REQUEST FOR DIPLOMATIC OR CONSULAR TITLE
2. REQUESTING AGENCY / 3. DATE (mm-dd-yyyy)
4. FULL NAME / 5. CURRENT CLASS AND SALARY / 6. LOCATIONS INVOLVED
A. Proceeding to:
From:
B. Stationed at:
7. POSITION DATA
A. Functional Title:
B. Organizational Title:
C. New Position (if checked, complete item)
D. Replacement (if checked, complete item)
8. EFF. DATE OF ASSIGNMENT / 9. EOD IN FOREIGN SERVICE
10. EST. DATE ARRIVAL AT POST / 11. DATE OF APPOINTMENT
As
As
12. BIOGRAPHIC INFORMATION
Being Sent to Post Attached
See Biographic Register / 13. OFFICER REPLACED
Name:
Title: Class:
14. PREVIOUSLY COMMISSIONED AS (Show attestation Date)
Sec’y in Diplomatic Service Consular Officer (Vice) Consul
DateDateDate
Complete Only if Other than Attache Title Requested / 17. REMARKS OR JUSTIFICATION, IF NEW POSITION (if more space is required use separate sheet)
15. DATE OF BIRTH / 16. LEGAL RESIDENCE (City & State)
18. MEDICAL CLEARANCE FOR CURRENT ASSIGMENT:
Date: / 19. SECURITY CLEARANCE
Date:
Attached / 20. SIGNATURE AND TITLE OF OFFICIAL AUTHORIZED TO MAKE REQUEST
FOR USE BY DEPARTMENT OF STATE / 21. PRELIMINARY APPROVAL
On behalf of the Secretary of State,
The title shown in No. 1 (above) is
PRELIMINARY APPROVED: Appointment required as
Consular Officer and Secretary in the Diplomatic Service
of the United States of America
Legal Authority for Appointment :
(Reserve) Sec. 524 (Staff) Sec. 533
P.L. 724 (as amended), 79th Congress
E.O. 10477, August 1, 1953
Copies sent to PC and SY
By Title & RankDate / 24. ADDITIONAL ACTION REQUIRED OF THE OFFICER AND/OR POST OF ASSIGMENT
SF-61 is Required and Must Show Commissioning as Consular Officer and Secretaryin the Diplomatic Service of the United States of America
Effective on:
Consular AssignmentCommission is Effective on:
Diplomatic Mission Must Request Provisional Recognition
Diplomatic Mission Must Confirm Date of Recognition to Consular Post
22. APPOINTMENT ACTION
Action indicated in No. 21 (above) accomplished by:
Recess appointment dated
Appointment confirmed by Senate:
attested on
23. FINAL DETERMINATION
On behalf of the Secretary of State, the title shown in No. 1 (above) is
APPROVED AND AUTHORIZED for the duration of
the assignment, effective on
Consular Assignment Commission required: See No. 24
NOT AUTHORIZED
By Title & RankDate / 25.COPIES DISTRIBUTED
Date
To: Requesting Agency Regional Bureau
Diplomatic Mission Consular Post
PD/DD PC
Other
DS-14741.Title and Rank
O5-2000
FOR USE BY REQUESTING AGENCY / 1. TITLE REQUESTED / / U.S. Department of StateREQUEST FOR DIPLOMATIC OR CONSULAR TITLE
2. REQUESTING AGENCY / 3. DATE (mm-dd-yyyy)
4. FULL NAME / 5. CURRENT CLASS AND SALARY / 6. LOCATIONS INVOLVED
A. Proceeding to:
From:
B. Stationed at:
7. POSITION DATA
A. Functional Title:
B. Organizational Title:
C. New Position (if checked, complete item)
D. Replacement (if checked, complete item)
8. EFF. DATE OF ASSIGNMENT / 9. EOD IN FOREIGN SERVICE
10. EST. DATE ARRIVAL AT POST / 11. DATE OF APPOINTMENT
As
As
12. BIOGRAPHIC INFORMATION
Being Sent to Post Attached
See Biographic Register / 13. OFFICER REPLACED
Name:
Title: Class:
14. PREVIOUSLY COMMISSIONED AS (Show attestation Date)
Sec’y in Diplomatic Service Consular Officer (Vice) Consul
DateDateDate
Complete Only if Other than Attache Title Requested / 17. REMARKS OR JUSTIFICATION, IF NEW POSITION (if more space is required use separate sheet)
