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{{#Wiki_filter:* *l'I | {{#Wiki_filter:* *l'I | ||
* I -' ' | * I - | ||
* ' ' NAY l O1976 II I! | |||
I I | |||
l I | |||
II.i I | |||
mtJrrilzke. | !ft I | ||
ml' t, 1 | 11 | ||
* | ,,j it l | ||
*PA.USA USA Wffe | F; l | ||
,__ RT2,Bx97,.01ckerso , MO II E FRENCH Fath.-1 -Lav Noel Senequ1er-zet 65 Papeterie de la Go t | * Menial John Patton Longview. Washington | ||
* 1r>-fftf*AWV£S llwlnl,, ,t,p~r,11~0,~, | |||
* Chase. MD Sfctly USA | .,,.,,,.., l:'J.Ml'IMizlil, l><I"'* *~ Niiht.e *P.Ot.itt aM mo "'11,/tiut, IWbil or deDILdJoor<<d ot I.P')IJU | ||
'thlW./'RfOII.'* | =.If! m~t.\tf rtn, rotMra, ftaUr<<. "~fbrorMtt, 1/Jlp,lsl#rl, h4Jf_ bl'OUler., | ||
Ni>t Ref#~'vtt tJr Employer,, Whl> I.re. Wfll A.c,q~tai Wit,\ 'ri>tJ), . | 11\VIIIU f pnt,Jot,.1* mtJrrilzke. ml' t, C'i'4 oil<< Off" Y6U 1/Jan)' *o&*eqrttllt to Ulr ~ I I , of tl&fa !lUtSfkiWJll't. it 1111/I bl tu 1"""poua | ||
CB8.'t1flCA2'ION I Aou, ~.OU .o/tM obow qumton., lt1rtrti 1M lltf61'111r,t/qt,;fwt,l,Md " 071,!1111r ro* thu1.qli#llons II Nrrecl Md to/rlfl(M.to tA~ &!it of Ill.)' l<MJwlrdg1 (Ill(.( "'~ On4 *l Ptldtntontl lAal i'r fa of gttllf lmpOTVM~I | * fur,wlt,d, 0)¥ Form ;;t 0354.) | ||
'111 IM. e'>lll'"r(/.twA 6/ 111).' .t/glbl/l.ty to, lfflJriJy | ,.,. I l..: - :-~~ Na..1tahll | ||
~-ot ~,. o.uuiorkfl.llo11. | "'"'"' C6Q1IU)I o( * ~ e~- | ||
{ mtrl<* t/Jb ,tti<<ffWII to w V: s.,~, BMro Collllllls*li>il IOilA dlt un1UtWWllnl/ | I Father Mother Charles frank Bazata. | ||
111111 il ll'lll. o,. IU<<l 6Jt a,.,. COJM1ledo11111 fO,,Y~ o(I( ltA du{Y ro protttt 111,.,e~~ | Alma A1y1ettnger Bazata v 100 Dead 92 Pres. Home.Car11s1 *PA.USA USA USA USA f Wffe Marte p erre sencmuter ,__ 35 RT2,Bx97,.01ckerso , MO II E FRENCH Fath.-1 -Lav Noel Senequ1er- zet 65 Papeterie de la Go t Domenetzere, Fran e FRAN E FRENCH Mo .-in-Law Marte-Magde1efne Sap~ s.-c. Dead' . | ||
ofthl.albml#_,rurgyp~J,ct. | . 'Brother Charles Frank Baz~ v* 68 . M1aa1, Florida USA USA S1ster Beatrice Brown {)J.~ ~ 67 Dead USA USA Ex Wf.fe 5101 Rfver Rd. | ||
ofld.fllllh l<1101D~f th<U OJl1. (ol.,, *~V>l oro1t16slonofmourlol | Diana _Ch.trl~fson~ata . | ||
/od f110:Y o, 111(/t,eltfll C<1,u,t.(;;, r,Jeclk,n 0/ 1>>.)' .oppl/l:OWfl. | (b) (6) | ||
or' dlt'11fnol. | Penelope .Grant, Bazata *. | ||
o(ltr fftl/Jl.o.)'rMf/1; I~ t/,al, aAj, /a/41114ltmtnl littt!A 1110,, b, f'Ul'..blltd. | rf', * | ||
o, | ' Chevy *Chase. MD Sfctly USA Ex Wffe * | ||
'(41 | (Dates and laces for 111rrfages and divorces | ||
? London, England (fult~t- knovn) tsted.on reverse si e) | |||
Australt Brftfsh. | |||
i l&. REJ,'E~C~.(Nomt 'thlW./'RfOII.'* Ni>t Ref#~'vtt tJr Employer,, Whl> I.re. Wfll A.c,q~tai Wit,\ 'ri>tJ), . | |||
* | Reference list attached. | ||
., CB8.'t1flCA2'ION I Aou, ~.OU .o/tM obow qumton., lt1rtrti ~ 1M lltf61'111r,t/qt,;fwt,l,Md " 071,!1111r ro* thu1.qli#llons II Nrrecl Md to/rlfl(M.to tA~ &!it of Ill.)' l<MJwlrdg1 (Ill(.( " ' ~ On4 *l Ptldtntontl lAal i'r fa of gttllf lmpOTVM~I '111 IM. e'>lll'"r(/.twA 6/ 111).' .t/glbl/l.ty to, lfflJriJy ~ - ot ~,. | |||
