201-203040 Diaz-Garcia, Sandelio Herminio

Approved for Release: 2025/06/11 C07177588

LIA INTEKNAL USE UNLY

SECRET

(When Filled In)

PERSONALITY (201) FILE REQUEST
TO RI/ANALYSIS SECTION	DATE	ACTION
 OPEN	AMEND	CLOSE
FROM
INSTRUCTIONS: Form must be typed or printed in block letters.
SECTION I: List 201 number, name and identifying data in the spaces provided. All known aliases and variants (including maiden name, if applicable) must be listed. If the identifying data varies with the alias used, a separate form must be used. Write UNKNOWN for items you are unable to complete.
SECTION II: List cryptonym or pseudonym, if assigned. If true name is sensitive, obtain 201 number from 201 Control Desk and complete Section I and Section III. On a separate form, enter the 201 number and complete Section II and Section III. Submit each form separately.
SECTION III: To be completed in all cases.
SECTION I
	SENSITIVE	201 NO. 1.	SOURCE DOCUMENT
	NONSENSITIVE
NAME (Last) (First) (Middle) (Title)
NAME VARIANT
TYPE NAME 2.	(Last) (First) (Middle) (Title)

PHOTO 4.
BIRTH DATE 5.
COUNTRY OF BIRTH 6.
CITY OR TOWN OF BIRTH 7.
OTHER IDENTIFICATION 8.
	YES	NO	D	M	Y
OCCUPATION/POSITION
SECTION II
CRYPTONYM	PSEUDONYM

SECTION III
COUNTRY OF RESIDENCE 10.	ACTION DESK 11.
SECOND COUNTRY INTEREST 12.	THIRD COUNTRY INTEREST 12a.
COMMENTS:
PUNCHED
201- 203040
PERMANENT CHARGE	RESTRICTED FILE
	YES YES NO

SECRET CIA INTERNAL USE ONLY