QUALIFICATIONS UPDATE - COLLINS, CHARLES P.

• Document Type: FOIA
• Keywords: PERSONNEL FILES
• Keywords: COLLINS CHARLES
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 0001426170
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: June 22, 2015
• Document Release Date: March 20, 2008
• Case Number: F-2007-01041
• Publication Date: March 10, 1969

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SECRET
QUALIFICATIONS UPDATE
READ INSTRUCTIONS CAREFULLY BEFORE COMPLETING, TYPE OR PRINT, AVOID USING LIGHT COLORED INKS
Now that your qualifications are a matter of computer record, they must be periodically updated. This is done auto-
matically for much information; however, some must be obtained directly from you. This form is for that purpose.
Section I must be completed in all cases. You need provide other information only if there have been changes since
you submitted your Form 444j, "Qualifications Supplement to the Personal History Statement," or a previous update form.
If you are in doubt whether information has been previously submitted, enter it in the appropriate section. The signed
and dated form should be returned through administrative channels to the File Room, Office of Personnel, RoomO
Headquarters, whether information is added or not.
Additionally, a qualifications update may take place at any time there is information to be added or changed simply
by completing and returning an update form on your initiative.
SECTION I BIOGRAPHIC AND POSITION DATA
EMP. SER. NO.
NAME (Last-First-Middle)
Collins, Charles P.
DATE OF BIRTH
?s December 1916
EMCATION
HIGH 'CHOOL
LAST HIGH SCHOOL ATTENDED
ADDRESS (City,State,Country)
YEARS ATTENDED (From-To)
GRADUATE
Q YES ^ NO
COLLEGE OR UNIVERSITY STUDY
SUBJECT
YEARS ATTENDED
DEGREE
YEAR
NO. SEM/QTR.
NAME AND LOCATION OF COLLEGE OR UNIVERSITY
MAJOR
MINOR
FROM--TO--
RECEIVED
RECEIVE
D HRS.(Specify)
IF A GRADUATE DEGREE HAS BEEN NOTED ABOVE WHICH REQUIRED SUBMISSION OF A WRITTEN THESIS, INDICATE THE TITLE OF THE
THESIS AND BRIEFLY DESCRIBE ITS CONTENT.
TRADE, COMMERCIAL AND SPECIALIZED SCHOOLS
NAME AND ADDRESS OF SCHOOL
STUDY OR SPECIALIZATION
FROM
TO
NO. OF MONTHS
OTHER NON- AGENCY EDUCATION OR TRAINING NOT INDICATED ABOVE
NAME AND ADDRESS OF SCHOOL
STUDY OR SPECIALIZATION
FROM
TO
NO. OF MONTHS
2.
SECTION III MARITAL STATUS
I. PRESENT STATUS (Single,Married,V,Widowed,Separated,Divorced.Annulled;Remarried) SPECIFY:
2. NAME OF SPOUSE (Last) (First) (Middle) (Maiden)
7\DDT)r')1T7n L-
3. DATE OF BIRTH
4. PLACE OF BIRTH (City,State,Country) DATE: DEC 2007
5. OCCUPATION
6. PRESENT EMPLOYER
7. CITIZENSHIP
8. FORMER CITIZENSHIP(S) COUNTRY(IES)
9. DATE U.S. CITIZENSHIP ACQUIRED
SECTION IV DEPENDENT CH
ILDREN AND DEPENDENTS OTHER THAN SPOUSE
NAME
RELATIONSHIP
DATE AND PLACE OF BIRTH,
CITIZENSHIP
PERMANENT ADDRESS
ADD
1.
DELETE
ADD
2.
DELETE
FORM
2.68 444n
 S
(When
TRAVEL
NAME OF REGION
TYPE
OF SPECIALIZED
DATES OF TRAVEL
`'FtIDATE'';& PF