* f: Divorced * * * '. | o.uuiorkfl.llo11. { mtrl<* t/Jb ,tti<<ffWII to w V: s.,~, BMro Collllllls*li>il IOilA dlt un1UtWWllnl/ 111111 il ll'lll. o,. IU<<l 6Jt a,.,. COJM1ledo11111 fO,,Y~ o(I( ltA du{Y ro protttt 111,.,e~~ ofthl.albml#_,rurgyp~J,ct. ofld.fllllh l<1101D~f th<U OJl1. (ol.,, *~V>l oro1t16slonofmourlol | ||
* 1fashtngton. | /od f110:Y o, 111(/t,eltfll C<1,u,t.(;;, r,Jeclk,n 0/ 1>>.)' .oppl/l:OWfl. or' dlt'11fnol. o(ltr fftl/Jl.o.)'rMf/1; I ~ t/,al, aAj, /a/41114ltmtnl littt!A 1110,, b, f'Ul'..blltd. | ||
D.c. 1945. 6t or 7 Married Penelope G. | o, a1,ton.y IPldtl' Sffl/o11 lo~!* 'l'ilU llJ, V, .$:- Cof- , _. , , , ,, . | ||
* Bazata-.London, England 1/5/48 .. . . Divorced | * , 'l'o ~s ~tLt.EDOU.'r ar*AotNCY 01u*11tM EM)'lOYINCI , , ,. | ||
* Kens1ngton, London,.England (Applted.1/15/52 and . . I * * , ;41vorc.e | I I ti ( I I | ||
#1740 was granted 2/,27/!2) Mlrrfed Marje P. Senequter-- | But1dtn~1M.aoagement | ||
Attbe$, f'rance 5/10/70 I | . . . S~1a16st It US rluclear Re lator.y C011111fstfo11 ADDRESS Washington, o. c. 20555 WU,l, PBRSON ffAVJ: ACX:ESS TO: I | ||
.....I 0 0 .i I I | |||
iiESflUCl'EDDA'l'A '(41 No I' | |||
* 11 X | |||
* L SECURITY' QUESflONN B. U yov, on,wer ro A It "YH'!, 414 yov, dwlt19 the petfo4 of ,..,c1' r,,,~1,,h~ | ~XCZ.l!SJON AlEA Yu O No 0 I | ||
or ouoclotlon, h1N* tho 1pecltlc lnl*nt to fyrth,, I, YCJES tt.e 01111 of *~h or9011borlon or q,ovp of p,r,011, to ov,,,htow or onrt11t" "th* GoveJDtMtlf of ,,.. U11lt*<I $tor* 1 or 'vl>)f $tot* or fl'IY p01itlcol 11/Wlvl1I011 thett~f l>y fore,, vlol111C*, or V11lowf11t aeon,t * . * .* 6, If )'9111 <J111wer toOuHt/0111 | ........... I I I 'l I FOPS4 Ii I | ||
,. o, 5o, .ohv* 1, ':¥**", 11010 l>elow, vMer "'"' No, 11, or OIi o 1oporote th!** ro h ottoc~d *o ond tt1o4o o port of thl, ~ttlonnolr*, the 110111n of oll ,111ch oroo11l1otlo11* | I | ||
4,,.1 dot .. of ,.,,1111>,11Mp, Gin cOMpl,M d,tolh of yOVt ~etlvlllu 1h .. 1l11*~"'°"' | |||
""''1 *111plot1otlon you d11lr1 t19<<dl110 | 1-Ll!AWJ)..>>ctoxo J.&~ ~ ~ ~ n1, $Wt: (l) ~ | ||
>'°"' t111ml>er1lilp or octlvltlu, ME ADDRESS l"ROM TO Of'f'IC "EL.O 7, *ORGANIZATION MeMSERSHIP (lnclll4* | * u4 .BMt... ~0111, l'f.Jlff,* (3) ltfflm~* ! | ||
oll pre .. 111 -.um~*rshlp oll po1t 111e111 era Ip 111ln9""t | Or4e.r ot ~tea (l."' ~ OXle ~ t Slcle (Oli~) to 'bf co,, ~ ..ltevtm ~<<* Mt0a ctci.) \' | ||
* lost 10 y1or1 In oll oroo11botlont (txcopt o or v11lo,ia olld relloloc,a oroo11l1otlon1) nol cove,1d b Qu .. 110111 5, ond 6, obove,) ' $. Hov* yo11 ever be*11 orr**t*d, ct.oro*4, Of lioW l>y Fe<l,rot. | 1 I. | ||
Sto1e, 0,1,,, low ,11force10er1t O',/lhQrltiH f<< 011y vlolatloa ol otay f*derol low, $tot, faw, c.0111117 or 11>unlclpol low, requlotlon, .Of ordllionce? | 115 It Marrfed Qfana. C,*Baza~- Newark, HJ 1942 or 1943<, * *. * 'IJ.L.*. *, .. * .. *! | ||
