INFORMATION TO BE SUBMITTED FOR EACH NOMINEE

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78-04727A000300010010-8
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: April 24, 2001
• Sequence Number: 10
• Content Type: MISC

Approved For Release 2001/05/11 : CIA-RDP78-04727A000300010010-8
INFORMATION TO BE SUBMITTED
FOR EACH NOMINEE
1. Name, Rank/Grade, Component and Serial Number (if appropriate).
2. Present assignment.
3. Certification of TOP SECRET Clearance.
Approved For Release 2001/05/11 : CIA-RDP78-04727A00 9 .9 018 (FOUO-3304/PL-2)