Officer personnel record

Produced by optical character recognition, uncorrected. These are carbon copies and mimeographs from 1941–46, so the reading is rough — treat it as a finding aid for search, not as a transcript. The scan above is the record.

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GF-3 OFFICERS PERSONNWL RECORD ;
PLEASE PRINTA|J2 4 Chine tht AC. THIS SHHET MUST BE ACCURATE ‘AND COMPLE
SRASE ERINTA in GC (ime 1 a (THIS SHRET MUST BE ACCURATE “AND COMPLE
MARITAL PRESENT RANK OR Gabe AND NAME SERIAL PRESENT COMMESS TONED
STATUS NUMBER BRANCH BRANCH
Marcted 6-194 536 Aus oRC
| DATE REPORTED
| THIS ORG July «51443 AumonrTy tececls
| DATS OF BIRTH Seyt. 5 g/g _DaTE OF RANK Nec. 13,1449 (April stg 43
Month Day Year
iN EMERGENCY RELATIONSHIP Ws $¢
NOTIFY Mvs Mavis, Clive  ADPRESS _| yo 1 aven pert Ave,
“Yavenport, Tew a
YOUR PERMANENT ADDRESS jyod Waveupert Ave, en Tow |
DATE OF.
GRADUATION___Jan. 143 Nene ————
High Schss1 College Degree i
. MILITARY EDUCATION |
—s THEBTHER GRaDUATS) J-yes (4.8)
TIx= SPENT IN ROTC ‘ACTC WSL. C&GS AG) GS“ Other |
FLYING
RATINGS HELD x |
(GIVE DATE) Nav.) (Pilet) (Bomb) Ener.) (Weather) (Other?
MASE, CREACINEL RATING AS ePLLO De series Ts i ass Gk ees i ev
KIND OF 4 :
Seen ery aera on) A (7 EE (<1 SE C3 ae
No, of Motars Bomb Obs. Pursuit Other
NO. @F HOURS
FLY: TIME CIDhes. Hom,
(inactive Status) (Trainee) Gi yr. (2 Yrs.) G Yrs i
LENGTH OF ACTIVE : :
DUTY—SERVICH FROM ss Dec it igWa = Present o
PRG NIZA TON Da") ,SSTGNED PRINCIPAL DUTY aSSIGN ‘a
corey tee aie. Vitam sss eae ee Te a Sie,
13¢ Med, Regt bay Ze 144) Jan ae (qd? Ba q » “|
iy oe” eee ada : Yi Weg. IA tad Pilot T paravng |
-Leraasition Serna Inn Oreidjya  Eep a6 ig48 Toh nip eo le Ce
\ ae a VY a Phase Tratuing e
—tabhat fl gdh ese t Pi ee
‘ B5dad TE sa L : eee
\ ee
a) ¢ ‘ sige ed

— — —

HAVE YQU EXECUTED THE FOLLOWING:
WILL? Yes POWER OF ATTORNE ? 12S
(If above has not been accomplish. 1 contact Judge Advocite, Fort George Wright,
Washington),
ALLOTMENT? Ye (W.D.,A.G.0., Form 29)
(Allotment of any part of your base pay plus subseistence allowance, less any
insurance deductions and allotments now in force, may be made to dependents.
Contact any Finance officer for details).
| DO YOUR DEPENDENT AND BENEFICIARY HAVE PROPERLY SXECUTED ORIGINALS OF ABOVE
DOCUMENTS? Yes ¥ |
DO YOU HAVES COPIES FOR REFERENCE? Yes .
| ARS YOU INSURED? Nes :
| DOES YOUR BENEFICIARY HAVE ACCESS TO POLICIES? Not yeceived asyet F
HAVE YOU SUBMITTED DESIGNATION OF BENEFICIARY, W.D., AGO, Form No. 41? NV Z585
HAVE YOU PREPARED ANY DETAILED INSTRUCTIONS FOR YOUR BENEFICZARY IN CASE OF YOU |
DEATH? No ¥
(2 Forms attached hereto. Retain one eopy in your personal file, send one
copy to beneficiary).
| HAVE YOU THE PRESCRIBED IMMUNIZATION AGAINST:
Smalipox?__Yes Tetanus?_Y¢ 5 Typhoid?_Ves Yellow Fever ? YeS |
|
DO YOU H‘VE A COPY OF IMMUNIZATION REGISTE" IN YOUR POSSESSION? ASN] 2s Grea
(This record may be seeured from offiee of the surgeon who aceomplished
immunization). : 3
| DO YOU HAVE PRESCRIBED IDENTIFICATION TaGS?_.Yes ‘ |
DO YOU HAVE IDENTIFICATION CAHD, ‘V.D., A.G.O. FORM NO. 65-17 Yes
ARZ YOU EQUIPPED WITH UNIFORM AND PERSONAL EQUIPMENT AS PRESCRIBED BY TBA? _Y e-
DO YOU HAVE A COPY OF PAY GUIDZ FOR OFFICERS IN YOUR PERSONAL MILE?__ Ness
a Wa.