*oo i1otf11clvtfe Oll)'thl"9 thot hom111d l>1f9t9 yo11r l6tl, bhtt.40)', Oo 1101 lnclll4* traffic vSolotlone lot wlll~I, o fin, .of $30.00 Ins wo*. l111po,..t, All oth*r ~h0<9n 1a11a1 .t.* lnClll4ech;v.t1 If th.r WefO 4lt1111H04, I . I f I I tryov* anawlll' ls "Y**"* c:0111Plot1 all c<'l1tl** | * f: | ||
lfl ltt<&t, ~*low, | Divorced * * * '. | ||
A. OAT£ s. C.HAROIB. | * 1fashtngton. D.c. 1945. 6t or 7 Married Penelope G. | ||
* PU I w ~E sr AN N | * Bazata- .London, England 1/5/48..~ . . | ||
Divorced | |||
'YO APPC,ICANT UPON COMP&,ETiON OF ABOVE a Now rhot rhe for,r, 'JI tlt11td, ploc* It ht th* pro,oddreo*d "IVtlop* fe1rra;,h,<I, ilo" ocrou ,r.. envelope flc,p on the lltae provU,d, and offhc rhe .cfot* of 1lono111r1, O*nv,, thl.,*ol*d | * Kens1ngton, London,.England (Applted.1/15/52 and | ||
*11v1tope to yo11r t~lorer 'i1a111t,ll<1ttlr 1t1oll dlr,ct to th, oddren*** | .. I ** , ;41vorc.e #1740 was granted 2/,27/!2) ~ | ||
*, ' -=----------~------------------------------------..---F.bPS6:----------' | Mlrrfed Marje P. Senequter-- Attbe$, f'rance 5/10/70 I 4- , ... ** | ||
' I* | |||
PLEi\$l .. 'Before Mokl119 011y etltrlH Oft thlt 1lclt1 (I) ~.111ov* ~d rever,, co,bo,1 p~f, (2) Rev.r** l'h* o,der of copl** | ..,. ... .. '!*... ,; . I l,t..; . ... I *~ | ||
t j, I | |||
$PACC f"OA f>~IUIISJ.ilNC IN ,oAMATION IN ITCMS ,. TO 10, .(hldleo** | '. ,, *I l. ~ | ||
lttll\ fl\llllbtn ro ..... ,c .. Oftlwer* opply,) ITEM NO, /tJ IJ | -*, : J ,., . ,.,,,,* ~ | ||
. r I* 1. I I | |||
* ,e-i -:.t * .. ' | ' I | ||
.... J ..'. ,. | |||
& Harriet Wildman ((b) (6) ) Occupation* | ' ., .,, : .,.,,, I I ,')h t | ||
Wine Importer | "'t 'I 1"'"*. | ||
. *'],.!...., | |||
* Business phone in ~Wash., D. c. area-961-8637 . Is. | I I t1* | ||
.:.: f r*.., - . . ,, ' .. ,l r ,**.* | |||
,qJ,'. . '. I | |||
,., '~ | |||
If H | |||
-~ ~* t.J.\ ,.! | |||
.,. 4. | |||
I ,I I | |||
.:: \ | |||
' ., . ** J..l l. | |||
\ | |||
! . *r ... | |||
I | |||
*r | |||
* f .,;j t; .. ~ t, . . .. l, I* I | |||
. . . I .:. ,..'.... **, | |||
I | |||
** r | |||
*11,; .. .I..t**. | |||
I ;- | |||
I I , | |||
I , !., | |||
* 1 I. :~ .r ¥\ ~ i( ,;I ** '* | |||
*t**,. ,,, | |||
I* *I"' ' I I | |||
' *.l ** | |||
, ......4J I | |||
, ~TOMIC eNERGY COMMISSION | |||
, WASAINGTON, D,C, J0$4$ | |||
* L SECURITY' QUESflONN B. U yov, on,wer ro A It "YH'!, 414 yov, dwlt19 the petfo4 of ,..,c1' r,,,~1,,h~ or ouoclotlon, h1N* tho 1pecltlc lnl*nt to fyrth,, I, YCJES ~ | |||
tt.e 01111 of *~h or9011borlon or q,ovp of p,r,011, to ov,,,htow or onrt11t" "th* GoveJDtMtlf of ,,.. U11lt*<I $tor* 1 or 'vl>)f $tot* or fl'IY p01itlcol 11/Wlvl1I011 thett~f l>y fore,, vlol111C*, or V11lowf11t aeon,t * . * .* '. | |||
6, If )'9111 <J111wer toOuHt/0111 ,. o, 5o, .ohv* 1, ':¥**", 11010 l>elow, vMer "'"' No, 11, or OIi o 1oporote th!** ro h ottoc~d *o ond tt1o4o o port of thl, | |||
~ttlonnolr*, the 110111n of oll ,111ch oroo11l1otlo11* 4,,.1 dot.. of ,.,,1111>,11Mp, Gin cOMpl,M d,tolh of yOVt ~etlvlllu 1h..1l11*~"'°"' ""''1 | |||
*111plot1otlon you d11lr1 t19<<dl110 >'°"' t111ml>er1lilp or octlvltlu, ME ADDRESS l"ROM TO Of'f'IC "EL.O 7, *ORGANIZATION MeMSERSHIP (lnclll4* oll pre ..111 -.um~*rshlp oll po1t 111e111 era Ip 111ln9""t | |||