15. DATE OF BIRTH / 16. LEGAL RESIDENCE (City & State)
18. MEDICAL CLEARANCE FOR CURRENT ASSIGMENT:
Date: / 19. SECURITY CLEARANCE
Date:
Attached / 20. SIGNATURE AND TITLE OF OFFICIAL AUTHORIZED TO MAKE REQUEST
FOR USE BY DEPARTMENT OF STATE / 21. PRELIMINARY APPROVAL
On behalf of the Secretary of State,
The title shown in No. 1 (above) is
PRELIMINARY APPROVED: Appointment required as
Consular Officer and Secretary in the Diplomatic Service
of the United States of America
Legal Authority for Appointment :
(Reserve) Sec. 524 (Staff) Sec. 533
P.L. 724 (as amended), 79th Congress
E.O. 10477, August 1, 1953
Copies sent to PC and SY
By Title & Rank Date / 24. ADDITIONAL ACTION REQUIRED OF THE OFFICER AND/OR POST OF ASSIGMENT
SF-61 is Required and Must Show Commissioning as Consular Officer and Secretary in the Diplomatic Service of the United States of America
Effective on:
Consular Assignment Commission is Effective on:
Diplomatic Mission Must Request Provisional Recognition
Diplomatic Mission Must Confirm Date of Recognition to Consular Post
22. APPOINTMENT ACTION
Action indicated in No. 21 (above) accomplished by:
Recess appointment dated
Appointment confirmed by Senate:
attested on
23. FINAL DETERMINATION
On behalf of the Secretary of State, the title shown in No. 1 (above) is
APPROVED AND AUTHORIZED for the duration of
the assignment, effective on
Consular Assignment Commission required: See No. 24
NOT AUTHORIZED
By Title & Rank Date / 25.COPIES DISTRIBUTED
Date
To: Requesting Agency Regional Bureau
Diplomatic Mission Consular Post
PD/DD PC
Other
DS-14742. Presidential Commission
Page 2
FOR USE BY REQUESTING AGENCY / 1. TITLE REQUESTED / / U.S. Department of StateREQUEST FOR DIPLOMATIC OR CONSULAR TITLE
2. REQUESTING AGENCY / 3. DATE (mm-dd-yyyy)
4. FULL NAME / 5. CURRENT CLASS AND SALARY / 6. LOCATIONS INVOLVED
A. Proceeding to:
From:
B. Stationed at:
7. POSITION DATA
A. Functional Title:
B. Organizational Title:
C. New Position (if checked, complete item)
D. Replacement (if checked, complete item)
8. EFF. DATE OF ASSIGNMENT / 9. EOD IN FOREIGN SERVICE
10. EST. DATE ARRIVAL AT POST / 11. DATE OF APPOINTMENT
As
As
12. BIOGRAPHIC INFORMATION
Being Sent to Post Attached
See Biographic Register / 13. OFFICER REPLACED
Name:
Title: Class:
14. PREVIOUSLY COMMISSIONED AS (Show attestation Date)
Sec’y in Diplomatic Service Consular Officer (Vice) Consul
DateDateDate
Complete Only if Other than Attache Title Requested / 17. REMARKS OR JUSTIFICATION, IF NEW POSITION (if more space is required use separate sheet)
15. DATE OF BIRTH / 16. LEGAL RESIDENCE (City & State)
18. MEDICAL CLEARANCE FOR CURRENT ASSIGMENT:
Date: / 19. SECURITY CLEARANCE
Date:
Attached / 20. SIGNATURE AND TITLE OF OFFICIAL AUTHORIZED TO MAKE REQUEST
FOR USE BY DEPARTMENT OF STATE / 21. PRELIMINARY APPROVAL
On behalf of the Secretary of State,
The title shown in No. 1 (above) is
PRELIMINARY APPROVED: Appointment required as
Consular Officer and Secretary in the Diplomatic Service
of the United States of America
Legal Authority for Appointment :
(Reserve) Sec. 524 (Staff) Sec. 533
P.L. 724 (as amended), 79th Congress
E.O. 10477, August 1, 1953
Copies sent to PC and SY
By Title & Rank Date / 24. ADDITIONAL ACTION REQUIRED OF THE OFFICER AND/OR POST OF ASSIGMENT
SF-61 is Required and Must Show Commissioning as Consular Officer and Secretary in the Diplomatic Service of the United States of America
