</s>Released under the John Kennedy Assassination Records Collection Act of 1992 (44 USC 217/Note) Case:NW Date : 01/20/98 963) Date: 08/18/2005 Page : 1 JFK ASSASSINATION SYSTEM IDENTIFICATION FORM AGENCY INFORMATION AGENCY NUMBER : INSCOM/CSF AGENCY INSCON/CSFP AGENCY NAME : 194-1004-10139 RECORDS SERIES : DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS AGENCY FILE NUMBER: PAGE 372-373 DOCUMENT INFORMATION ORIGINATOR : USA FROM : USA TO : HASHAYASHA, MYRON K. TITLE : RESTRICTIONE CMD : USA INTELLIGENCE CMD DATE : 1/25/66 PAGES : 2 : FROMER, DAVID R. SUBJECTS : INDUCTION DOCUMent TYPE : PAPER, TEXTUAL DOCUMENT : CLASSIFICATION : UNCLASSIFIED : 3 RESTRICTIONS : UNCLASSIFIED : RELEASED WITH DELETONS CURRICATIONS : DATE OF LAST REVIEW : 03/07/95 : RELEASEED WITH DELETIONS OPENING CRITERIA : COMMENTS : : RECORD REGRADED UNCLASSIFIED ON 2 SEP 94. INCLOSURES NOT INCLUDED. NW 886313. Docci: 34528580. Page 1.

Summary  
This document is an "JFK Assassination System Identification Form" from INSCOM/CSF (Intelligence Support Activity), part of DOD-Affiliated Personnel Incident Investigations. It references a request dated 25 November 1966 for an investigation into David R. Fromer, with social security number [SSN REDACTED], born 21 July 1942 in Chicago, Illinois. The form outlines procedures for personnel security clearance checks under AR 604-10 and AR 605-4, including review of files at locations <loc_503>, <loc_556>, <loc_481>, and <loc_556>. It notes no record of favorable or unfavorable information in prior investigations. The form includes a signature from Dan H. Dietrich and references transfer to Headquarters per dated instructions.  

Key People  
- David R. Fromer (subject of investigation)  
- Dan H. Dietrich (signatory)  
- Myron K. Hashayasha (recipient of document)  

Key Locations  
- Hampton, Va 23668  
- Fort Holbeld, MD 21219  
- <loc_503>, <loc_556>, <loc_481> (file review locations)  

Key Events  
- Request for personnel security clearance investigation dated 25 November 1966  
- Review of files under AR 604-10 and AR 605-4  
- Transfer to Headquarters per dated instructions  
- Signature of Dan H. Dietrich on form  

Key Organizations  
- INSCOM/CSF (Intelligence Support Activity)  
- USA Intelligence Cmd  
- AFRES (implied via ACFOS reference)  
- DOD-Affiliated Personnel Incident Investigations

JFK Declassified Files

194-10004-10139.pdf

Document Summary

Try AI Search