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Abner J Mikva — Part 1
Page 4
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‘
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THE WHITE. HOUSE
WASHINGTON.
tre
1
| MEMORANDUM ‘FOR ‘PROSPECTIVE APPOINTEES ©
7
FROM: ; - . ‘OFFICE OF. COUNSEL TO THE ‘PRESIDENT ran
Pa
This ‘memorandum. confirms. in writing your express consent for ‘the.
-Federal Bureau of Investigation» to investigate your background or
: _conduct. appropriate file reviews: in connection with the =
consideration of. your application: for. employment. -
The FBI investigation will include the collection and’ use. of
relevant. information. concerning. your . personal history,: and. ait is.
= necessary that you authorize the disclosure of.such information
“. toe the FBI. Information may be disseminated outside the FBI when.
"Necessary to fulfill obligations” imposed by law.
. af .
By. ‘volunteering information concerning activities protected | by
_..the First. Amendment, it will be assumed that you. are expressly. .
* authorizing the maintenance. of. this. information. in. the. records” of
“any Federal. agency. . a
| Name (please print. or type)
r
‘
‘Signature :
oo
“If you consent. to such inquiries, | ‘please sigh your. name below and ae
return this. original. memorandum of consent ‘to. ‘this. office.
Meee
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