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)