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[[preprinted Form]]

I certify that the information listed or checked above
correctly shows the qualification of the applicant as indicated by his DA AGO Form 66 and field personnel record.

[[Nothing was checked above this section]]

Date ^[[6 Mar 57]]

Typed Name and Grade of Personnel Officer ^ [[William S. Casey, 1ST LT USAF]]

[[signature]] William S. Casey [[/signature]]

No remarks:

I certify that all of the above information is true and correct to the best of my knowledge

^ [[signature]] B O Davis [[/signature]]
Applicant