REQUEST FOR SECURITY APPROVAL OF LIAISON ONE-TIME BASIS CIA EMPLOYEES (Sanitized)

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B04770A002900030004-5
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 28, 2016
• Document Release Date: August 26, 2005
• Sequence Number: 4
• Publication Date: October 25, 1965
• Content Type: FORM

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Approved Fe lease 2005/11/21: CIA-RDP78BO4 002900030004-5
Declass Review by NGA.
REQUEST FOR APPROVAL OF LIAISON
CLASSIFY WHEN FILLED IN
DATE
(Submit in duplicate - one will be returned to requester)
TO Chief, PSD/OS
SUBJECT: Request for Security Approval of Liaison Q--- -'-~`
on a continuing basis one-time basis
'
Seciir7,?:sj
r Offic, * c
CIA EMPLOYEES
NON-CIA EMPLOYEES
NAME
OFFICE NAME RANK
P&DS/NPIC
NAME EXT.
OFFICE ITITLE
Vice Pgesiden:L
NAME EXT. OFFICE
NAME EXT. OFFICE
NAME EXT. OFFICE
BRIEF DESCRIPTION OF LIAISON, COMMENTS, KNOWN BIOGRAPHICAL AND CLEARANCE INFORMATION
Liaison in areas to systems planning; Vice
President of , responsible for corporate
development an mar a ing; is a service
company specializing in on-site operation and analysis of data systems
operations; graduate of University of New Mexico; over 12 years experi-
ence in virtually all types of data collection, data reduction and com-
puter operations.
Currentl holds SECRET r 1958 by WCMR.
U.S. Citizen.
CLASSIFICATION OF MATTER TO BE DISCUSSED
TOP SECRET SECRET
OFFICE/DIVISION/STAFF
ROOM/BL /EXT
~
t_u
OFFICE OF
PER TELECON. Security approval is granted for contact at the
SECRET ET AD HOC security classification level indicated. This approval
GRANTED 10 08/65 does not waive any other authorization requirements
contained in Agency Regulations regarding dissemination
C/P RS
of intelligence and intelligence information.
or ACIPSD.
Authorization for liaison contact expires one year
from date. Are;,- change in employment status of individ-
ual named invalidates this approval.
FOR THE DIRECTOR OF SECURITY:
A P P R O V E D: 10/28/65
DATE CHIEF, PERSONNEL SECURITY DIVISION
FORM OBSOLETE PREVIOUS
3-63 123 EDITIONS.
CLASSIFY WHEN FILLED IN
C-
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Approved For Release 2005/11/21: CIA-R M~4~`TdA-OD290Q030Q04=5--