* lost 10 y1or1 In oll oroo11botlont (txcopt o or v11lo,ia olld relloloc,a oroo11l1otlon1) nol cove,1d b Qu.. 110111 5, ond 6, obove,) ' | |||
$. Hov* yo11 ever be*11 orr**t*d, ct.oro*4, Of lioW l>y Fe<l,rot. Sto1e, ~ 0,1,,, low ,11force10er1t O',/lhQrltiH f<< 011y vlolatloa ol otay YES~ | |||
f*derol low, $tot, faw, c.0111117 or 11>unlclpol low, requlotlon, .Of ordllionce? *oo i1otf11clvtfe Oll)'thl"9 thot hom111d l>1f9t9 yo11r l6tl, bhtt.40)', Oo 1101 lnclll4* traffic vSolotlone lot wlll~I, o fin, .of $30.00 ~ Ins wo*. l111po,..t, All oth*r ~h0<9n 1a11a1 .t.* | |||
lnClll4ech;v.t1 If th.r WefO 4lt1111H04, I . I f I I Cll'\' I tryov* anawlll' ls "Y**"* c:0111Plot1 all c<'l1tl** lfl ltt<&t, ~*low, 9, ARRE$T$ (Co~pleto A,B,C, ori4 0 for ,act. co11, IMle1d* oll otr11tr~ f1,,.,, oth,, th011'"'l110, lrof£1c vlolotloi,1 evtt1 If the chor;u w*ro dl1111fu1d,) | |||
A. OAT£ s. C.HAROIB. | |||
* PU I w ~E sr AN N D, ACTlON TAKEN | |||
~"~' " ' | |||
~~~- | |||
~;\~~~~. ,*, *~'" . -:t *' | |||
(OATC .ANO ~I.ACC WHUC $IGNlO) | |||
.1N$YAl,ICTION$ 'YO APPC,ICANT UPON COMP&,ETiON OF ABOVE a Now rhot rhe for,r, 'JI tlt11td, ploc* It ht th* pro,oddreo*d "IVtlop* fe1rra;,h,<I, ilo" ocrou ,r.. envelope flc,p on the lltae provU,d, and offhc rhe .cfot* of 1lono111r1, O*nv,, thl.,*ol*d *11v1tope to yo11r t~lorer 'i1a111t,ll<1ttlr ~ 1t1oll dlr,ct to th, oddren*** *, ' | |||
-=----------~------------------------------------..---F.bPS6:----------' | |||
(l,e, copy lro111 side PLEi\$l .. 'Before Mokl119 011y etltrlH Oft thlt 1lclt1 (I) ~.111ov* ~d rever,, co,bo,1 p~f, (2) Rev.r** l'h* o,der of copl** | |||
* Ofl* | |||
(oritlfiol) ro be copy or,e ,enrH *14* olso, etc,) | |||
11, AtlOITIOtjAI. $PACC f"OA f>~IUIISJ.ilNC IN ,oAMATION IN ITCMS ,. TO 10, .(hldleo** lttll\ fl\llllbtn ro ..... ,c.. Oftlwer* opply,) | |||
ITEM NO, | |||
/tJ IJ 6)SS -- | |||
. ~ | |||
OCh <;c t:Jr *.s-';-.RIJ.725 .c(/ c' II | |||
... ./5 | |||
/(/, :Sc12i/1 C5/' | |||
L/-7~ -cY/?A.J/tf! | |||
- t:}C/ | |||
/?yv -. | |||
/f'JL.3 -7?-~<<_ [ | |||
i (b) (6) | |||
*-y$,=e;r; t7/J/ #'~. ~J: | |||
II l?):;,4/,#/ /;1!"/ | |||
~ | |||
II! | |||
II K | |||
l I | |||
Ii i | |||
' :, __ .:i.,. ... | |||
*' -1, | |||
, . . FP0.87"' | |||
"I . * '"' | |||
---._ . _........ *-..**--*'. r' I | |||
} | |||
*,e-i -:.t * .. ' | |||
. . | |||
* Douglas Oel.Jitt Bazata. | |||
REFERENCE LIST j'-1. DavhLfegan(Ernerson (b) (6) ) | |||
,I (b) (6) | |||
,/ | |||
J,. Prof. Alan Haemer '((b)(6) ) | |||
V (b) (6) | |||
. v--<b)(6) | |||
* £. Frederick & Harriet Wildman ((b) (6) ) Occupation* Wine Importer | |||
,I, | |||
~4. Paul Cyr(Might work for FEA, Wash. D.C.) | |||
* Business phone in ~Wash., D. c. area- 961-8637 | |||
.I Is. . (b)Robert (6) | |||
VanRoUen ((b) (6) | |||
) | |||
~ 6. Col. William Pietsch ((b)(6) ) | |||
(b) (6) . | |||
. J'. Hon. wn liam E. Colby (b) (6) . | |||
("' / s. Col | |||
* Lu~i en E. | * Lu~i en E. | ||
* Cone! ein (:(b) (6) ) V' (b) (6) | * Cone! ein (:(b) (6) ) | ||
