PLEASE READ INSTRUCTIONS BEFORE PREPARING THIS FORM
STATEMENT OF FEDERAL CIVILIAN AND MILITARY SERVICE
OSO WEID
1. NAME (Last, First, Middle Initial)
2. POSITION
3. LOCATION
4. AGENCY
FEDERAL CIVILIAN SERVICE (BEGIN WITH THIS AGENCY AND FOLLOW IN SEQUENCE ALL FEDERAL SERVICE)
LOCATION
AGENCY
FROM
TO
TOTAL SERVICE
YEAR
MONTH
DAY
Department of State (FS)
Washington, D.C.
26 Jan 1931
15 Aug 1944
19 6 13
OSS, SSU, CIG, CIA
Washington, D.C.
16 Aug 1944
4/12/51
Total Civilian Service
6 11 20
MILITARY SERVICE (INCLUDE ONLY PERIODS OF ACTIVE DUTY; DO NOT INCLUDE TERMINAL LEAVE)
BRANCH OF SERVICE
FROM
TO
TOTAL SERVICE
YEAR
MONTH
DAY
NONE
Total Military Service
CERTIFICATION
I hereby certify that the above Civilian and Military Service is complete and accurate to the best of my knowledge.
14 August 1952
DATE
James A. Scott
SIGNATURE OF EMPLOYEE
FOR PERSONNEL OFFICE USE ONLY
TOTAL CREDITABLE SERVICE
DAYS
MONTHS
YEARS
AS OF 31 Dec 51
6 11 20
MAY BE CONTINUED ON NON-DETACHABLE REVERSE SIDE