STATEMENT OF PRIOR FEDERAL AND MILITARY SERVICE - CARANCI, JOHN C.
Document Type:
Keywords:
Collection:
Document Number (FOIA) /ESDN (CREST):
0001496510
Release Decision:
RIPPUB
Original Classification:
U
Document Page Count:
2
Document Creation Date:
June 22, 2015
Document Release Date:
December 31, 2008
Sequence Number:
Case Number:
F-2007-00327
Publication Date:
April 9, 1956
File:
Attachment | Size |
---|---|
DOC_0001496510.pdf | 103.65 KB |
Body:
STANDARD FORM 144
JANUARY 1952
FPM CHAPTERS LI AND AND R R3
?'s. CIVIL SERVICE COMMISSION STATEMENT OF PRIOR FEDERAL AND MILITARY SERVICE [b~[s~
IMPORTANT: The information on this form will be used in determining creditable service for leave purposes and retention credits
for reduction in force. The employee should complete Part I and the Personnel Office. should complete Parts II
through IV.
PART I.-EMPLOYEE'S STATEMENT
PART IL-THIS COLUMN IS
FOR PERSONNEL OFFICE USE
1. NAME (Last, first, middle initial)
2. DATE OF BIRTH
9. RETENTION GROUP
Q
r
VC 1Y C J/
`~
I
l
10. CSC STATUS (For permanent
em
loyees only)
p
3. LIST THE FOLLOWING INFORMATION CONCERNING ALL FEDERAL AND DISTRICT OF COLUMBIA SERVICE YOU HAVE HAD
PRIOR TO YOUR PRESENT APPOINTMENTS (Do not include military service.)
YES NO
FROM-
TO-
TYPE OF
APPOINTMENT
11. SERVICE
NAME AND LOCATION OF AGENCY
YEAR
MONTH
DAY
YEAR
MONTH
DAY
IF KNOWN
YEAR
MONTH
DAY
APPROVED FOR RELEASE^DATE.
12-Nov-2008
4. LIST PERIODS OF SERVICE IN ANY BRANCH OF THE ARMED FORCES OF THE UNITED STATES. IF YOU HAD NO MILITARY
SERVICE. WRITE "NONE."
FROM-
TO-
-
DISCHARGE
BRANCH
(H
on. or dishon.?)
YEAR
.MONTH.
DAY
YEAR
-. MONTH.
1 DAY
Ncdleel Corps
9
7'
An
I?"
/~ ~
3
v
5. DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM 3, DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSENCE
12. TOTAL SERVICE
WITHOUT PAY. INCLUDING PERIODS OF MERCHANT MARINE SERVICE, DURING ANY ONE CALENDAR YEAR? YES NO
IF ANSWER IS "YES," LIST FOLLOWING INFORMATION.
13. NONCREDITABLE SERVICE
TYPE IF KNOWN
FROM-
TO-
TOTAL
(Leave purposes only).
(LWOP, Furl, Susp, AWOL, Mer Mar)
YEAR
MONTH
DAY
YEAR
MONTH
DAY
YEARS
MONTHS
DAYS
14. NONCREDITABLE SERVICE
(RIF purposes only):
6. DURING THE FEDERAL SERVICE LISTED IN ITEM 3, DID YOU ACQUIRE A PERMANENT COMPETITIVE CIVIL SERVICE STATUS?
7 YES ONO
15. REEMPLOYMENT RIGHTS
(If answer is "Yes," in what agency were you employed at the time status was acquired?)
YES D NO
16. RETENTION RIGHTS
7. ARE YOU:
0 YES 0 NO
A. THE WIFE OF A DISABLED VETERAN? YES H NO
17. EXPIRATION DATE OF RETEN-
B. THE MOTHER OF A DECEASED OR DISABLED VETERAN? YES D NO
TION RIGHTS
C. THE UNREMARRIED WIDOW OF A VETERAN? LJ YES 2 NO
8, TO BE EXECUTED BEFORE A NOTARY PUBLIC OR OTHER PERSONS AUTHORIZED TO ADMINISTER OATHS.
I swear (or affirm) that the above statements are true to the best of my knowledge and belief.
~
(DATE) 1 r (SIGNATURE)
I
S/
~UC
_/
_
Subscribed and sworn to before me on this day of
__ 19516at
(AIONfg) (CITY) (STATE)
S E A L
NOTE: If oath is taken before a Notary Public, the date of expiration of his Commission should be shown.
PART I11.-DETERMINING CREDITABLE SERVICE
AND SERVICE COMPUTATION DATE FOR
LEAVE PURPOSES
N
..........................
LESS CREDITABLE SERVICE (Leave purposes) ...............................................
S,3
/
PART IV.-DETERMINING CREDITABLE SERVICE
AND SERVICE COMPUTATION DATE FOR
REDUCTION IN FORCE PURPOSES
(To be completed only in those cases when the amount of creditable service for reduction
in force purposes differs from the amount creditable for leave purposes)
TOTAL SERVICE (Item 12) .............................................................................................................
NONCREDITABLE SERVICE (Item 14) ...............................................................................................
CREDITABLE SERVICE (RIF purposes) ......................................................................................
LESS CREDITABLE SERVICE (RlFpurposes) .....................................................................................
SERVICE COMPUTATION DATE (RIP purposes)........... ..................
(Enter as the "service computation date" on the employee's "Service Record Card," SF-7)