[1]992 (44 USC 21
[2]e (13
[4]AGENCY
[6]RECORD NUMBER
[7]RECORDS SERIES
[8]AGENCY FILE NUMBER
[10]ORIGINATOR
[11]FROM
[13]TO
[15]TITLE
[17]DATE
[19]PAGES
[20]SUBJECTS
[22]DOCUMENT TYPE
[23]CLASSIFICATION
[24]RESTRICTIONS
[25]CURRENT STATUS
[27]DATE OF LAST REVIEW
[28]OPENING CRITERIA
[29]COMMENTS
[31]NW.60613 Docld:34530125 Page 1
[33]Date
[34]Page
[36]JFK ASSASSINATION SYSTEM
[37]IDENTIFICATION FORM
[39]AGENCY INFORMATION
[41]CSF /INSCOM
[42]194-10006-10180
[44]DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS.
[46]PAGE 639
[47]DOCUMENT INFORMATION
[49]USA
[50]NICHOLS, W H
[52][ RESTRICTED ]
[53]01/09/67
[55]2 .
[57]SCHEER, ROBERT
[59]RESIDENCES
[61]EMPLOYMENT
[63]CIVILIAN SCHOOL
[65]US ARMY REQUEST FOR NATIONAL AGENCY CHECK
[66]PAPER, TEXTUAL DOCUMENT
[68]QU OMASSTETED
[70]RELEASED WITH DELETIONS
[71]03/07/95
[73]08/24/98
[75]1
[77]US ARMY REQUEST Fx NANO * oF ao
[78](Agee) Pony EE
[81][3. LAST NAME) FIRST NAME ena) NAME - ALI 7 tiah ams i Aci f nf
[83]SCHEER, Robert
[84]5. DAY, MONTH. VEAR OF BINTH 6. PLAGE OF BIRTH 1) SERVICE NUMBER
[85]. =
[86]OBGAK, Mew York, Saw York
[88]8. RELATIVE'S NAMES . to. PRESENT ADDRESS
[89]Jo. FATHER
[91]Ceccaced
[93]b. MOTHER {maiden name) 2640 frons Pork East
[94]2628 ic Street
[95]_Cerkel felifernta
[97]¢.NUMBER AND STREET d. city e@. STATE
[98]G53 Grftton Streat, Gronx flew York | tas York
[99]Syrocusa &.Y.Earried Student Sys. cuss tga Yore
[100]Cerielsy Celife
[101]San Froneisco
[102]San francianc
[104]13. EMPLOYMENT (List all from 16th birthday or during last 15 years, whichever is shorter}
[105]b.to | c. EMPLOYER d. PLACE
[106]University cf California
[107]Ses 63 City Lights cocketore -.
[110]REQUEST COPY OF RESULTS OF ANY
[112]INVESTIGASTONVCGNBUCGHD TO Date
[113]- FROM b. to Cc. NAME
[114]Sop 69 | Jun 63 Univeralty of Californie ain, urn a
[115]a. A
[117]yes NO 15. ITEM ("'Yes" answers are expanded in Remarks)
[118]. ’
[119]j : x 1S THE SUBJECT AN ALIEN OR A NATURALIZED CITIZEN OF THE UNITED STATES?
[121]: 1 x . ANY FOREIGN CONNEGTIONS, INTERESTS. EMPLOYMENT OR MILITARY SERVICE?
[122]: 4 . ANY FOREIGN TRAVEL © THER THAN FOR THE UNITED STATES GOVERNMENT?
[123]| - ANY ARREST OR COURT RECORD?
[125]since SUBJECT refused to execute fingerprint
[127]card. ee
[129].
[131]NACC: Request check of  FBI(C)-Nane check only
[133]Yhalisnd = te
[134]Feb 2985 | fa'tar' 1506 ~ ~ Vietnam, Combedie, TeSland & Japan = To write
[136]_— M CONTROL EG aed “Pron BCSPESTopera tioned 39S.
