:Strict utsE ONLY

:Strict utsE ONLY • I BEAR, STEARNS & CO. • 55 WATER STREET • NEW YORK, N.Y. 10041 USE A GAIL POINT PER PLEASE PRINT EMPLOYMENT AND PERSONAL wawa OM setel 00.1 VW( ION Too. eemonsts HISTORY FORM n o fool • sveruG. S " 7 NM i sr .‘,4 n; it. e, ki) /. •14•5;jar. •..a. ••••••i. 8.08408 / e- psi-cc/Ai Njeweeel k•-• soavagNaire -arta of' WY 133 Y ' niumi . /Ans in. Y ser&Pqr A4E. an ... 7 " 3 73 -„12(1. - ,i can •00 Slat eatt SDICL‘kf „I/kV -lox( tilt y. p• RR ,/ii 1 iroVrio. •••48(04. T (A fur,: • 2o inowartrisahnpap me(mc Ott" At.,, Girce.,..,, gun. Ntoraendoe'r ViVirr's"vssO sus* away.. PRAM s AC 4 memos, . a sosan,, ". .O gel tr.,?...AIS Tart • 1.4. ON • 01 o• )alfairt • [tea nn Oct. CONVeCtO a • Mat or am 01 •Itif•in •Ilirmoalrpt$1 . [repeated 3 times] tn. tlr.i•ird '. Al[ Of 7114 , Iih0/11) . 1 EDUCATION (Begin with High Settool01. Include Correspondence Schots s. etc. TIPC Of SCHOOL NAN. AlSO LOCATION isomers It: t A . MANSE . Men on DIPLOMA MOVER , ,,,,j. ATIORMTP,zew--- itie n. ma — ,... Tee GOACOATT? iATC Scie 1 L. hb., at Ay( $4..I.,. Diabilfr I S. .-k CC ... sac ...v 47 i Al O 0,1 - 0074 toy. - tel— n., 0 lv, writ • ik. 5. .9 16 t io 71./. '1 AA tr.4 54.1 , Ai. 1•1. b. . . p - t i Pi r 4 rf,. .5 . • et 7 0 72- se EMPLOYMENT • FM in below a complete. consecutive statement of your business history for the past ten years. %sr .- All time. Including periods ofunomploymont. must be accounted tor. . If an employed. show nada and address under visa, business was conducted. - iie ..... LAN! Peahen am COMMA! pAct-i- ccer.st..( pane. Map , .Sit - IA) fie • 09-A - Pe+ -.1 iS t 7100 SMAII) • a,,.•74 NM. sal..Tr . - 0. . RO. fact simpess . I . • C.. CIA IT. DDT An Hatlialea bJ. AnO r i-- r . 0 TE NO- TO• ltre w so RIM ' Fele 004140 0: refine. • -e ( oho Pe.% Th- 4- IRA Iva .. row. / The-tvels ala.A.1•71011 or IC•5001 ION tuna ' lita0410 tale eV E swam mice mil ma sal P Mt flat •011 C"."1/4 ‘14/Z. ' .e --zry,-. %Tann. SaAla , 4,, 0 .e.4. Me. T DAR peplitsf- 31643 4 9 . reef Surlimil0f. A- chit' 808•L s•CAT . art OS I afft . . 0•TOCS 40 at eri 6 . . . - • Mt alit • Pi .• aleSiOlto LAN off O )Mace vise...acre 0 1 sem Idea somas /in "r7 any ris4 rim § art Nemo. PHIN011 OPman t qs -ro ten- . t .7 . itt D fosnomeset0 ...,• • Heed. sTAANIMI MUM, 1243' mobil 01.). time ..... ss ->tiy sok..417 met:. Oar £50 vonliRso• . • rums Sammy NO. HO a. 00. vt. 7 . ,IIf,0 01111.05 • eant(S es *bo w 4.:6 . . rest rise g ale en 8 MUM oisvmseee tlifum080. Or PtAvatroRulAmmi 810/T an TOM MOP manes Idles j p:ommor pi d•A oe it "-et., C- • popr ogILO jrarlil•• sTaillour MN ' INKS *Wen - 40 1 - O Agnic . An t— Ac //Lit FM UM 8anateSe• MM. *CLAM 1.5- . t?. at. .0. AY .. / f n f447,...-tzungive, - neves() g tsia Off 8_ att. ..... • titeaulbego „„,....,„ or semen Ares, r4, leo-ar, . , t Nor 8 „, nit. e0441:010 03Am•Al rovno• *VA Malin@ Satan mho re slew Niemen OW An sync). ' Pam, SAWN . NO "TN 00 vii 1 Mit Or isStstSS ROCS Or PORNO. ', Ls TIN( O T ( Roane al LAM Off g ninnies C..I oisclianto U no. of ADION roil Swig i f,.... ii4.. .., Nor 8 /6-57-355 AS All LOYAL OPPORTUNITY EMPLOYER. SEP" STGANS & CO. DOLL NOT DISCRIMINATE DEGAS/SE OP AGE. COLOR. CREED. SEX. RELIGION. OR NATIONAL ORIGIN. MM02-BEAR STEARNS-000020 SDNY_GM_02743103 EFTA_00229750 EFTA01261104 r UNEMPLOYMENT Account for your lime during any periods at Unemployment, cell einClOyMent or family emphayrrient. Other than those oFon you were attending School. ' . ' 4 ' * Thee per tOds of time must be verified by someone otner than d (tid:iva or an employee of Bear. Stearns .5 CO. •nai o ,,,,, osedOo . ilieuAt to ruder vatutaCdatut Mr < ttttt tun co fareal tairyAndoent .0 •• •0 In I 'Wee *SOS • SAWA Me011eis ...Ad RESIDENCE NESIOEPICE RECO= TOR PAST Tin TIMES— UNITED STATES ONLY mow TO Mat A00•01 071 APT • ow* ma .era mesa° 7 72 Igr 4.