SECRET
REQUEST FOR DOMESTIC COVER LIST ENTRY OR CHANGE
SUBMIT THIS FORM IN TRIPLICATE, ENCLOSED IN SEALED ENVELOPE
TO: DCB/CCG
THROUGH: SSD/OS
SUBJECT: Calvin Wm. Hicks
DATE: 21 September 1960
ENTRY CHANGE
Inclusion of subject on the Domestic Cover List is requested for the reason noted below. When notified that cover has been established, subject will be specifically authorized and instructed to conceal his Agency affiliation.
Subject is currently included on the Domestic Cover List. For the reason noted below, it is requested that
[ ] this employee be removed from the Domestic Cover List.
[ ] the following change be made:
REASON
To provide Subject with an organizational affiliation other than CIA.
COVER (Complete only for new entries) 32, 12-33
None 1956-58 (Military Staff agent: in Cherat)
1958-60 (DAC in Cherat)
TYPE SUGGESTED (Specify whether official or non-official)
Official - DAC
JUSTIFICATION, IF NON-OFFICIAL COVER SUGGESTED
APPROVED BY CENTRAL COVER DIVISION
[Signatures and annotations]
REQUESTING OFFICIAL
John P. Gardiner, Jr.
TITLE
NE Security Officer
SECRET