[1]992 (44 USC 210% Note). Caset:Niw
[2]D3- 14-20)
[4]JFK ASSASSINATION SYSTEM
[5]IDENTIFICATION FORM
[7]Date
[9]01/20/98
[10]Page 1
[12]AGENCY
[14]RECORD NUMBER
[15]RECORDS. SERIES
[16]AGENCY FILE NUMBER
[18]AGENCY INFORMATION
[20]INSCOM/CSF
[21]194-10004-10139
[23]DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS
[25]PAGE 372-373
[27]ORIGINATOR
[28]FROM
[30]TO
[32]TITLE
[34]DATE
[36]PAGES
[37]SUBJECTS
[39]DOCUMENT TYPE
[40]CLASSIFICATION
[41]RESTRICTIONS
[42]CURRENT STATUS
[44]DATE OF LAST REVIEW
[45]OPENING CRITERIA
[46]COMMENTS
[48]DOCUMENT INFORMATION
[50]USA
[52]HAYASHIDA, MYRON K.
[53]USA INTELLIGENCE CMD
[54][ RESTRICTED ]
[55]11/25/66
[57]2
[59]FROMER, DAVID R.
[61]INDUCTION
[63]PAPER, TEXTUAL DOCUMENT
[64]UNCLASSIFIED
[66]3
[68]RELEASED WITH DELETIONS
[69]03/07/95
[71]RECORD REGRADED UNCLASSIFIED ON 2 SEP 94.
[73]NOT INCLUDED.
[75]INCLOSURES
[79]REQUEST FOR AND RESUL 1S OF PE
[81]AR 381-130) WUT
[82]THRU:
[84]ALACTION * 25 November 1966
[86]TO: (Contro! Office) FROM: (Requesting Agency)
[88]CG, USA Intelligence Cmd CG, USAREC \ NT CO, AFEES
[90]ATTN: ACofS, CONOPS ATTN: Secu pity OFgdcer 1515 Clay Street
[91]PO Box 398 Hampton, Va 23365 9 DE \@fkland, California
[93]Fort Holabird, fid 21219
[95](Enter name and address of the ACTION AGENCY to which results are to be
[97]requester)
[99]-
[100]CHIEF, USAPSG
[101]ATTN: Adjudication Branch
[102]Fort Holabird, Md 21219
[104]L
[106]1, SUBJECT (Last name in capitals, first and 2. ALIAS(ES),
[107]middie names)
[108]FROMER, Dawid Reed None
[110][4. DATE OF BIRTH
[111](Day, Month, Year)
[113]21 July 1942
[115]7. REQUESTED ACTION
[116]8. TYPE OF INVESTIGATION:
[117]Cynac [(jnaci [Jet [OTHER (Explain in Item 15)
[118]10. TO DETERMINE SUITABILITY FOR:
[120]INDUCTION
[122]Chicago, Illinois
[124](VALIDATION
[126]DX] INVESTIGATION
[128]11. JUSTIFICATION
[130]PAR 18, AR- 604-10
[132]12. REVIEW OF FILES REQUIRED BY PARAGRAPH
[133]([) No UNFAVORABLE INFORMATION
[135]CONTEMPLATED
[137]13, LATEST INVESTIGATION/ CLEARANCE (Type, when, by whom)
[139]A
[141]5. PLACE OF BIRTH (City, State and country)
[143]3.
[145]b. | | FOR LIMITED ACCESS AUTHORIZATION
[147]INFORMA TION SUMMARIZED IN ITEM 15 “-
[149]sent, if known by
[151]CONTROL OFFICE USE ONLY
[153]REQUIREMENT REQUEST NO.
[155]DOSSIER NO. OPENING DATE
[157]REMARKS
[161]SECTION | — REQUESTER TO CONTROL OFFICE
[162]Fetaistalataretytal
[164]564-58-8137
[166]6. GRADE AND POSITION
[168]N/A
[170][-] RECORDS CHECK
[171]@.FOR CLEARANCE AND/OR ACCESS TO:
[172]top secret ([_|secret [_] CONFIDENTIAL
[174]c. (J INTERIM CLEARANCE DESIRED
[175]d. (RXOTHER (Explain in Item 15)
[177]AR 604-5, COMPLETED ON
[178]UNFAVORASLE INFORMATION DETERMINED NOT TO BE A BAR TO ACTIUN
[180]REVEALED:
[182]14. NO BREAK IN FEDERAL SERVICE
[183]EXCEEDING SIX MONTHS SINCE
[185]15. REMARKS (If unfavorable information entered, transmit in sealed envelope thru intelligence channels, ),
[187]Request investigation of regiatrant in view of remarks edde by registrant in remarks
[189]section afbeDR- Form 98) ad bo form 398. SS JU! F-Y2-¥2- 20¥
[191]Headeuin toes
[192]US Army Recruiting Commant
[193]Hampton,, Virginia 2836°
[196]eye mn 7 vas ae VUMabLS
[198]INCLS TYPED NAME AND TITL
[199]MYRON Ko HAVAgHIDA
[200]2 1/LT, AGC
[202]SECTION fl - CONTROL OFFICE TO REQUESTER
[204]SIGNATURE
[206]372. j loyal...