Effective on:
Consular Assignment Commission is Effective on:
Diplomatic Mission Must Request Provisional Recognition
Diplomatic Mission Must Confirm Date of Recognition to Consular Post
22. APPOINTMENT ACTION
Action indicated in No. 21 (above) accomplished by:
Recess appointment dated
Appointment confirmed by Senate:
attested on
23. FINAL DETERMINATION
On behalf of the Secretary of State, the title shown in No. 1 (above) is
APPROVED AND AUTHORIZED for the duration of
the assignment, effective on
Consular Assignment Commission required: See No. 24
NOT AUTHORIZED
By Title & Rank Date / 25.COPIES DISTRIBUTED
Date
To: Requesting Agency Regional Bureau
Diplomatic Mission Consular Post
PD/DD PC
Other
DS-14743. Office of Security
Page 3
FOR USE BY REQUESTING AGENCY / 1. TITLE REQUESTED / / U.S. Department of StateREQUEST FOR DIPLOMATIC OR CONSULAR TITLE
2. REQUESTING AGENCY / 3. DATE (mm-dd-yyyy)
4. FULL NAME / 5. CURRENT CLASS AND SALARY / 6. LOCATIONS INVOLVED
A. Proceeding to:
From:
B. Stationed at:
7. POSITION DATA
A. Functional Title:
B. Organizational Title:
C. New Position (if checked, complete item)
D. Replacement (if checked, complete item)
8. EFF. DATE OF ASSIGNMENT / 9. EOD IN FOREIGN SERVICE
10. EST. DATE ARRIVAL AT POST / 11. DATE OF APPOINTMENT
As
As
12. BIOGRAPHIC INFORMATION
Being Sent to Post Attached
See Biographic Register / 13. OFFICER REPLACED
Name:
Title: Class:
14. PREVIOUSLY COMMISSIONED AS (Show attestation Date)
Sec’y in Diplomatic Service Consular Officer (Vice) Consul
DateDateDate
Complete Only if Other than Attache Title Requested / 17. REMARKS OR JUSTIFICATION, IF NEW POSITION (if more space is required use separate sheet)
15. DATE OF BIRTH / 16. LEGAL RESIDENCE (City & State)
18. MEDICAL CLEARANCE FOR CURRENT ASSIGMENT:
Date: / 19. SECURITY CLEARANCE
Date:
Attached / 20. SIGNATURE AND TITLE OF OFFICIAL AUTHORIZED TO MAKE REQUEST
FOR USE BY DEPARTMENT OF STATE / 21. PRELIMINARY APPROVAL
On behalf of the Secretary of State,
The title shown in No. 1 (above) is
PRELIMINARY APPROVED: Appointment required as
Consular Officer and Secretary in the Diplomatic Service
of the United States of America
Legal Authority for Appointment :
(Reserve) Sec. 524 (Staff) Sec. 533
P.L. 724 (as amended), 79th Congress
E.O. 10477, August 1, 1953
Copies sent to PC and SY
By Title & Rank Date / 24. ADDITIONAL ACTION REQUIRED OF THE OFFICER AND/OR POST OF ASSIGMENT
SF-61 is Required and Must Show Commissioning as Consular Officer and Secretary in the Diplomatic Service of the United States of America
Effective on:
Consular Assignment Commission is Effective on:
Diplomatic Mission Must Request Provisional Recognition
Diplomatic Mission Must Confirm Date of Recognition to Consular Post
22. APPOINTMENT ACTION
Action indicated in No. 21 (above) accomplished by:
Recess appointment dated
Appointment confirmed by Senate:
attested on
23. FINAL DETERMINATION
On behalf of the Secretary of State, the title shown in No. 1 (above) is
APPROVED AND AUTHORIZED for the duration of
the assignment, effective on
Consular Assignment Commission required: See No. 24
NOT AUTHORIZED
By Title & Rank Date / 25.COPIES DISTRIBUTED
Date
To: Requesting Agency Regional Bureau
Diplomatic Mission Consular Post
PD/DD PC
Other
DS-14744. Passport Office
Page 4
