Part 45, page 34

Transcript

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

ARMY RESERVE QUALIFICATION AND AVAILABILITY QUESTIONNAIRE (SR 140-25-1) (Read Instructions on Reverse Side Before Completing Form)

1. NAME, GRADE, SERVICE NO., AND MAILING ADDRESS (Number, Street, City, and State) 603 [guess: Pcrt] 5/19/55 :::1ST LT JOHN E LIST O 6978253 TC USAR

2. UNIT TO WHICH ASSIGNED MICH. CONTROL GROUP b6 per NPRC b7C

3. MARITAL AND DEPENDENCY STATUS a. [X] MARRIED [ ] SINGLE b. 3 DEPENDENTS

RELATIONSHIP AGE WIFE 30 DAUGHTER 13 DAUGHTER 2MOS

4. CIVILIAN EDUCATION (Circle highest grade completed) ELEMENTARY 1 2 3 4 5 6 7 (8) HIGH SCHOOL 9 10 11 (12) COLLEGE 13 14 15 (16) GRADUATE (17) 18 19 20

TYPE OF SCHOOL | DATES ATTENDED FROM (Mo. and Yr.) | TO (Mo. and Yr.) | DEGREES | MAJOR SUBJECT COLLEGE | SEPT. 46 | JAN 50 | BBA | ACCOUNTING POST GRADUATE | JAN 50 | AUG 50 | MBA | FINANCE COMMERCIAL OR TRADE SCHOOL | | | |

5. CIVILIAN OCCUPATION a. TITLE OF PRESENT JOB: AUDITOR b. TOTAL MONTHS IN PRESENT JOB: 35MOS. c. PRINCIPAL DUTIES: WORK ON AND SUPERVISE JUNIOR AUDITORS (1-4) IN C.P.A. FIRM.

6. PRINCIPAL HOBBY: [blank]

7. FOREIGN LANGUAGES LANGUAGE: GERMAN DEGREE OF ABILITY: [obscured by stamp]

8. COUNTRIES OF FOREIGN RESIDENCE: [blank]

9. MOBILIZATION AVAILABILITY a. INDICATE NUMBER OF DAYS NEEDED PRIOR TO REPORTING FOR ACTIVE DUTY UPON DECLARATION OF NATIONAL EMERGENCY OR DECLARATION OF WAR 60 DAYS b. BRIEFLY INDICATE REASONS FOR NONAVAILABILITY FOR PERIODS IN EXCESS OF 30 DAYS BUSINESS AND PERSONAL REQUIREMENTS

10. REMARKS [guess: dtd] 9 May 55 DATE OF BIRTH: [redacted] DATE OF LAST PHYSICAL: APRIL, 1952 MONTHS OVERSEAS SERVICE: 12 MOS. OLD MOS 6301 NEW MOS [guess: 0101] MAC A1 MAC [illegible] b6 per NPRC b7C

11. I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, I HAVE NO PHYSICAL DEFECTS OR CONDITIONS, EXCEPT AS NOTED UNDER REMARKS ABOVE, WHICH WOULD PREVENT MY PERFORMANCE OF FULL MILITARY SERVICE. DATE: MAR. 14, 55 SIGNATURE: John E. List

DA FORM 1140, MAY 54 REPLACES DA FORMS 353, 1 DEC 50, AND 632, 1 JAN 51, WHICH ARE OBSOLETE.

DB Cooper-4657

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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 the Bureau[illegible]