FormOath of Office (WD AGO Form 71) - 2d Lt John Emil List, Fort Eustis29 July 1949page 1 of 2
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Part 45, page 30

DB Cooper-4653

Document date 29 July 1949

Open in FBI Vault (Part 45, page 30 of the PDF)

FBI 164-81, Vault Part 45 p. 30 (DB Cooper-4653), Form, dated 29 Jul 1949 — cooper.theunsolved.net/parts/Cooper-Part-45/pages/30

Transcript

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

OATH OF OFFICE MILITARY PERSONNEL

Use W. D., A. G. O. Forms Nos. 0337-NG and 0337-NG-1 for oath of office of commissioned and war- rant officers, National Guard of the United States; oath of enlistment on W. D., A. G. O. Form No. 22 (Enlist- ment Record) for enlisted men; and oath prescribed for cadets United States Military Academy (Engagement

for Service and Oath of Allegiance, United States Mili- tary Academy). Use W. D., A. G. O. Form No. 721 for enlisted women of the W. A. C. For civilian personnel use Standard Form No. 61 approved by Civil Service Commission, Cir. No. 409.

(Indicate type of commission or appointment by placing X in proper block)

OFFICER, REGULAR ARMY | FLIGHT OFFICER OFFICER, ARMY OF THE U. S. | NURSE, REGULAR OFFICERS RESERVE CORPS [X] | NURSE, ARMY OF THE U. S. OFFICER, W. A. C. | DIETITIAN, ARMY OF THE U. S. WARRANT OFFICER | PHYSICAL THERAPIST, ARMY OF THE U. S.

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I, John Emil List (First name) (Middle name) (Last name)

0978253 (Serial number)

having been appointed a Second Lieutenant, Army of the United States, do solemnly swear (or affirm) that I will support and defend the Constitution of the United States against all enemies, foreign or domestic, that I will bear true faith and allegiance to the same; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties of the office upon which I am about to enter; SO HELP ME GOD.

[Signature: illegible cursive] (Signature)

[illegible] 2nd Lt (Grade and organization or arm or service)

Sworn to and subscribed before me, at Fort Eustis, Virginia

this 29th day of July, 1949. [signature] JOHN G. NOTES Lt. Col. TC Adjutant (Signature, with grade, organization, and office, of official administering oath)

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(Note.--Do not fill in the remainder of this form unless you were ordered to report for active duty on the same da[y] [of] your oath of [office] office was administered.)

REPORT OF ENTRY ON ACTIVE DUTY (Not to be submitted on this form if oath of office space is blank). TO: THE ADJUTANT GENERAL, Washington 25, D. C.

Authority: Par. __________, S. O. __________, Hq., __________

The officer named in the above oath of office entered upon active d[uty] __________ or d__________ (date actually entered upon active duty)

IMPORTANT

Memorandum for officer.--If ordered to active duty at your first station on the same day that your oath of office was administered, present this form to the adju- tant or other officer to whom you report. If you were a warrant officer, or enlisted man of the Regular Army,

discharged to accept commission, please attach separate statement showing permanent nonmilitary home address (this is desired to protect your [military] and other rights upon relief from active duty).

Pers. Int. Br.

Memorandum for commanding officer.--If the officer was ordered to active duty by other than War Depart- ment order, attach a copy or extract copy of the order.

Noted __________ (Date) Date [illegible]

(Signature of adjut[ant] [illegible] commander [illegible] Br.

For adjutant or organization commander.--Execute this form and mail it to The Adjutant General (Appoint- ment and Induction Branch), Washington 25, D. C., on

the day the officer reports for duty. It is essential that this information reach the War Department as soon as possible.

WD AGO FORM 71 1 MAY 1945 Previous editions of this form are obsolete.

(See instructions for filling out Oath of Office on back of form)

NOTED RESERVE BRANCH

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SPECIAL HANDLING REQUIRED Records of National Personnel Records Center, St. Louis, Missouri Material copied from records reference only. Do not record as Personnel used for reference in its original outside.

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DB Cooper-4653