BIOGRAPHICAL INFORMATION AND PHOTOGRAPHS

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78-04727A000300130072-7
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: April 17, 2001
• Sequence Number: 72
• Content Type: MISC

Approved For Release 2001/07/16 : CIA-RDP78-04727A000300130072-7
BIOGRAPHICAL INFORMATION AND PHOTOGRAPHS
1.
Name, Rank, Component and Serial Number
2.
Date of Birth and Place of Birth
3.
Present Military Assignment
4.
A certification of the Officer's "Need to Know" by virtue of
his present or projected assignment
5.
Certification of Top Secret Clearance
6.
Attach two 1 1/2" x 211 full face photographs
Approved For Release 2001/07/16 : CIA-RDP78-04727A000300130072-7