-Acrek-L-vile? 1,4; At 4 .1 7 .1. .. 76 r r .0b ‘ , r cr. ...v. -I, /v. -/ .. - , ii OOP' VAN III meets Or 11AviCt dioe. of Arent sardmil salute% daddo e tied or •ede •1 Met Anal O moeorwocc wenikAin ' O MienTIO. T. IDYLAINalit MCI a en O Om lUll.A0 n 1 OW mat urn no MA CM Cana Al WAR. Man • ea / .—. U til to ea r 0 Oa 'tag NAVA ANT ritTSCAL iffinemiell Tes O ...:. di unit —. Oilladfle own roe NA. A woe SWIM IS • VISO ADO rue MIT I et•Ala it —Tee." 011addeidee . . AO* Odle toe examen TO Mitt TO MAIL STEAM • ad O mews/Ana .w. • O "meat. El *coin *nun IN Con pi drianlina Wean . • O nee Hider cistr-^1 • di LATIOnSill• / 2; ' / .1.• „ ex„, 1C/i f Stabetr ill.W • err par3 >4.3.-.2-21i I. Ca Veva 'Poore but dry Yit$ ?I/ addilanel drecalee O la - Xesreiaain oe Pe. Il —./ S. ea,. you net tern teduedd a IES bond Si bra 0 i revaleele CI K 07 ma a 3. Nave you reel been a fatly TES gnat, 10 4 a otateaton co2Cttlot O • Cormannetu Mann. above Ftener at Secure's% fetatIOrd Mete Is 'VW' ovum ea Pg.)) M0• deride or Midi Nil le of say emaciate& O tit - les: <eosin on Pe. Si • I . Os Ty Won n me YES Me Unman Rugg . .. ran: elm Elnierittli fins? Er ILI' Ks • Z Sio mein Say outOrnet 'US Fy Oupoiseem. wane • SOO Al aey teas O COneany-enta4C Ondoeing Uotleace. ;team. ihumed and Accounts, • 10.010 An you boadont! ni d O 9. as a ilepawnes Mn n a TES In lir *slam Ilea O ' 00 you Inn an sawed g la int' mem en Ps li 6 ' Si l nay d'A ilmeni 01 trend 913 8/ wed red la-In. oat oa Pt 3) yOu MO asy odusimal Ea NW .cl an anted ra woo• O O nen s Coosonsabont di 'Vet: odes at PO) S. Winn is yew approximate manlier obhgAdon oo dais? COOMCId0A edit torn tr O allow nyinu yee 10 How you Ater ladkd is bus. N Gm sue a eomptoriesenent is,„ encleary. to laden 'nanny el a lyeasnenv ad! a "lei: wpm on Is 31 4. Mos yOide :Mary Inc ban lannbece? T Es Tay 7 Kate you eyed Open sued or O poly to a basso? N g IN -Its: pilaw ea Ps. 3) Or Ik$:. FOAM. ea Pa 3) It 00 yet retch" any ream YES el lot a pasl 014tabt O Ell "MC Mien, on Pt 15 r understand and malt and activities. I also understand written request to I further understand tion will be grounds I consent to take by Sear. Stearns I also understand Co or I decide. by myself or th Applicant's Signature PRE-EMPLOYMENT STATEMENT • agree hat Sear, Stearns & Co.. and/or its agents will make a thorough investigation of-my past employ- and I agree to Cooperate in such an inveingatiai. . IL that under the -Fair Credit Reporting MC Public Law 091-50S. I. as an employee. have theright upon know the name of the Investigative serviceamplosed and the Scope Of their report should ono be used. that any falsification or iinsstatement on this application or in carieCtion with the above investigafor embetkate discharge. any pre-employment physical examination and such future physical examinations as may be required & Co. that the hest three months will be considered a probationary period and that, should Bear. Stearns & ring his period, that a lack of so pEY it h either party. My employment may be terminated r hout noyeand with ice ry y Oate nfit ", P c 91 ' / .00 Oredel WA Got! •fridedOn • a ••••••rne/ manta 1 it l} tJt...e...• frnts IC :Pio? a—i 0010[ . 1.7AnToid Laden 4 Csalcid.... Adieleer4 Ore( %kr/ 76. Tun Or nenenisn PE ******** C I EUNNEA • TV4POINAIn v O FULL lilt O NOOILY TINE s nos • Winne c TES r"' ... NO u A00 TO --. REPtACLNENT • orintitAtown EN/tOTEE 'ENLACE° ontacto inner(( WAS O PRONOTE0 CLONE Or ABSENCE TRANS AAAAAA TO 'LlOTHEil CMO( SALAilir O intiottairat . . COCA TN didentYinnfit CAA/ an untornmee aT MM02-BEAR STEARNS-000021 SONY_GM_02743104 EFTA_00229751 EFTA01261105