[137]1 16 067 gg
[138]DATA FURNISHED UNABLE 10 LOCATE Fort Holabird, Maryland 21219
[139]ON BASIS scoRD IN. FRE IDENTIFICATION DVISION Foe Zia Leth fAY
[140]ARREST R 6305 6016 alot JAN 9 1 1967
[141]-
[143],\ IA Tr SODT REPLACES DA FORM 380, | DEC 98. WHICH Sone are, eon RS
[145]NW 60613 Docid:34530125 Page 2
[147]"2 US ARMY REQUEST F-. 2 NATIO a
[148]faprey | FD
[150]Vis, LAST NAME) FIRST NAME - (eid) NAME - ALIABYSS uns AMES] ci} NB Bri Ay a SOCIAL SELUMITY tO. ‘
[152]SCHEER, fRahert as d a 2
[153]| WS. DAY. MONTH. YEAR OF BIRTH ~_ [6 PLACE ho ) 7 SERVICE NUMBER
[154]. —
[155]2 s OPS, Hee York, tae York
[157]8. RELATIVE'S NAMES 9. DATE AND PLACE OF BIRTH 10, PRESENT ADDRESS 11. CITIZENSHI
[159]a. FATHER
[161]) Fred Scheor Ceceased US
[162]b. “Tae {maiden name) . 2659 frome Pork Esot
[164]: u aa Giro
[166]¢.NUMBER AND STREET . e.sTaTe ff
[167]G53 Eeition Street, Bros Soy aT Cana Yorks |
[168]Syscouce Wo¥ Carried Student Housing Uyc. us tas Yor
[169]Fronoieces Straut beried: Celife |
[170]2157 Geson Streot
[171]444 Colushus Strest
[172]£32 _testro St. & 2670 G
[174]13. EMPLOYMENT (List all from 16th birthday or during Tost 15 years, whichever is shorter)
[175]b.TO | C.EMPLOYER | d. PLACE
[177]Univeraity ef Califernte Berkeloy, Califarnia
[178]City Lights Soskatore «.. Son Foeanntena, Collfe
[180]INVESTIGASHON
[181]Univeralty of Californis
[183]15. ITEM ("Yes" answers are expanded in Remarks)
[185]. 1S THE SUBJECT AN ALIEN OR A NATURALIZED CITIZEN OF THE UNITED STATES?
[187]. ANY FOREIGN CONNEETIONS. INTERESTS. EMPLOYMENT OR MILITARY SERVICE?
[190]. ANY FOREIGN TRAVEL OTHER THAN FOR THE UNITED STATES GOVERNMENT?
[192]| ANY QUALIFICATION OF DD FORM 398 OR OD FORM 98?
[194]. ANY ARREST OR COURT RECORD?
[196]be mpyanas “Ui aoob aie e yee es Geecamt 2028 Etivie Strecty C3201 yp Delete rh 4
[197]» STE 2D ce Fe iso te Sop 1968 = tbe © Ta scra to crite 7 Is
[198]Jan £553 to far 1585 < England, France, Palend,tungazy ySovient Union ":
[199]Crechcalevie = Ta write
[200]Fen IS35 te Bar 1965 = Vietnam, Cambodia, Indensaia, Iapun, Lovs &
[202]; fad 1680 tq fax 4905 ~ Vietnam, Combadie, Theiisnd & Jeoun ~ @ To exits
[203]ay NCE USE me SCSTHSTOLAN ton IIS.
[204]Headquarters, USAINTC
[205]ATTN: ICOP-III-24
[206]Fort Holabird, Maryland 21219
[208]19 THRU: Keeteede { .7
[209]Rg 6305 bons aSpleetl IAN. 2 1 1967
[211]Hed, chosing
[213]TIA RE 3027 eee eee EE for sen Cresing Oran Rue 4
[215]1 AUG 65
[217]17. CONTROL OFFICE USE
[219]N16 19676 wut
[220]BLE 10 U
[221]ATA FURNISHED UNA
[222]on cond IN. EBL IDENTIFICATION DIVISION
[224]NW 60613 Docid:34530125 Page 3