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: 
AttachmentSize
PDF icon CIA-RDP78-03092A000100070010-0.pdf29.27 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