[208]DATE
[210]| nia
[212]16. [_] NEW FINGERPRINT CARD REQUIRED
[214]() 'tems
[216]CI INTERIM REPORT FORWARDED. REQUEST REPORT OF ACTION TAKEN AND RETURN OF INCLOSURES UPON COMPLETION,
[218]ON SPH (PSQ) REQUIRE CORRECTION AND/OR COMPLETION.
[220]SIGNATURE
[222]INCLS TYPED NAME ANO TITLE ~
[224]a
[225]D A FORM
[227]1 APR 64
[229]2784
[231]NW 60613 Docid:34528500 Page 2
[233]H SECTION tll = REQUE. RK POUU 5 S " a
[234]17, REPORT OF ACTION
[236]{[] INFORMATION NOTED (7) suBJeEcT RE; [CT] INFORMATION CONSIDERED NO BAR TO
[238]SENSITIVE oy l usvidricA tion CLEARANCE. REQUEST COMPLETION
[239]_ .
[240]MAY BE CANCELED.™ OF INVESTIGATION.
[242]18. SUBJECT WAS TRANSFERRED
[244]HEADQUARTERS
[246]REMARKS (If retuming corrected forms, state here)
[248]FYPED NAME AND TITLE- SIGNATURE
[250]SECTION IV — CONTROL OFFICE TO ACTION AGENCY
[251]20. RESULTS OF PERSONNEL SECURITY ACTION
[253]CI No RECORD ([] FAVORABLE (CJ Minor UNFAVORABLE INFORMATION RECORDED IN ITEM 21
[254]CO PRIOR INVESTIGATION INSUFFICIENT FOR ACTION CONTEMPLATED &) FORWARDED FOR SECURITY OETER=
[255]UF NEEDED, INITIATE REQUEST FOR INVESTIGATION. MINATION BY CLEARING AUTHORITY
[256]TYPE OF INVESTIGATION COMPLETED SY DOSSIER NUMBER
[258](jnac (-) NaCI Oe XJ oTHeR USAINTC te PO Mar 1967 AA BL ho 20
[260]21. REMARKS
[262]a. THIS FORM, TOGETHER WITH ANY INCLOSURES, REPORT OF ACTION TAKEN AND USACRF COPY OF DA FORM 873
[263](if appropriate) WILL BE RETURNED TO THE CONTROL OFFICE WITHIN DAYS AFTER RECEIPT.
[264]IN THE EVENT SUBJECT HAS BEEN TRANSFERRED FROM YOUR COMMAND, THIS FORM AND INCLOSURES WILL BE
[265]RETURNED IMMEDIATELY WITH ITEM 23 COMPLETED.
[266]ATTENTION IS INVITED TO: PARAGRAPHS AR 604-5; PARAGRAPH ___AR 604-11; PARAGRAPH ___
[267]AR 640-498; AND PARAGRAPH AR 381-130, AS APPLICABLE. :
[269]inets SUBJECTIS Dosg— |] TY Pep Name AND TITLE DAN H., DIETRICH SIGNATURE
[270]sier and that of HIS  Y Lt Col
[272]father - D8 03 23 84 Gri
[274]iS
[276]22. REPORT OF ACTION x
[278]aoe : RESCINDED PER DA MESSAGE
[279](C) FAVORABLE DETERMINATION, USACRE ((] UNFAVORABLE CETERMINATION, (pik FB5375; TATED 16 MAY 56,
[281]COPY DA FORM 873 ATTACHED “  RECOMMENOED ACTION IN ITEM 24 GATION ASINDICATEDO IN !TEM 24
[283]23. SUBJECT WAS TRANSFERRED
[285]To HEADQUARTERS agra 4
[286]Mtoe
[288]1 24. REMARKS
[290]3 /eBoe geeesca th © daa - Phas voy. setive
[291]° Maghises is Baslvtod Free su boua FG
[292]. Yerwsnatvion™ .
[294]‘ MP Sal 2 bo Oy . -
[296]. ; vad ake MB.
[298]INCLS TYPBED NAME AND TITLE SIGNATURE
[300]NW 60613 Docid:34528500 Page 3