[1]14-00000
[3]104-10120-10652
[5]A oN
[7]| 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992 |.
[9]. “(when Pitied In)
[11]| ayaa
[13]I understand that no change in my, employment status or relationship with the United .
[14]States. Government will relieve me of my obligation under this Agreement, .. .... ;
[16]| Thave been advised of the procedures to ‘follow in order to determine the id
[17]individuals who have been approved for access to this Project, the current estimate of haza
[19]involved in travel to a foreign area or to resolve any other question | which may arise unde:
[20]this Agreement,
[22]E OF WITN! eee
[25]REMARKS |
[26]PHASE
[28]= a .
[30]Po hans
[31]. SOCIAL. SECURITYS”
[33]DATE oF BIRTH.
[34]PLACE OF BIRTH
[36]*The signator should place his initlats after each Project nome.,
[38]vin | SECRET = | 4