SECRET
FIELD REASSIGNMENT QUESTIONNAIRE
DO NOT COMPLETE FOR HEADQUARTERS USE ONLY

AUTHENTICATION OF SIGNATURES AND IDENTIFICATION OF ITEMS 1, 2, 3, AND 4:
1. Name of officer (last, first, middle): [Redacted]
2. Service designation and serial number: [Redacted]
3. Present grade: [Redacted]
4. Present position title: [Redacted]
5. Date of birth: 11 March 1911
6. Current position title: Chief of Mission
7. Current station or field base: Caracas
8. Expected date of departure from current station or field base: September 1955

9. DESCRIPTION OF YOUR MAJOR DUTIES DURING THE CURRENT TOUR OF DUTY (USE ADDITIONAL SHEETS IF NECESSARY):
Chief of Mission at Caracas. Supervisory jurisdiction over sub-station at Maracaibo. Supervision of all KUJAX activities in Venezuela. Liaison with Ambassador, Service Attachés, and Embassy section heads. Liaison with friendly intelligence and security services. Projects and plans.

10. PREFERENCE FOR NEXT ASSIGNMENT:
First preference: Branch Chief in WH Division

11. INDICATE WHAT TRAINING YOU BELIEVE YOU SHOULD HAVE IN ORDER TO INCREASE YOUR VALUE TO THE ORGANIZATION (Refer to catalog of courses, if available):
CE Course
Communist Party Operations
Operational Security

Form No. 202 SECRET