PERSONNEL ACTION REQUEST

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP57-00384R001300120001-6
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: September 1, 2000
• Sequence Number: 1
• Publication Date: December 10, 1951
• Content Type: FORM

ST O-Wa For F R y Q0 9 frJ ftDP57-00384R00130012
Wt4I NO.
NAME
REQUESTED EFFECTIVE DATE
NATURE
WHEN LEAVING (VOUCHERED)
LAST WORKING DAY:
EMPLOYEE'S SIGNATURE:
FROM
TO
TITLE
GRADE AND SALARY
OFFICE
' -------
DIVISION
BRANCH AND SECTION
OFFICIAL STATION
DEPARTMENTAL ^ FIELD ^
DEPARTMENTAL
^
FIELD
REMARKS:
RECOMMENDED: STATINTL
1EC C 1951
(DATE) (SIGNATURE OF OFFICE CHIEF. DIVISION CHIEF OR ADM. OFFICER)
FOR USE OF PERSONNEL ONLY
PLACEMENT
TRANSACTIONS AND RECORDS
DATE QUALIFICATIONS APPROVED
APPROPRIATION:
ALLOTMENT:
CLEARANCE REQUESTED
CLEARANCE APPROVED
C. S. C. AUTHORITY:
DATE
TYPE
DATE
TYPE
DATE SIGNATURE
SIGNATURE
DATE
SIGNATURE
PERSONNEL RELATIONS
CLASSIFICATION
DATE
SIGNATURE
BUREAU NO.
C. S. C. NO.
DATE APPROVED
APPROVALS ^ SUBJECT TO SECURITY CLEARANCE
NEW
VICE
I. A.
REAL
DATE
SIGNATURE OF EXECUTIVE
DATE
SIGNATURE
DATE
SIGNATURE OF DIVISION CHIEF
EFFECTIVE DATE
FORM N0
JUL I95o. 37A3proved For Release 2000/091/1'1? CIA$RDP&7-003848901300120001-6