* | V' (b) (6) | ||
* Or. Bernard Knox ( (b) (6) | * t t- . Business. phone with DEA, WDC- 382-8825 r1' | ||
) | |||
* Glen Wolfe ((b) (6) '> | |||
* Chief of Propaganda and Protocal (b) (6) | . (b) (6) | ||
L. Frederick Schwartz (Plaza | |||
~IIJ, (b) (6) . | |||
~ | (b) (6) 1* Or. Bernard Knox ( (b) (6) | ||
J Director of.Hellenic Affairs (b) (6) | |||
) | |||
FbP.s.a* | |||
mo,c:A'tl?. , .. , *-~, '.: AL\ | ,. I | ||
* 0 | -~, Dougla~ DeWitt Bazata REFEIRENCE llST (Continued) * . ... | ||
, | : 12. Hon * .Phi111p Chadbourn | ||
: | * Chief of Propaganda and Protocal (b) (6) | ||
~e,i \ . . | ~ ~1a. Dr. Albert Rohan (Austrian citizen) 0 | ||
'(,P/ c/o Austrian State Department * | |||
/' Vienna, Austria * | |||
1:" 3 C:~\u~ | : 14. Edwinston Robbins and/or his wife (Phone #(b} (6) ) | ||
' . | (b}(6) | ||
.!., J"A'Ud AEC.l HM 1WO .PARn. ,.U,l,. SEC'l'IONS 0}' IJOT/t PARTS >!UST IIC COMPLET&D. | (Robbins also has a* residence somewhere in Pe~nsylvania- Phone. #Lawrence (b) (6) ) | ||
UN£ESS 80'/'JI l'/1.R'/'$ | ~i, 15. Baron Hans-Georg VonStudnitz | ||
. | ~,. (b)(6) | ||
Uort: Ofl¥ ~,;:r/£1 llt'f wwJr, /amlZ/;lr¥.~ | * Baroness Madelein VonMunm (b) (6) . | ||
~o'11r. ,,._ | ~ -or- | ||
{Int nodlttg t.hf t,utru.~,u an4 ~tfff/lcotlo11 o.c rt..d o/lM/orm. | . *(b) (6) | ||
'l'fPI: OR l>IUN'l' ALL /f.NSWER.$. | : 17. Jeoffrey Ha11owes (b) (6) | ||
o4d,'tJ.o,u,1. | ORGANIZATIONAL MEMBERSHIP (b) (6) | ||
,,-~~* o.nt/. /Jadkote d.e 11.tM 11cm11hn Jo 111hkla tlH ans111cr*' | T I | ||
FPDS9 | |||
4, Dt:l:ICltll"llON | |||
I -" a. :. I;. | |||
* *o. 1 Yter | :. ., . . . . . . . . .6t | ||
. | "'tit.. ,. ..,. :.:1IJI' '- 1*.. :............ | ||
* la Ap,propJl.aW BQJt; J,--ttu:stN:' | * *-:,,*11 | ||
RESJDS:tCJ:: | *~* ~....,........_. . ' ,.::;a.,.;* | ||
($t1ttf ond. Numfm. | II *"* .. | ||
l~O.l!T h',~L. I 7 :1. | 1 .-- ***.,, d, ~ , : .a , II *."', *'1**~ "' | ||
~"RS,(!,'v*- | 9 1 | ||
#.t ... 'ul U.:1 .... . -~. ALX. OJ{& nESll>ENCES | ,,r ""'*** : ~ ; | ||
.10.R 'l'AST 1, Y&\RS DATES t~ CITIZENSHIP; U.S.~ .Aile~ 0 2c~ 7 1', rl'J,t'-'11/ | IF A";.1£tl. mo,c:A'tl?. , .. , *-~, '.: AL\11 R8G)$'tllATSOM a;o. ,',,;* | ||
Sr. t'l/l~;'/,,/t" ~I 4/ --A.lfU,S.CAtl%Co.bdleato,11.tU-.tr. , : ~.A .2. .2.2. 0 *7 -{/-7 .l.. | * , , * * ,~,* I :.2*~'. 47/.; | ||
* 0 1,1 c/'l't5tpa;-:t:',e- ~/tdU/ | |||
/')~~t,* /. .. ')/-)& .. ,') | * . ~ISL: /JA/PtfG ~* | ||
* | ,, -C414S4;p.~V ~/JM' /3 p$GL6/!ve u!ut . | ||
t/.1':ti;-71,'/p'n | ~e 13;£~/Y<J . 'J:; | ||
% 4# B. | ~#A/C/< 6 | ||
Cc1\ltlcatlo!llN~ | |||
, * * ~\e"-"'i_~e\e :;,$VY- ' ~)! . "' , | |||
S.3/ 7 ;.:?~£~)" ~. ... . n." | tl * | ||
, | ~o . ~\e' ~e( : | ||
* s. u alle~ ladJc;,.ie: | e'!t~ ~~~~ ~e,i \ . . | ||
* ..,. | { - | ||
' | ~~ | ||
ifn.\o~ A~~J u<A~*1 h | |||
{~~?~t;i ~.r.Ja,~ J'o?i.\ t$'i>'O".,.i\~~ ~~ | |||
!A;:,tQVA$.~I;~iA*{* 1:" 3 C:~\u~ | |||
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,\'iOM 16 ENERGY CO.MMISSION Wa,hinston, D. C. 20545 PERSONNJ~L si,;CURITY QU~TlONNAIRE | |||
