(EST PUB DATE) REQUEST FOR SECURITY CLEARANCE - BANE, JACK MILES

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 0001034514
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 1
• Document Creation Date: June 22, 2015
• Document Release Date: September 17, 2009
• Case Number: F-2002-00562
• Publication Date: January 1, 1952

REQUEST NO.
REQUEST FOR SECURITY CLEARANCE
DATE
FULL NAME (Last) (First) (Middle) YEAR"Of 4YRT4(
POSITION TITLE RADE
LOCATION (OFFICE)
CODE
DIVISION
CODE
BRANCH
CODE
GEOGRA f DES A7 (CITY AND STATE OR COUNTRY, AS APPROPRIATE)
n
TYPE OF EMPLOYEE 1. 1I REGULAR 2. Q CONTACT 3. =CON 'NT LTAMILITARY
5.= OTHER:
FUNDS
TYPE(S) OF SE CLEARANCE REQUESTED
PROVISIONAL FOR: (Show name of pool or group)
L~ SECRET
FULL
Eii
WAIVER
AVAILABILITY DATE (Da-Mo-Yr)
JEST. CLEARANCE DATE (Mo-Yr)
RECRUITMENT SOURCE
CODE
SEX AND VETERAN STATUS 1. -V j. Q F-V
2. M-NV 4. Q F-NV
REMARKS:
APPROVED FOR
RELEASE DATE:
1 O-Sep-2009
Attachments:
Pm CONK T'AL
Pho ms
Append, I Security Infor
Photos. .
DIVISION
FORM NO
. 97_10)1
JUN 1951