[1]AGENCY
[3]RECORD NUMBER
[4]RECORDS SERIES
[5]AGENCY FILE NUMBER
[7]ORIGINATOR
[8]FROM
[10]TO
[12]TITLE
[14]DATE
[16]PAGES
[17]SUBJECTS
[19]DOCUMENT TYPE
[20]CLASSIFICATION
[21]RESTRICTIONS
[22]CURRENT STATUS
[24]DATE OF LAST REVIEW
[25]OPENING CRITERIA
[26]COMMENTS
[28]NW 88613 Docid:34531187 Page 1
[30]Date : 07/22/96
[31]Page : 1
[33]JFK ASSASSINATION SYSTEM
[34]IDENTIFICATION FORM
[36]AGENCY INFORMATION
[38]INSCOM/CSF
[40]194-10012-10477
[42]DOD-AFFILIATED PERSONNEL AND INCIDENT INVESTIGATIONS
[43]ZFOOOO0O3W - PAGE 935
[45]DOCUMENT INFORMATION
[46]USA
[47]REQUEST FOR NATIONAL AGENCY CHECK
[48]07/00/66
[49]SLOVODA, VLADIMIR
[50]FAMILY HISTORY
[51]RESIDENCES
[52]EMPLOYMENT
[53]CIVILIAN SCHOOL
[54]DOWLING, JOHN JOSEPH
[55]PAPER, TEXTUAL DOCUMENT
[56]SU CMASSTETED
[58]RELEASED WITH DELETIONS
[59]03/20/95
[61]Vv
[63]_CONTROL OFFICE:
[65]Bolu
[67]Payaart
[69]OWE ING
[71]JONM
[73]Y REQUEST-£OR NATIONAL AGENCY CHECK ao
[75]ST NAME. a FIRST NAME ¢ MIDDLE "NAME - “ALIAS (ES) - NICKNAMES - CHANGED NAME
[76]J
[78]ae an
[80]DATE be REQUEST
[82]os
[84]r © {AR 381-130)
[86]4. SOCIAL SECURITY NO.
[88]26 Md 68 !
[90]if
[92]PODOWLING JOUN J.
[94]Waterbury, Conn San Diego, Calif
[96]A a aerer) A 560 68 6542
[97]H 5. DAY. MONTH, YEAR OF BIRTH 6. PLACE OF BIRTH Pa 7. SERVICE NUMBER
[98]oo :
[99]Le) Yet 46 ee wakland, Calif pesssacenme.. a
[100]8. RELATIVE Ss NAME 9. DATE AND PLACE OF BIRTH 10. PRE ENT ADDRESS CITIZENSHI
[101]Jo FATHER 3016 Murre: 23 idge Rd
[103]fb. MOTHER {maiden name)
[105]actin
[106]Chia
[108]TNS. WR
[110]3016 Murray Riage Ra
[114]San Diero, Calif {
[116]ERA
[118]1 AUG
[120]DAS
[122]3027
[124]os
[128]an er ee
[130]NW 88613 Docid:34531187 Page 2
[132]Wire. FROM:
[134]Ac of S, G2
[135]Ft Ord, Calif
[136]Rio THRU:
[138]FINGERPRI NT CARD FD 258, MUST BE ATTACHED
[139]REPLACES DA FORM 340, 1 DEC 30. gy x > OBSOLE TE
[141]Lyte i
[142]i
[143]whe. RESIDENCES (List all from 16th birthday ‘or during last 15 years, whichever is shorter) : |
[144]i a. FROM b. TO c. NUMBER AND STREET en d. city @. STATE
[145]Tt
[146]~ F Li. 4
[147]f 1952 1966 4016 Murray Ridge Ra Sen Diego Calif tet
[148]! .
[150]t . 1
[151]} — 13, EMPLOYMENT /List all from 16th birthday or during last 15 years, whichever is shorter) a
[152]t a. FROM b. To c. EMPLOYER T d. PLACE
[153]| | !
[154]p66 3-66 _ Bill Burgers Drive-in inda Vista
[155]p06 7x66 Car wash
[156]ig : — a = — et. LAST CIVILIAN SCHOOL " a _— — ~~ - i
[157]le FROM b. To c. NAME d. PLACE
[158]i Yes | ONO : " 1s. aT T Yes" “answers ore expanded in Remarks) i
[159]; gz @. 1S THE SUBJECT AN ALIEN OR A NATURALIZED CITIZEN OF THE UNITED STATES? ql
[160]x b. ANY FOREIGN CONNECTIONS, INTERESTS, EMPLOYMENT OR MILITARY SERVICE?
[161]; x ¢. ANY FOREIGN TRAVEL OTHER THAN FOR THE UNITED STATES GOVERNMENT?
[162]H a d. EMPLOYMENT BY A FIRM HAVING A CLASSIFIED US GOVERNMENT CONTRACT?
[163]x e. FORMER US GOVER GRE ENT EMPLOYMENT OR MILITARY SERVICE?
[164]vy fs ANY QUALIFUBS N°@F DOD FORM 398 OR DD FORM 98?