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* 1NSTRUCTIONS,-:.~OMP1.ST£ THIS FORM IN PRIVATE, ALf. SECTIONS MUST BE COMPLETED. FORJA WILt. NOT Be ACCEPTED* | |||
t/NLESS ~Mfitfi'tEL'f. 'Atll1 i>ROPERf.Y EXECUTED. T~ oniwet$ or stafc1M11,s on this for,,. ore p1lvilc9cd inlortr.otlor, between ro" cw! the Govcrnmenr, Tf Pe OR PRINT ALL ANSWERS. Write. "'None'' when cppllco61e, Enter ht lie,..,. J 1 Qfl'/ ot!rJltiol'IOI ln(ormoll,on, which 1110)' liCNe O hor/n9 on Y0!.11 sccu,Ur elecvonc1t, t( more $pOC:C Is teqvJred, c;olfocl. Otldirlonol sneets ond lt1dlcol1t ffiit I rem l)l,ll))Otrs to wPllc1t th. onswe,s or,ply* | |||
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Latest revision as of 18:10, 22 February 2020
ML19053A689 | |
Person / Time | |
---|---|
Issue date: | 02/15/2019 |
From: | NRC/OCIO |
To: | |
References | |
FOIA, NRC-2018-000725 | |
Download: ML19053A689 (12) | |
Text
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- Menial John Patton Longview. Washington
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11\VIIIU f pnt,Jot,.1* mtJrrilzke. ml' t, C'i'4 oil<< Off" Y6U 1/Jan)' *o&*eqrttllt to Ulr ~ I I , of tl&fa !lUtSfkiWJll't. it 1111/I bl tu 1"""poua
- fur,wlt,d, 0)¥ Form ;;t 0354.)
,.,. I l..: - :-~~ Na..1tahll
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I Father Mother Charles frank Bazata.
Alma A1y1ettnger Bazata v 100 Dead 92 Pres. Home.Car11s1 *PA.USA USA USA USA f Wffe Marte p erre sencmuter ,__ 35 RT2,Bx97,.01ckerso , MO II E FRENCH Fath.-1 -Lav Noel Senequ1er- zet 65 Papeterie de la Go t Domenetzere, Fran e FRAN E FRENCH Mo .-in-Law Marte-Magde1efne Sap~ s.-c. Dead' .
. 'Brother Charles Frank Baz~ v* 68 . M1aa1, Florida USA USA S1ster Beatrice Brown {)J.~ ~ 67 Dead USA USA Ex Wf.fe 5101 Rfver Rd.
Diana _Ch.trl~fson~ata .
(b) (6)
Penelope .Grant, Bazata *.
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' Chevy *Chase. MD Sfctly USA Ex Wffe *
(Dates and laces for 111rrfages and divorces
? London, England (fult~t- knovn) tsted.on reverse si e)
Australt Brftfsh.
i l&. REJ,'E~C~.(Nomt 'thlW./'RfOII.'* Ni>t Ref#~'vtt tJr Employer,, Whl> I.re. Wfll A.c,q~tai Wit,\ 'ri>tJ), .
Reference list attached.
., CB8.'t1flCA2'ION I Aou, ~.OU .o/tM obow qumton., lt1rtrti ~ 1M lltf61'111r,t/qt,;fwt,l,Md " 071,!1111r ro* thu1.qli#llons II Nrrecl Md to/rlfl(M.to tA~ &!it of Ill.)' l<MJwlrdg1 (Ill(.( " ' ~ On4 *l Ptldtntontl lAal i'r fa of gttllf lmpOTVM~I '111 IM. e'>lll'"r(/.twA 6/ 111).' .t/glbl/l.ty to, lfflJriJy ~ - ot ~,.
o.uuiorkfl.llo11. { mtrl<* t/Jb ,tti<<ffWII to w V: s.,~, BMro Collllllls*li>il IOilA dlt un1UtWWllnl/ 111111 il ll'lll. o,. IU<<l 6Jt a,.,. COJM1ledo11111 fO,,Y~ o(I( ltA du{Y ro protttt 111,.,e~~ ofthl.albml#_,rurgyp~J,ct. ofld.fllllh l<1101D~f thl oro1t16slonofmourlol
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. . . S~1a16st It US rluclear Re lator.y C011111fstfo11 ADDRESS Washington, o. c. 20555 WU,l, PBRSON ffAVJ: ACX:ESS TO: I
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- Bazata- .London, England 1/5/48..~ . .
