NOMINEE CHECK LIST CIA RETIREMENT AND DISABILITY SYSTEM
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP78-03092A000100070010-0
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
2
Document Creation Date:
December 9, 2016
Document Release Date:
May 14, 2001
Sequence Number:
10
Case Number:
Publication Date:
May 6, 1965
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 29.27 KB |
Body:
Approved For Release 2001/07/28: CIOK 92A000100070010-0
NOMINEE CHECK LIST
CIA Retirement and Disability System
1. Name :
2. Age:
3. Service Designation: D
4. Years of Agency
Service: 16.10
5. Qualifying Service:
71
0
Months of qualifying service to date.
Subject performing qualifying service.
Subject certified under orders for qualifying
service assignment.
6. Service Agreement:
Gil
II
"Application for Membership in the Career Staff
of the CIA" to be used in lieu thereof.
Nominee is overseas - Service Agreement will be
requested when nomination approved.
. Date of 15th anniversary review
Fdrm
4-65 3100a (Test)
6 1965
6 MAY 1965
25X1A9a
Approved For Release 2001/07/28 :SEGET03092A000100070010-0
25X1A
Approved For Release 2001/07/28 : CIA-RDP78-03092A000100070010-0
Approved For Release 2001/07/28 : CIA-RDP78-03092A000100070010-0