Part 114, page 29

Transcript

The scan is the source; the transcript is machine-generated from it.

PERSONAL HISTORY STATEMENT

Read the certificate at the end of this questionnaire before filling in your answers. Print or type all answers. All questions and statements must be completed. If proper answer is "No" or "None," so state. Detail is requested for your protection since in subsequent investigations which may be conducted, derogatory information on persons of same or similar names may be disclosed and background information is needed for clear identification. Fill out, sign, and execute in duplicate and return both copies to requesting agency. If more space is required, use space "Remarks" or attach separate sheet.

DATE: 7/11/52 PLACE: [illegible]

1. LAST NAME-FIRST NAME-MIDDLE NAME: Miles Schuyler William Jr. 2. NICKNAMES, ALIASES, OR CHANGES OF NAME: Bill Sky 3. PRESENT RANK (or rank prior to separation or relief from active duty): Captain 4. ARM OR SERVICE: C.M.P. 5. SERIAL NO.: 0 - 493718 6. DRAFT BOARD NO.: NONE 7. DRAFT BOARD ADDRESS: NONE 8. PRESENT MILITARY ASSIGNMENT (Organization, post, camp, or station location) OR PRESENT EMPLOYING AGENCY: CmP. Det. 1if 3420 A.S.U. Ft. Bragg N.C. 9. LAST CIVILIAN ADDRESS BEFORE ENTERING THE ARMED FORCES (Street and number, city, county, and State): 142 Covina Ave. Long Beach L.A.CO. Calif. 10. PRESENT RESIDENCE ADDRESS (Street and number, city, and State): Qrts. TH-328-B Ft.Bragg N.C. 11. RACE: White 12. HEIGHT: 5 FT. 10½ IN. 13. WEIGHT: 140 LB. 14. COLOR OF EYES: Brown 15. COLOR OF HAIR: Brown 16. COMPLEXION: Ruddy 17. CITIZENSHIP (Name country): U.S.A. 18. HOW OBTAINED: X BIRTH [ ] NATURALIZATION [ ] THROUGH PARENTS' NATURALIZATION 19. IF NATURALIZED, GIVE NATURALIZATION CERTIFICATE NO.: NONE 20. PLACE NATURALIZED AND COURT OF JURISDICTION: NONE 21. DATE NATURALIZED: NONE 22. DATE AND PORT OF ENTRY TO U.S. IF BORN OUTSIDE OF U.S. AND ITS TERRITORIES: NONE 23. DATE OF BIRTH: 30 Jan. 1923 24. PLACE OF BIRTH (City, county, State, and country): WAshington Wash.CO. Penna. U.S.A. 25. DO YOU HAVE A BIRTH CERTIFICATE? X YES [ ] NO 26. IS IT RECORDED? X YES [ ] NO 27. WHERE RECORDED? Harrisburg Penna. 28. SCARS OR DISTINGUISHING MARKS: NONE

29. EDUCATION (List Grammar Schools, High Schools, and Colleges) SCHOOL ATTENDED | LOCATION | TYPE | DATES OF ATTENDANCE | GRADUATED OR DEGREE CONFERRED Washington High School | Washington Penna. | Grammar | 1938 - 1939 | Grad. Greenbrier Military Sch. | Lewisburg W.Va. | High Sch. | 1939 - 1941 | Greenbrier Military Sch. | Lewisburg W.Va. | High & Col. | 1941 - 1942 | Grad.HighSch.

30. SPECIAL EDUCATIONAL HONORS, SCHOLARSHIPS, ETC., ATTAINED: NONE

CAUTION: SPECIAL HANDLING REQUIRED This material copied from records of National Personnel Records Center, St. Louis, Missouri, to be used for reference only. Do not recopy or disseminate in its original form outside

31. MEMBERSHIP IN SCHOOL SOCIETIES, FRATERNITIES, OR CLUBS (List all): NONE

32. LIST ALL ORGANIZATIONS, SOCIETIES, CLUBS, AND ASSOCIATIONS, PAST OR PRESENT, IN WHICH YOU HAVE HELD MEMBERSHIP [partially illegible] American Legion Washington [illegible] [remainder obscured by artifacts]

---

DB Cooper-10651