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AUG-31-1994 . 14:42 FROM @ UNIT TO @ WMFO P.13 . 4 b p 1, 28 YOUR ASSOCIATION RECORD og a. In the last 15 years, have you been an officer or a member or made a contribution to an organization dedicated to the violent overthrow of the United States Government and which engages in illegal activities to that end, knowing that the organization engages in such activities with the specific intent to further such activities? b. In the last 15 years, have you knowingly engaged in any acts or activities designed to overthrow the United States Government by force? Hf you answered "Yes" to a or b, explain in the space below: Continuation Space Use the continuation sheat(s) (SF 864) for additional answers to questions 9, 10, and 11. Use the space below to continue answers to all other questions and any information you would like to add. tf more space is needed than what is provided below, use a Slank sheet(s) of paper. Start each sheet with your name and Social Security Number, Before each answer, identify the number of the question. No.15. 5/93 to 5/93 Gone 4 Ftnace (FRIH® ) CIA 12791 to 12797 = ~ -_ ” Mexico (Caemo% Pind en tliar 29990979 Gs Meoensbtuct eatlier tile | After completing Parts 1 and 2 of this form and any attachments, you should review your answers to all questions to make sure the form is complete and accurate, and then sign and date the following certification and sign and date the release on page 10. Hf you attach an SF 171, Application for Federal Employment, make sure that it is updated and that any information added to the SF 171 is initialed and dated. Certification That My Answers Are True read each question asked of me and understood each question. My statements on this form, and any attachments to this form, are true, complete, and correct to the best of my knowledge and belief and are made in good faith. | understand that a knowing and willful false statement on this fort can be punished by fine ¢ or imprisonment or r both. Enter your Sociale Sécurity Number before going to the next page AUG 31 °94 1g:21 e@2 324 1373 PAGE.@13