OUTSIDE ACTIVITY APPROVAL REQUEST

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP80B01138A000100060004-4
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: April 13, 2001
• Sequence Number: 4
• Publication Date: December 12, 1968
• Content Type: FORM

Approved For Release 2W/05/01 : CIA-RDP80B01138A000100006004-4 IA INTERNAL USE ONLY
(Classify When Filled in)
OUTSIDE ACTIVITY APPROVAL REQUEST
DIRECTOR OF SECURITY; ATTN. EMPLOYEE ACTIVITY BRANCH
(Operating official, administrative and/or security officer)
AO/DCI
Vacation to b
2. FULL NAMES OF ORGANIZATION AND/OR PERSONS INVOLVED
3. DATE(S) OF PARTICIPATION AND LOCALE OF ACTIVITY
26 December - 3 Januarys 1969
Mexico City
b2 Hge. I 4246
4. REMARKS
In engaging in the requested activity I will make no reference to, or sss
my CIA assignments or duties nor will I ma e reference to or discuss my CIA employ-
ment except as authorized by Headquarters
SIGNATURE 0. REQUESTING EMPLOYEE
5. CONCURRENCES AND/OR APPROVAL WITHIN OPERATING OFFICE
FOR COMPLETION BY EMPLOYEE ACTIVITY BRANCH AND RETURN OF ORIGINAL TO EMPLOYEE
Approved For Release 20
FORM USE PREVIOUS
9.61 Q 87Q 9 EDITION.
SEE HR 10-7 BEFORE SUBMITTING TO EAB AN ORIGINAL AND 3 COPIES OF THIS FORM
DATE
12 December 1968
CIA INTERNAL USE ONLY