FOR USE BY REQUESTING AGENCY / 1. TITLE REQUESTED / / U.S. Department of StateREQUEST FOR DIPLOMATIC OR CONSULAR TITLE
2. REQUESTING AGENCY / 3. DATE (mm-dd-yyyy)
4. FULL NAME / 5. CURRENT CLASS AND SALARY / 6. LOCATIONS INVOLVED
A. Proceeding to:
From:
B. Stationed at:
7. POSITION DATA
A. Functional Title:
B. Organizational Title:
C. New Position (if checked, complete item)
D. Replacement (if checked, complete item)
8. EFF. DATE OF ASSIGNMENT / 9. EOD IN FOREIGN SERVICE
10. EST. DATE ARRIVAL AT POST / 11. DATE OF APPOINTMENT
As
As
12. BIOGRAPHIC INFORMATION
Being Sent to Post Attached
See Biographic Register / 13. OFFICER REPLACED
Name:
Title: Class:
14. PREVIOUSLY COMMISSIONED AS (Show attestation Date)
Sec’y in Diplomatic Service Consular Officer (Vice) Consul
DateDateDate
Complete Only if Other than Attache Title Requested / 17. REMARKS OR JUSTIFICATION, IF NEW POSITION (if more space is required use separate sheet)
15. DATE OF BIRTH / 16. LEGAL RESIDENCE (City & State)
18. MEDICAL CLEARANCE FOR CURRENT ASSIGMENT:
Date: / 19. SECURITY CLEARANCE
Date:
Attached / 20. SIGNATURE AND TITLE OF OFFICIAL AUTHORIZED TO MAKE REQUEST
FOR USE BY DEPARTMENT OF STATE / 21. PRELIMINARY APPROVAL
On behalf of the Secretary of State,
The title shown in No. 1 (above) is
PRELIMINARY APPROVED: Appointment required as
Consular Officer and Secretary in the Diplomatic Service
of the United States of America
Legal Authority for Appointment :
(Reserve) Sec. 524 (Staff) Sec. 533
P.L. 724 (as amended), 79th Congress
E.O. 10477, August 1, 1953
Copies sent to PC and SY
By Title & Rank Date / 24. ADDITIONAL ACTION REQUIRED OF THE OFFICER AND/OR POST OF ASSIGMENT
SF-61 is Required and Must Show Commissioning as Consular Officer and Secretary in the Diplomatic Service of the United States of America
Effective on:
Consular Assignment Commission is Effective on:
Diplomatic Mission Must Request Provisional Recognition
Diplomatic Mission Must Confirm Date of Recognition to Consular Post
22. APPOINTMENT ACTION
Action indicated in No. 21 (above) accomplished by:
Recess appointment dated
Appointment confirmed by Senate:
attested on
23. FINAL DETERMINATION
On behalf of the Secretary of State, the title shown in No. 1 (above) is
APPROVED AND AUTHORIZED for the duration of
the assignment, effective on
Consular Assignment Commission required: See No. 24
NOT AUTHORIZED
By Title & Rank Date / 25.COPIES DISTRIBUTED
Date
To: Requesting Agency Regional Bureau
Diplomatic Mission Consular Post
PD/DD PC
Other
DS-14745. Requesting Agency
Page 5
FOR USE BY REQUESTING AGENCY / 1. TITLE REQUESTED / / U.S. Department of StateREQUEST FOR DIPLOMATIC OR CONSULAR TITLE
2. REQUESTING AGENCY / 3. DATE (mm-dd-yyyy)
4. FULL NAME / 5. CURRENT CLASS AND SALARY / 6. LOCATIONS INVOLVED
A. Proceeding to:
From:
B. Stationed at:
7. POSITION DATA
A. Functional Title:
B. Organizational Title:
C. New Position (if checked, complete item)
D. Replacement (if checked, complete item)
8. EFF. DATE OF ASSIGNMENT / 9. EOD IN FOREIGN SERVICE
10. EST. DATE ARRIVAL AT POST / 11. DATE OF APPOINTMENT
As
As
12. BIOGRAPHIC INFORMATION
Being Sent to Post Attached
See Biographic Register / 13. OFFICER REPLACED
Name:
Title: Class:
14. PREVIOUSLY COMMISSIONED AS (Show attestation Date)
Sec’y in Diplomatic Service Consular Officer (Vice) Consul
DateDateDate
Complete Only if Other than Attache Title Requested / 17. REMARKS OR JUSTIFICATION, IF NEW POSITION (if more space is required use separate sheet)