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- Kens1ngton, London,.England (Applted.1/15/52 and
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, ~TOMIC eNERGY COMMISSION
, WASAINGTON, D,C, J0$4$
- L SECURITY' QUESflONN B. U yov, on,wer ro A It "YH'!, 414 yov, dwlt19 the petfo4 of ,..,c1' r,,,~1,,h~ or ouoclotlon, h1N* tho 1pecltlc lnl*nt to fyrth,, I, YCJES ~
tt.e 01111 of *~h or9011borlon or q,ovp of p,r,011, to ov,,,htow or onrt11t" "th* GoveJDtMtlf of ,,.. U11lt*)f $tot* or fl'IY p01itlcol 11/Wlvl1I011 thett~f l>y fore,, vlol111C*, or V11lowf11t aeon,t * . * .* '.
6, If )'9111 <J111wer toOuHt/0111 ,. o, 5o, .ohv* 1, ':¥**", 11010 l>elow, vMer "'"' No, 11, or OIi o 1oporote th!** ro h ottoc~d *o ond tt1o4o o port of thl,
~ttlonnolr*, the 110111n of oll ,111ch oroo11l1otlo11* 4,,.1 dot.. of ,.,,1111>,11Mp, Gin cOMpl,M d,tolh of yOVt ~etlvlllu 1h..1l11*~"'°"' ""1
- 111plot1otlon you d11lr1 t19<<dl110 >'°"' t111ml>er1lilp or octlvltlu, ME ADDRESS l"ROM TO Of'f'IC "EL.O 7, *ORGANIZATION MeMSERSHIP (lnclll4* oll pre ..111 -.um~*rshlp oll po1t 111e111 era Ip 111ln9""t
- lost 10 y1or1 In oll oroo11botlont (txcopt o or v11lo,ia olld relloloc,a oroo11l1otlon1) nol cove,1d b Qu.. 110111 5, ond 6, obove,) '
$. Hov* yo11 ever be*11 orr**t*d, ct.oro*4, Of lioW l>y Fe<l,rot. Sto1e, ~ 0,1,,, low ,11force10er1t O',/lhQrltiH f<< 011y vlolatloa ol otay YES~
f*derol low, $tot, faw, c.0111117 or 11>unlclpol low, requlotlon, .Of ordllionce? *oo i1otf11clvtfe Oll)'thl"9 thot hom111d l>1f9t9 yo11r l6tl, bhtt.40)', Oo 1101 lnclll4* traffic vSolotlone lot wlll~I, o fin, .of $30.00 ~ Ins wo*. l111po,..t, All oth*r ~h0<9n 1a11a1 .t.*
lnClll4ech;v.t1 If th.r WefO 4lt1111H04, I . I f I I Cll'\' I tryov* anawlll' ls "Y**"* c:0111Plot1 all c<'l1tl** lfl ltt<&t, ~*low, 9, ARRE$T$ (Co~pleto A,B,C, ori4 0 for ,act. co11, IMle1d* oll otr11tr~ f1,,.,, oth,, th011'"'l110, lrof£1c vlolotloi,1 evtt1 If the chor;u w*ro dl1111fu1d,)
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.1N$YAl,ICTION$ 'YO APPC,ICANT UPON COMP&,ETiON OF ABOVE a Now rhot rhe for,r, 'JI tlt11td, ploc* It ht th* pro,oddreo*d "IVtlop* fe1rra;,h,<I, ilo" ocrou ,r.. envelope flc,p on the lltae provU,d, and offhc rhe .cfot* of 1lono111r1, O*nv,, thl.,*ol*d *11v1tope to yo11r t~lorer 'i1a111t,ll<1ttlr ~ 1t1oll dlr,ct to th, oddren*** *, '
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(l,e, copy lro111 side PLEi\$l .. 'Before Mokl119 011y etltrlH Oft thlt 1lclt1 (I) ~.111ov* ~d rever,, co,bo,1 p~f, (2) Rev.r** l'h* o,der of copl**
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- Douglas Oel.Jitt Bazata.
REFERENCE LIST j'-1. DavhLfegan(Ernerson (b) (6) )
,I (b) (6)
,/
J,. Prof. Alan Haemer '((b)(6) )
V (b) (6)
. v--<b)(6)
- £. Frederick & Harriet Wildman ((b) (6) ) Occupation* Wine Importer
,I,
~4. Paul Cyr(Might work for FEA, Wash. D.C.)
- Business phone in ~Wash., D. c. area- 961-8637
.I Is. . (b)Robert (6)
VanRoUen ((b) (6)
)
~ 6. Col. William Pietsch ((b)(6) )
(b) (6) .
. J'. Hon. wn liam E. Colby (b) (6) .
("' / s. Col
- Lu~i en E.
- Cone! ein (:(b) (6) )
V' (b) (6)
- t t- . Business. phone with DEA, WDC- 382-8825 r1'
)
- Glen Wolfe ((b) (6) '>
. (b) (6)
L. Frederick Schwartz (Plaza
~IIJ, (b) (6) .
