APPLICATION FOR RETIREMENT - CARANCI, JOHN C.

• Document Type: FOIA
• Keywords: PERSONNEL FILES
• Keywords: CARANCI JOHN
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 0001411870
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: June 22, 2015
• Document Release Date: December 31, 2008
• Case Number: F-2007-00327
• Publication Date: April 6, 1971

APPROVED FOR RELEASE DATE:
1 n_Nnv_7nnR
HER (OR HIS) BIRTH DATE
(Mooch) ,. (Day) (Year):
APPLICATION FOR RLTIRLMLNT
CIA RETIREMENT AND DISABILITY SYSTEM
To avoid delay-I. Read information carefully; 2. Complete application in full;
A. PERSONAL INFORMATION
I. NAME
MR.
MRS ?
MISS
64 Eddy Street
Same. as Correspondence.-.
5.-(A) ARE. YOU
MARRIED?
^ YES
1' NO
2. SERVICE DESIGNATION
- B CIVILIAN SERVICE
WIFE'S OR HUSBAND'S NAME
(First) (Middle)
'
1. OFFICE OF A$,SIGNMENT
DID
Typewrite or print in in
2. DATE OF BIRTH
(Month) (Day) (Year)
Feb 7 1922
Centr,6dale, Rhode Island
DATE OF MARRIAGE
(Month) (Day) (Year)
(bl61
(b131
ADDRESS OF SPOUSE IF DIFFERENT FROM. ITEM 4
3. LOCATION OF EMPLOYMENT (City and State)
Washington, D.,; C.. ;,
S. DATE-OF FINAL SEPARATION (Month) (Day) (Year)
YES ^ NO`
I'. COMPLETE THE SCHEDULE BELOW IF YOU HAVE PERFORMED ACTIVE DUTY THAT TERMINATED UNDER HONORABLE CONDITIONS IN ANY'OFTHE'FOLLOWING SERV=
ICES; (A ARMY, NAVY, MARINE CORPS, AIR FORCE, OR COAST GUARD-OF-THE UNITED STATES; OR (B) REGULAR CORPS OR RESERVE CORPS OF THE PUBLIC HEALTH
SERVICE) AFTER JUNE 30, 1960; OR (C) AS A COMMISSIONED OFFICER OF THE COAST AND GEODETIC SURVEY. AFTER JUNE 30, 1961. IF AVAILABLE, ATTACH A COPY OF
YOUR DISCHARGE CERTIFICATE.
BRANCH, OF SERVICE
SERIAL NUMBER
DATE-OF-ENTRANCE
ON ACTIVE DUTY
DATEOFSEPARATION
FROM ACTIVE DUTY
LAST GRADE
OR RANK
ORGANIZATION AT DISCHARGE
(Div., Ree, Co., etc.)
U. S. Ar3;ny
3,118Z993''..,
17 Oct 42
5 Feb 46
T5
2. (A) ARE YOU A MILITARY RE-
2. (B) ARE YOU IN RECEIPT OF OR HAVE YOU EVER APPLIED FOR .
12. (C) IF "YES," WERE' YOU :RETIRED FROM A RESERVE COMPO-
,SERVIST' EITHER,ACTIVE
OR- INACTIVE)?
MILITARY' RETIRED ;PAY?=_ (RETIRED. PAY DOES NOT IN-,
CLUbE V.A. PENSION OR COMPENSATION.)
NENT:UNDER CHAPTER 67, TITLE?10, U.S.C. (FORMERLY
TITLE III, PUBLIC LAW 80-810)?
"^ YES, NO
YES. NO
^ YES ^ NO
;,D..~-DISABILITY INFORMATION
Q , 1 y applicants for total disability retirement will I . . WHEN DID YOU BECOME TOTALLY DISABLE P? - WOW year)
-.complete-Part D. Ltit .!rt
Il. (A) HAVE'YOU' EVER R'ECEIVED OR MADE APPLICATION'FCOR'COMPENSATION'
1. (B) IF "YES," STATE'THE NUMBER OF YOUR'-COMPENSATION CLAIM AND' THE
UNDER THE FEDERAL EMPLOYEES' COMPENSATION ACT?
PERIOD FOR WHICH YOU RECEIVED COMPENSATION
Will Apply IR YES ^ NO
CLAIM NUMBER'
FROM' (Month)s(Day)" (Year)
TO= (Month) '(Day) (Year)
2. (A) HAVE YOU PREVIOUSLY FILED ANY APPLICATION UNDER THE CIVIL SERVICE
2. (B) IF "YES," INDICATE. THE TYPE(S) OF APPLICATION
"
RETIREMENT SYSTEM, INCLUDING APPLICATION FOR RETIREMENT, REFUND,
AND GIVE THE CLAIM NUMBER(S) IF KNOWN
CLAIM NUMBER(S)
DEPOST; OR REDEPOSIT, OR VOLUNTARY CONTRIBUTIONS?
,
^'RETIREMENT ^ DEPOSIT OR REDEPOSIT
r :^ YES ?NO
-1 VOLUNTARY
REFUND ^ f CONTRIBUTIONS
3 (A) HAVE YOU PREVIOUSLY FILED ANY APPLICATION UNDER THE CIA RETIRE-
3. (B) IF "YES," INDICATE THE TYPE(S) OF APPLICATION:
MENT & DISABILITY SYSTEM, INCLUDING- APPLICATION' FOR RETIREMENT,
REFUND, PURCHASE OF SERVICE CREDIT, OR VOLUNTARY CONTRIBUTIONS?.
^~, RETIREMENT ^ PURCHASE OF SERVICE CREDIT
YES.. ^?-N0
^ REFUND ^ VOLUNTARY CONTRIBUTIONS
4. (A), HAVE YOU EVER BEEN EMPLOYED UNDER ANOTHER RETIREMENT--;SYSTEM
4. (B) )F "YES "GIVE THE NAME OFTHE:OTHER:`RETIREMENT'SYSTEM: '