NATIONAL AGENCY CHECK REQUEST
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
06555073
Release Decision:
RIPPUB
Original Classification:
U
Document Page Count:
1
Document Creation Date:
March 16, 2022
Document Release Date:
June 10, 2016
Sequence Number:
Case Number:
F-2016-01476
Publication Date:
November 14, 1983
File:
Attachment | Size |
---|---|
NATIONAL AGENCY CHECK REQ[14827471].pdf | 138.71 KB |
Body:
Approved for Release: 2016/05/31 C06555073
CENTRAL INTELEIGiNCE AGENgY ISA/TS/5,rc (b)(3) ,
NATIONAL AGENCY CHECK REQUEST
DATE: I- ).� 144 � 5
CASE NO.
1 SUBJECT'S LAST 04,1E. PST. %POOL
� -ALIASES AND ALL 'FORMER NAMES
2.
DAY. MONTH. YEAR F BIRTH
PLACE OF BIRTH-
Sfle Al. A.P tlIAIT R
b)(6)
6. SEX
.--CITIZENSHIP
US
6 RESIDENT ALIEN NO.
P. DATE 6 PLACE OF ENTRY
(b)(6)
10. CITIZENSHIP
NO-
RELATIVES
11.
�DATE .6-PLAC
RTH
-CITIZENSHIP
PRESENT ADDRESS
subject'
mottUYL-dri-t
caved� akpicnio., Per
eo act g3 -786 wino.UL 12)X �
Trieste, , nal y Cottkrnto.LL4:, ei A
USA
USA
(b)(6)
(b)(6)
(b)(6)
FA
(b)(3)
MOTHER
12. EMPLOYER =Anent only)
ADDRESS DATE EMPLOYED
Texas InstrUments
Lewisville, T OCT 1979
RESIDENCES
FROM
05/81
05/80
TO
I)res
04/81
NUMBER AND STREET
er
FEB 1q64
CITY
(b)(6)
STATE
TX
TX
14.
MILITARY
BRAND
RANK
SERIAL
S OF SERVICE
RESERVE STATUS
It. DATA DATED:
SEP 1983
ADDITION/.
ut to CORA1B 330
Central Office
PO""' 18u
f SOLITE
ti [Di �4?..3
F-77
p/ viCVS
Approved for Release: 2016/05/31 C06555073
14.43)