NOMINATION AND DESIGNATION OF PARTICIPANT - CARANCI, JOHN C.
Document Type:
Keywords:
Collection:
Document Number (FOIA) /ESDN (CREST):
0001411727
Release Decision:
RIPPUB
Original Classification:
U
Document Page Count:
2
Document Creation Date:
June 22, 2015
Document Release Date:
December 31, 2008
Sequence Number:
Case Number:
F-2007-00327
Publication Date:
December 23, 1965
File:
Attachment | Size |
---|---|
DOC_0001411727.pdf | 94.71 KB |
Body:
(SVh S Filled In)
NOMINATION AND DESIGNATION OF PARTICIPANT
CIA RETIREMENT AND DISABILITY SYSTEM
1. SERIAL NUMBER
2. NAME (Last-First-fNiddle)
3. DATE OF
4, SD
5. EMPLOYMENT CATEGORY
I
8IRTH
(Refer to R 20-2)
C.,RA-1NCT, John C.
02/07/22
'.Regular
6.
CURRENT OCCUPATIONAL TITLE
7,GRADEt
8.OFFICE OF ASSIGNMENT
Tech
-1
DDP
9. ASSIGNMENT
LOCATION~?j -D DEPARTMENTAL U.S. FIELD F F ELD
10. LONGEVITY COMPUTATION
DATE 0
/09156
11. SERVICE COMPUTATION
DATE 01/03/53
.
1. Has this employee completed any qualifying service? OYES ^ NO. If "Yes', list periods of such service below
INCLUSIVE DATES (From- To-) LOCATION WHERE CHECKO TOTAL TIME
OCCUPATIONAL TITLE SERVICE PERFORMED
MONTH/DAY/Y MONTH/DAY/YR (City-Country or State) PCS TOY MONTH DAYS
05/31/57
06/10/61
Technologist
NX
43
10
APPROVED FOR RELEASE^DATE:
1 O-Nov-2008
2. Is this employee currently performing qualifying service? DYES ^ NO. If "Yes', complete the fo
llowing:
I
BEGIN DATE END DATE
OCCUPATIONAL TITLE
LOCATION
PCS
TDY
MONTH
DAYS
09/30/63 =Tech x
3. If employee was assigned in the United States during any period of qualifying service listed above, describe his duties below,
pointing out those conditions which meet the requirements of QUALIFYING SERVICE.
4. Is this employee currently on official orders for a PCS assignment requiring the performance of qualifying service? [:]YES[] NO.
If "Yes", attach a certification to this effect.
5. CERTIFICATION - The information furnished above has been verified against official Agency records. Where no official record
was available, a supporting statement is attached.
6. TYPED NAME AND TITLE OF CAREER SERVICE 7. SIGNATURE 8. DATE
APPROVING OFFICIAL
Secretary, yon es-f a.ne erVices
Career Service Board
Continued on Reverse Side
F
3-65 ORM 3100 SEET (4)
(TO BE COMPLETED BY CAREER SERVICE APPROVING OFFICIAL)
Form 3101, Service Agreement, is attached.
Because of temporary absence of the nominee, Form 3101, Service Agreement, will be forwarded at a later date.
M (1) Nominee has over 15 years of Agency service or (2) nominee cannot be readily contacted to sign a Service
A t The si ned "Application for Membership in the Career Staff of the CIA" on file in the nominee's
reemen g
LI
g
Official Personnel Folder should be accepted in lieu of Form 3101, Service Agreement.
Nominee is overseas and a signed "Application for Membership in the Career Staff of the CIA" is NOT filed in
his Official Personnel Folder. Form 3101, Service Agreement, will be requested from the field upon notification
that the CIA Retirement Board has recommended approval of his nomination.
SECTION D RECOMMENDATION OF HEAD OF CAREER SERVICE
1. Based on his career assignment and past and prospective performance of qualifying service, this employee is recommended for
designation as a participant in the CIA RETIREMENT AND DISABILITY SYSTEM. He is serving in a career field which
normally requires the performance of qualifying service as an integral part of a career in that field.
2. TYPE 1111q,;iIA75TQND TITLE
For Head of CSCS
1. The record of this employee has been reviewed
that this employee:
RETIREMENT BOARD.
REMENT BOARD has recommended on 8 FP1i 1966
(DATE)
be designated as a participant in the CIA RETIREMENT AND DISABILITY SYSTEM
NOT be designated as a participant
ST
(}{-hen filled In)
STATUS OF SE VICE AGREEMENT
xeeu zve e ry
SECTION F DETERMINATION B
1. In at:cordance with Regulation 20-50, this employee is 2. SIGNATURE OF DIRECTOR OF PER-
. _ SONNEL ...
D/Fers dated 25 t s s
ADDITIONAL INFORMATION
I certify that the information in
Section 9-1 is accurate to the best
of my knowle
Signature
8 Feb 1966