15. DATE OF BIRTH / 16. LEGAL RESIDENCE (City & State)
18. MEDICAL CLEARANCE FOR CURRENT ASSIGMENT:
Date: / 19. SECURITY CLEARANCE
Date:
Attached / 20. SIGNATURE AND TITLE OF OFFICIAL AUTHORIZED TO MAKE REQUEST
FOR USE BY DEPARTMENT OF STATE / 21. PRELIMINARY APPROVAL
On behalf of the Secretary of State,
The title shown in No. 1 (above) is
PRELIMINARY APPROVED: Appointment required as
Consular Officer and Secretary in the Diplomatic Service
of the United States of America
Legal Authority for Appointment :
(Reserve) Sec. 524 (Staff) Sec. 533
P.L. 724 (as amended), 79th Congress
E.O. 10477, August 1, 1953
Copies sent to PC and SY
By Title & Rank Date / 24. ADDITIONAL ACTION REQUIRED OF THE OFFICER AND/OR POST OF ASSIGMENT
SF-61 is Required and Must Show Commissioning as Consular Officer and Secretary in the Diplomatic Service of the United States of America
Effective on:
Consular Assignment Commission is Effective on:
Diplomatic Mission Must Request Provisional Recognition
Diplomatic Mission Must Confirm Date of Recognition to Consular Post
22. APPOINTMENT ACTION
Action indicated in No. 21 (above) accomplished by:
Recess appointment dated
Appointment confirmed by Senate:
attested on
23. FINAL DETERMINATION
On behalf of the Secretary of State, the title shown in No. 1 (above) is
APPROVED AND AUTHORIZED for the duration of
the assignment, effective on
Consular Assignment Commission required: See No. 24
NOT AUTHORIZED
By Title & Rank Date / 25.COPIES DISTRIBUTED
Date
To: Requesting Agency Regional Bureau
Diplomatic Mission Consular Post
PD/DD PC
Other
DS-14746. Regional Bureau
Page 6
FOR USE BY REQUESTING AGENCY / 1. TITLE REQUESTED / / U.S. Department of StateREQUEST FOR DIPLOMATIC OR CONSULAR TITLE
2. REQUESTING AGENCY / 3. DATE (mm-dd-yyyy)
4. FULL NAME / 5. CURRENT CLASS AND SALARY / 6. LOCATIONS INVOLVED
A. Proceeding to:
From:
B. Stationed at:
7. POSITION DATA
A. Functional Title:
B. Organizational Title:
C. New Position (if checked, complete item)
D. Replacement (if checked, complete item)
8. EFF. DATE OF ASSIGNMENT / 9. EOD IN FOREIGN SERVICE
10. EST. DATE ARRIVAL AT POST / 11. DATE OF APPOINTMENT
As
As
12. BIOGRAPHIC INFORMATION
Being Sent to Post Attached
See Biographic Register / 13. OFFICER REPLACED
Name:
Title: Class:
14. PREVIOUSLY COMMISSIONED AS (Show attestation Date)
Sec’y in Diplomatic Service Consular Officer (Vice) Consul
DateDateDate
Complete Only if Other than Attache Title Requested / 17. REMARKS OR JUSTIFICATION, IF NEW POSITION (if more space is required use separate sheet)
15. DATE OF BIRTH / 16. LEGAL RESIDENCE (City & State)
18. MEDICAL CLEARANCE FOR CURRENT ASSIGMENT:
Date: / 19. SECURITY CLEARANCE
Date:
Attached / 20. SIGNATURE AND TITLE OF OFFICIAL AUTHORIZED TO MAKE REQUEST
FOR USE BY DEPARTMENT OF STATE / 21. PRELIMINARY APPROVAL
On behalf of the Secretary of State,
The title shown in No. 1 (above) is
PRELIMINARY APPROVED: Appointment required as
Consular Officer and Secretary in the Diplomatic Service
of the United States of America
Legal Authority for Appointment :
(Reserve) Sec. 524 (Staff) Sec. 533
P.L. 724 (as amended), 79th Congress
E.O. 10477, August 1, 1953
Copies sent to PC and SY
By Title & Rank Date / 24. ADDITIONAL ACTION REQUIRED OF THE OFFICER AND/OR POST OF ASSIGMENT
