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STANDARD FORM 57 A./LICATION FOR FEDERAL EMPLOYME... U S CIVILSERVICE COMMISSION 1 Kind of pouton appled fot or name of examinauion. DO NOT WRITE iN THIS BLOCK Consultant,Presidents Commission. For Use of on Security. Civit Service Commission Only 2 Optons sf metioned s cxamsnatson announcement) Matera! Entered Regnster. ON Appor Submited 3. Place of employment applsed for (csty and Staie) Nonappor Recurned D. Milton Ladd Notations: App Review (Frst name) (Maddle) Mr (Madent any) () Mass Approved 5.Street and number or R D number Farnd Optton Grade Pereer 6 Place of burth City Fargo. ANNOUNCEMENT Narth.Dakota. Point State or foreiga country Date af burth (montb, dayJear) DwaI Male Oot. 30,1903 Female 9Height wathout shoes 8* 10 Marred -inches Weight pounds Singie 12 Legal or voting resdence (State) 13 Florida. Office phone Dates of service bat grade From May 1949 T.Nar...t...h.n..etired.. 14 AVAILABILITY INFORMATION Indicate the lowest salary you wll accept $ B If you are now a Federal employee, ndrcate the lowest grade you will accept C Will you accept appountment for I to 3 monzhs? 3 to 6 months 6 to 12 months? Acceplance or refusal of a short-term apposntment wall not afect your consderation for anotber apposntment D Are you willng to travel XOccasionaily? Frequently? Constantly? E Will you accept appointment XIn Washington, D C Anywhere in Unuted States Outside U S > 15VETERAN PREFERENCE If you claim 5-point preferepce Based on wartime mulstary service,ndicace Dates) of eutry nto actrve service Dates of separation Seral number If none give grade or rating at scparation B Do you claim s pount preference as a peaceume campaign veteran? $x No C Do you claim 10 point preference? No bteu b-port thecoff It will be Name of U S CrviI Service Commission office or name af Board of U s | Address of Commission offce or Board of Examzners Cury State THIS SPACE FOR USE OF APPOINTING OFFICER ONLY ..The. anformation contaned in answer to question 15A has been vertfied with the discharge ENCLOSURE Signature I7- T0H4y - Continued on next page 16~-63040-3