(b) (6) 1* Or. Bernard Knox ( (b) (6)
J Director of.Hellenic Affairs (b) (6)
)
FbP.s.a*
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-~, Dougla~ DeWitt Bazata REFEIRENCE llST (Continued) * . ...
- 12. Hon * .Phi111p Chadbourn
- Chief of Propaganda and Protocal (b) (6)
~ ~1a. Dr. Albert Rohan (Austrian citizen) 0
'(,P/ c/o Austrian State Department *
/' Vienna, Austria *
- 14. Edwinston Robbins and/or his wife (Phone #(b} (6) )
(b}(6)
(Robbins also has a* residence somewhere in Pe~nsylvania- Phone. #Lawrence (b) (6) )
~i, 15. Baron Hans-Georg VonStudnitz
~,. (b)(6)
- Baroness Madelein VonMunm (b) (6) .
~ -or-
. *(b) (6)
- 17. Jeoffrey Ha11owes (b) (6)
ORGANIZATIONAL MEMBERSHIP (b) (6)
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,\'iOM 16 ENERGY CO.MMISSION Wa,hinston, D. C. 20545 PERSONNJ~L si,;CURITY QU~TlONNAIRE
~ INSTK'vC'rl,.0."18 .!., J"A'Ud AEC.l HM 1WO .PARn. ,.U,l,. SEC'l'IONS 0}' IJOT/t PARTS >!UST IIC COMPLET&D. UN£ESS 80'/'JI l'/1.R'/'$
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- WASHINCtON, o.c. 20545 I '* 0 0*.!$,R F'ORM ).ppnove:o
- r~~:r~*M:?,.,.,, PERsoNHE1:. sEcuR1rv* ouEs110Ni**RE , *M*
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~- NAME (J-111,. f'na,, M14,ii.) ~ _, / . , . . . , . $0CfA\. Ste. NO, ' 11* tlAME OF .AGI: OR FIRM EMPLOnN~
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- 1NSTRUCTIONS,-:.~OMP1.ST£ THIS FORM IN PRIVATE, ALf. SECTIONS MUST BE COMPLETED. FORJA WILt. NOT Be ACCEPTED*
t/NLESS ~Mfitfi'tEL'f. 'Atll1 i>ROPERf.Y EXECUTED. T~ oniwet$ or stafc1M11,s on this for,,. ore p1lvilc9cd inlortr.otlor, between ro" cw! the Govcrnmenr, Tf Pe OR PRINT ALL ANSWERS. Write. "'None when cppllco61e, Enter ht lie,..,. J 1 Qfl'/ ot!rJltiol'IOI ln(ormoll,on, which 1110)' liCNe O hor/n9 on Y0!.11 sccu,Ur elecvonc1t, t( more $pOC:C Is teqvJred, c;olfocl. Otldirlonol sneets ond lt1dlcol1t ffiit I rem l)l,ll))Otrs to wPllc1t th. onswe,s or,ply*
., $A. Iv* Jou Mw, ~ wlt~H'JI th* lo,, 10 to tll* eo-u,.,,, Po,1y, U.$.A,, wi.1,t.,
v***'""t lttv* yow~,._, o Me,nl,o, of ony o,t90IH101;0,. or 9rout ~* t*1101t1 lr-crv,fft9 lvt "' llmlt~d 1h* p*rlff of YOYI' tlltMhrtl.lp ot ouoclotiOII you lc,-.w wos o4vo,otint ~ ftochlftf t!.ot tltt Cov**flm4nt of *"* U11ittd $toru, o, 011y $tot, o, Oft)" "litleol 111'l>olvhl0ft th.roof tltovld'" ovtrtlirowft o, ovtOllfllod iy lor,*, ¥lol*11~*, or Ol'I'/ y11lowful 1111011s? i 6,
- 8. If Y<>w 0111we, to A ** "Y**"* 411 yov, 411rl~ 11'* ,eilff of sue~ m*Mberalll~ or ostodoti~, llovo th sp*cWc f1ue11t to f111th*
th* 011111, c-1 uch ~90'tla011011 o0t 9rqvp of p,r10t1* to overtllrow o, ovtllurll th* Govtrftfll*nl of the U\ltod $101.. or Oft'/ $tot* o, ony oolltlcol 1~<11-.,1,1~ thereof \,y fore*, vl0Te11ct, c,, ynlowful Mt<Hls?
If yow 011,w,r ,o Qu.,,rlor,1 4, or $4_. *v* I* "Y**", ,101* ~,low, Ylldet II** No. n, °" '°" o np11rote shnt 10'"0 ouo~t,.,d 10 o"i 1110'!* o port of t1ua I
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f'IOMU of olt svc\ or110l'l1otl0111 ~ dotu ,of 1111t111N11hlp. Gin c01111ltto 4ttolh of )IOI/I o~rMtln th***i" 0"' Nk* or,y
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A, OAU ~. CHARGE c;. ~}t~!!tO~~~~~ 0, ACY&ONYAK[N
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