Part 45, page 13
Document date 23 July 1952
FBI 164-81, Vault Part 45 p. 13 (DB Cooper-4636), Form, dated 23 Jul 1952 — cooper.theunsolved.net/parts/Cooper-Part-45/pages/13
Transcript
The scan is the source; the transcript is machine-generated from it.
RESERVE OFFICER'S QUALIFICATION AND AVAILABILITY QUESTIONNAIRE (SR 140-135-2) SECTION I
IMPORTANT.--It is essential that all items in Section I be completed each time this form is submitted.
1. LAST NAME--FIRST NAME--MIDDLE NAME List , John Emil
2. SEX: MALE
3. SERVICE NO. 0973253
4. GRADE /s2 Lt
5. TEMPORARY MAILING ADDRESS FOR ORC PUR- [blank]
6. PERMANENT HOME ADDRESS (Number, street, city, county, and State) [blank]
7. WAS ADDRESS ON THIS COMMUNICATION CORRECT? [X] YES [ ] NO
8. RESERVE SUBDIVISION (Check one) ACTIVE RESERVE [X] ORGANIZED VOLUNTEER [ ] INACTIVE RESERVE
9. IF IN THE INACTIVE RESERVE, DO YOU DESIRE TRANSFER TO ACTIVE RESERVE, IF ELIGIBLE? [ ] YES [ ] NO
10. ORGANIZATION TO WHICH ASSIGNED ORGANIZATION: 5106 Control Gp (Reinf) Mich MILITARY DISTRICT: Mich ARMY: 5
11. PHYSICAL STATUS--IN YOUR OPINION ARE YOU NOW (Check one) [ ] FIT FOR LIMITED SERVICE [X] FIT FOR GENERAL SERVICE [ ] PHYSICALLY UNFIT
12. DATE OF LAST ARMY PHYSICAL EXAM MONTH: Apr YEAR: 52
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IMPORTANT. [ ] If this is the first time you have filled out this form, enter a check mark in this square and complete all items in Section II.
[X] If form is being submitted as a change questionnaire, enter a check mark in this square and complete only those items numbered 13 through 36 in which a change has occurred since last report. If no change has occurred, enter words "No change" under item 36.
SECTION II
13. DATE OF BIRTH DAY MONTH YEAR [blank]
14. MARITAL STATUS Married
15. RACE [blank]
16. RELIGIOUS PREFERENCE Protestant
17. DATE OF MOST RECENT APPOINTMENT IN ORC DAY MONTH YEAR [illegible]
18. SECTION (Branch) [blank]
19. NUMBER OF DEPENDENTS (Specify child, wife, mother, father, or other and show ages of children and [illegible]. See Instructions, item 19.)
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CIVILIAN EDUCATION
LEVEL | NAME AND LOCATION OF SCHOOL | MAJOR SUBJECTS | NUMBER OF YEARS COMPLETED | GRADUATE YES/NO | DEGREE | DATE ELEMENTARY | | | | | | HIGH SCHOOL | | | | | | COLLEGE | Univ. of Michigan, Ann Arbor, Mich. | Accounting Finance | 4 | x | BBA | June 50 POST GRADUATE | Univ. of Michigan, Ann Arbor, Mich. | Accounting Finance | 1 | x | MBA | Aug 50 OTHER | | | | | |
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21. PRESENT CIVILIAN EMPLOYMENT (If member of Regular Army, Navy, or Air Force, see Instructions, item 21)
PLACE (City and State): Detroit, Mich. FROM: Sep-Nov 50 to June 52 on
NAME AND ADDRESS OF EMPLOYER: Ernst & Ernst ; 2000 Buhl Bldg Detroit, Mich.
KIND OF BUSINESS: Public Accountants
OCCUPATIONAL SPECIALTY: Junior Accountant
TITLE OF POSITION: Junior Accountant
NAME AND TITLE OF IMMEDIATE SUPERVISOR: Senior
NUMBER AND KIND OF EMPLOYEES SUPERVISED BY YOU: Varies- 0 to 3
PRINCIPAL DUTIES (Attach additional page if required): Usual work of a Junior Accountant
22. OTHER CIVILIAN OCCUPATIONAL SPECIALTY (See Instructions, item 22)
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CAUTION SPECIAL HANDLING This material copied from records of Louis, Mi[ssouri] [illegible] Records Center, St. Louis to be used for reference only or disseminate in its original form outside the Bureau.
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b6 per NPRC b7c [various handwritten codes and numbers along right margin, partially illegible]
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DB Cooper-4636
60-16-06029-1