SF-61 is Required and Must Show Commissioning as Consular Officer and Secretary in the Diplomatic Service of the United States of America
Effective on:
Consular Assignment Commission is Effective on:
Diplomatic Mission Must Request Provisional Recognition
Diplomatic Mission Must Confirm Date of Recognition to Consular Post
22. APPOINTMENT ACTION
Action indicated in No. 21 (above) accomplished by:
Recess appointment dated
Appointment confirmed by Senate:
attested on
23. FINAL DETERMINATION
On behalf of the Secretary of State, the title shown in No. 1 (above) is
APPROVED AND AUTHORIZED for the duration of
the assignment, effective on
Consular Assignment Commission required: See No. 24
NOT AUTHORIZED
By Title & Rank Date / 25.COPIES DISTRIBUTED
Date
To: Requesting Agency Regional Bureau
Diplomatic Mission Consular Post
PD/DD PC
Other
DS-14747. Diplomatic Mission
Page 7
FOR USE BY REQUESTING AGENCY / 1. TITLE REQUESTED / / U.S. Department of StateREQUEST FOR DIPLOMATIC OR CONSULAR TITLE
2. REQUESTING AGENCY / 3. DATE (mm-dd-yyyy)
4. FULL NAME / 5. CURRENT CLASS AND SALARY / 6. LOCATIONS INVOLVED
A. Proceeding to:
From:
B. Stationed at:
7. POSITION DATA
A. Functional Title:
B. Organizational Title:
C. New Position (if checked, complete item)
D. Replacement (if checked, complete item)
8. EFF. DATE OF ASSIGNMENT / 9. EOD IN FOREIGN SERVICE
10. EST. DATE ARRIVAL AT POST / 11. DATE OF APPOINTMENT
As
As
12. BIOGRAPHIC INFORMATION
Being Sent to Post Attached
See Biographic Register / 13. OFFICER REPLACED
Name:
Title: Class:
14. PREVIOUSLY COMMISSIONED AS (Show attestation Date)
Sec’y in Diplomatic Service Consular Officer (Vice) Consul
DateDateDate
Complete Only if Other than Attache Title Requested / 17. REMARKS OR JUSTIFICATION, IF NEW POSITION (if more space is required use separate sheet)
15. DATE OF BIRTH / 16. LEGAL RESIDENCE (City & State)
18. MEDICAL CLEARANCE FOR CURRENT ASSIGMENT:
Date: / 19. SECURITY CLEARANCE
Date:
Attached / 20. SIGNATURE AND TITLE OF OFFICIAL AUTHORIZED TO MAKE REQUEST
FOR USE BY DEPARTMENT OF STATE / 21. PRELIMINARY APPROVAL
On behalf of the Secretary of State,
The title shown in No. 1 (above) is
PRELIMINARY APPROVED: Appointment required as
Consular Officer and Secretary in the Diplomatic Service
of the United States of America
Legal Authority for Appointment :
(Reserve) Sec. 524 (Staff) Sec. 533
P.L. 724 (as amended), 79th Congress
E.O. 10477, August 1, 1953
Copies sent to PC and SY
By Title & Rank Date / 24. ADDITIONAL ACTION REQUIRED OF THE OFFICER AND/OR POST OF ASSIGMENT
SF-61 is Required and Must Show Commissioning as Consular Officer and Secretary in the Diplomatic Service of the United States of America
Effective on:
Consular Assignment Commission is Effective on:
Diplomatic Mission Must Request Provisional Recognition
Diplomatic Mission Must Confirm Date of Recognition to Consular Post
22. APPOINTMENT ACTION
Action indicated in No. 21 (above) accomplished by:
Recess appointment dated
Appointment confirmed by Senate:
attested on
23. FINAL DETERMINATION
On behalf of the Secretary of State, the title shown in No. 1 (above) is
APPROVED AND AUTHORIZED for the duration of
the assignment, effective on
Consular Assignment Commission required: See No. 24
NOT AUTHORIZED
By Title & Rank Date / 25.COPIES DISTRIBUTED
Date
To: Requesting Agency Regional Bureau
Diplomatic Mission Consular Post
PD/DD PC
Other
DS-14748. Consular Post
Page 8