Employment, Form No. ii 7 -;
dated :. L_- - ; _; 19 ; filed with the above-named department
or'establishment, which I have reviewed, are true andcorrect as of. this date,-
ex-cept for ttie following (if necessory,? use additional sheet; if no eaceptions'wrrte
nonef (4) itd, theefhh
; is execuee. rvrse o-tis: seet need. not tae used):.. _ ._...._._._..
DO-lurther -swear: (di alfirni) that I am not engaged in any strike against the Government of the
United States and that I will not so engage while an employee of. the,Goverrunenjof-the_United
States; that I am not a member of an organization of Government employees- that asserts the
right to strike against the Government of the `Uriifed States, and that `I will not while a Govern-
ment employee become a member of such an organization.
Subscribed and sworn before me this ---1-Q -- day of _-- _-~ _Q _-- - _ A. D,; 19
------------
NOTE.-If the oath i.tk.
APPROVED FOR
RELEASEL DATE:
Nov 2000
 DECLARATION OF'-APPOINTEC
'jab form, if required, a to be completed before entrance on duly- Every question tenet be answered. Any false statement In this dedaraSoa wit be grounds
for cancelatioa of application or dismiaal alter appoim~ent. Yale personation t. a criminal oiease and will be pro..culed accordingly._,
Y__-.. -~?s1.-~----~~Nu -_! - J~!_i__ '~.
L Present Address _J_-
-------
(Street and Number)
2. Who should be notified in case cf;emetgjencr?./".-Z1__~CC -------
---~_ (Street and Nu r) (0 State)
, a are Yvecl_witbdn the pad. f3
3. Does Me'jT.~ ~overr~q~t g~P1o~ in a civilian ca city any mlative of yours (either by blood or marriage) wit :whtoal jou $vs ttr h
iibo5swrf: oaugde5s' tmde-e.2Eem,12. - - _ .
mootbs? Yes s~ - ii so, for each such relative fill in the blanks balder -If oddiflamgt:spifoe W
Name
Part-office address
(Give street number, if any)
o) Position and (2) Teteparary or not.
and (3) Depar~ent or aHfos in which
~P>afed
Relottort
Married cc
single
Age
L ____ _______________________
----------------
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3.:
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(rorril) (Shute or ca.u,u, r)
Indicate "Yea' or "No' answer by placing X in proper column
You
No
12.5
detailed-
S. Are y , a citizen of the United States?
3YJiite fa 9eft solute numbers o(itemn bi.lif n detailed kiaswers ayplT~
6. II foreign born. have you famished proof d naturaltmtion or
dtitenahip to o) the U. S. Civil Service
--------
-----
---
------
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7.
Cl) this agency to connection with t is Qp otnt >eo17-_'
-
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------------ ------------ ------------ ----------- --- 1: -
7. Since you filed application resulting in ihls-pppolntment.;Loa
them been any change in the status of your citimoship or at
..,
_______
----------------------- _____ ______________________ ____. ________________
the P.- through whom you gained yornv-d teensbip? --------- '._
_ _
---------------
?
yr
8_ (a) Do you hold any de
or any Slots, Territory. COitfit7,!bY`hluntcfpallt/7_ .'?. _:-_--
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-
11 so, stab the place. position, and salary under It.. 12.
: co~ :Ails "w't81riq to rest gr'sucb position or o{hae if tt
" igo_t'dorder )o 1> the federal-poslctr(?t17
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(tL- Do osibn; PlS.dbtre,becge~i;fpy lar-y+or
you receive any
bier id
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na
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rom
nava l asinine or an annuity
ender any-Retlremerrt Act?________________________ __
1f ,o. give details under Item 12, stating whether ou r,~eye retired
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f service os:dr
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and ender hat retirement`*`l y rS IBL fra'm mil/gR.
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or naval service.
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10. Since you filed ppltonBoa lr in apt ON:niim, enl
'om
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. T:~edidt' SE:oedr cosign frifmpoankon t
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aste
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$iployer and the renew 4
11_ Since you Sled apph saniltirg.in:; tbl+ 7ol+t?aed.
hove you been armated % ediA(56h ci vvfl~_, mfLtn9
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cowl 7ae a defendant. or indicted lo[gc convic
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date
(2)
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r each case give under
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bon d the coat. (3) t e jr6tuie ?cY'th'2 oY.enoe or vio7afton,'
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.nd the
F~F.1C:~ penalty. If any. lmeose or~ather dupom,bow
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TIC}NS -TO-APPOINTING OM- CER _.
IIJSTRifC
t
sbpwln~r
~,~ ~T}ie appointing officer before hoes the foregoing omtrtioate 1s made shall dficer. The Cavil Service Cammissiom Indicates an applications
determine to his own satisfaction that this appointment would be in conformance birth that citizenship has been verified. The appointing office t idhou' smity
with the aril Service Act applicable civil-service rules, the War Service Regu- citizenship if the bat of eligibles or the letter of outhority from the Commfsdon
_ . , t gnappdnbent subject to pp ti+
lottoos. and acts of
"birth but pr p
6
--This-fosm-sj:ould 1? check- A .pm~on,-piacbase.of-. s, - ` I ' does not indiooS na( face 2niFrernatnt application -be?
co` suitability in connection with nn record o recant discharge or arrect. promise to "?i"`'OT in qh 7 of LZnis form shows foreign bSrlb_and the ay '&sn
ive prwlsoos regarding politico] octivity, and particularly for the fol owinq_ sshows bt-th in the United States, the case should be referred to the Service
oh(1) Identity of appointee with the applicant whose appointment was author ~
tied The appointees signature and handwriting are to be compared with the (4) Membms of Famihy_~Sctt'om 9 of the Civil Service Act provides that whr~-
application chheck d nd(or Omer edical cerpertinenttificatepope.: s. hfl The physical appearance may be n?~ mp tubers of the family in the classified service,
. y,r 9~
T o ineg~a also o 4
on his d agoinsl the m Miricra
on his personal history for agreement irnlb _fe.~ ,~.t'rgd nth : +-=ly". le for oppan~ent in that eerrica_
A -II discrepancy exists between the date of birch and that om aPPfi _ ooi esl d even amt teemjtyy by living atan address different from
pe of the parents. Doubthil cases involving more than two members d family,
lion and ii de to age bmila have been established for the position. if should be M3 uding all pertinent evidence
should be referred to the Ond Service. Cum
,
determined that applicant is nd outside the+ age range fors appoiiLinntment oa star ntuttves for decision Under War Serf
:. .hip,-The m sponsibdli7
acbPr(5 4.?RtLa emp(oy~C'bSs li-IIS tLaS ?tilyens or u+"...pr?rtsion does not apply to temporary apprlnt-
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1e-32881-1
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