SECRET
FITNESS REPORT (Part I) PERFORMANCE
INSTRUCTIONS
[Text of instructions for completing the report]
SECTION A
Name: [Redacted]
Grade: GS-15
Period of Report: 9 September 1956
SECTION B
Certification: [Text of certification]
SECTION C
Rating of General Performance of Duties: 5
Comments: [Text of comments]
[Signatures and dates]
SECRET