EFTA01261104.pdf

:Strict utsE ONLY I BEAR, STEARNS & CO. • 55 WATER STREET • NEW YORK, N.Y. 10041 • S ., USE A GAIL POINT PER PLEASE PRINT EMPLOYMENT AND PERSONAL HISTORY FORM wawa OM setel 00.1 VW( ION Too. eemonsts n o fool • sveruG. "i 7srNM ‘,4 n; it. . .... •14•5;jar. •..a. ••••••i. 8.08408 / soavagNaire -arta e- psi-cc/Ai Njeweeel k•-• of' WY 133 Y ' niumi . /Ans ..... in. an ... Y can •00 Slat ser&Pqr A4E. p• RR 7 " 3 73 -„12(1. - ,i eatt SDICL‘kf „I/kV -lox( tilt y. ,/ii 1 iroVrio. •••48(04. T (A fur,: • gun. Ntoraendoe'r ViVirr's"vssO sus* 2o inowartrisahnpap me(mc away.. e, Ott" At.,, Girce.,..,, ki) /. PRAM s AC 4 . memos, a sosan,,.O". tr.,?...AIS Tart • 1.4. ON• 01 o• )alfairt • _...s.— —.--.., gel [tea nn Oct. CONVeCtO a • Mat or am 01 •Itif•in •Ilirmoalrpt$1 '. Al[ Of 7114 , . . . tn. tlr.i•ird Iih0/11) . 1 EDUCATION (Begin with High Settool01. Include Correspondence Schots s. etc. ......./ . isomers Men on , ATIORMTP,zew--- itie Tee TIPC Of SCHOOL NAN. AlSO LOCATION MANSE It: t A . . DIPLOMA MOVER ,,,,j. n. ma — ,... GOACOATT? iATC L.hb., at Ay( $4..I.,. ... ...v 47 i Diabilfr I S. .- k CC Scie 1 sac toy. - tel— n., O Al 0,1 - lv, • .9 16 t io 0074 71./. '1 . AA , 0 writ ik. 5. Ai. 1•1. b. . tr.4 p - tiPir4 rf,. .5 . • et 72- 54.1 „..,, v ,...,-, 7 0 se %sr .- EMPLOYMENT FM in below a complete. consecutive statement of your business history for the past ten years. . • All time. Including periods ofunomploymont. must be accounted tor. If an employed. show nada and address under visa, business was conducted. - COMMA! pane. Map , iS t 7100 SMAII) • iie..... am LAN! Peahen pAct-i- ccer.st..( -.Sit IA) fie • 09-A - Pe+ -.1 - a,,.•74 RO. fact simpess . DDT An Hatlialea NM. sal..Tr . - . 0 TE NO- TO• I. • C.. CIA IT. bJ. AnO r i-- r 0. /.... a . ltre w so RIM Fele lita0410 tale eV E ' • 004140 0: refine. row. -e / The-tvels ala.A.1•71011 or IC•5001 ION tuna ' ( oho Pe.% Th- 4- IRA Iva mil ma .. swam mice sal P flat Me. Mt •011 T C"."1/4 ‘14/Z. 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An t— Ac //Lit 1.5- . t?. f447,...-tzungive, , 8 / f neves() g n - tsia Off 8_ „„,....,„ or semen Ares,r4, . t leo-ar, Nor „, nit. e0441:010 att...... • 03Am•Al titeaulbego rovno• *VA Malin@ Satan mho re slew Niemen OW An sync). Pam, SAWN . NO 1 "TN 00 vii ' Mit Or isStstSS ROCS Or PORNO. ', Ls TIN( O Roane al ninnies C..I LAM Off oisclianto U g no. of ADION roil Swig i f,.... ii4.. .., ..,..-a Nor T ( 8 AS All LOYAL OPPORTUNITY EMPLOYER. SEP" STGANS & CO. /6-57-355 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 •0 In Mr <ttttt tun co fareal tairyAndoent .0 •• 'Wee *SOS • I 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 r r 4 .1 .. 7 .1. 76 .0b ‘ , r cr. ...v. -I, /v. -/ .. - , OOP' ii VAN meets Or 11AviCt dioe. of Arent sardmil salute% tied or •ede •1 Met Anal III urn no MA CM Cana Al WAR. Man • ea / .—. daddo e O O moeorwocc wenikAin MienTIO. T. IDYLAINalit MCI a ' U til to ea O Omen lUll.A01 OW mat n --- r 0 Oa 'tag NAVA ANT ritTSCAL di unit —. Oilladfle iffinemiell Tes O ...:. own roe NA. A woe rue MIT I et•Ala SWIM IS • VISO ADO it — Tee." 011addeidee . . AO* Odle toe examen TO Mitt TO MAIL STEAM • ad IN Con pi drianlina Wean O mews/Ana .w. • O "meat. nee Hider cistr-^1 • . di LATIOnSill• • / 2; ' /O .1.• El *coin *nun „ ex„, 1C/i f Stabetr ill.W • err par3 >4.3.-.2-21i Yit$ ?I/ S. ea,. you net tern teduedd a 3. Nave you reel been a fatly gnat, M0• deride or Midi Nil le I. Ca Veva 'Poore but dry IES TES addilanel drecalee O bond Si bra 0 i revaleele CI 10 4a otateaton co2Cttlot O of say emaciate& O la - Xesreiaain oe Pe. Il ❑ 07 • Cormannetu Mann. tit - les: <eosin on Pe. Si —./ ma a above Ftener at Secure's% • • I . Os Ty Won n me YES Me Z Sio mein Say outOrnet SOO Al aey Oupoiseem. teas O Fy 'US wane • fetatIOrd Mete Is 'VW' ovum ea Pg.)) Unman Rugg .. ran: . elm Elnierittli fins? Er ILI' 10.010 COneany-enta4C • 9. as a ilepawnes Mn n a Ks g 8/ Ondoeing Uotleace. ;team. An you boadont! ni d O TES ihumed and Accounts, In lir *slam Ilea O ' 00 you Inn an sawed la int' mem en Ps li wed red S. Winn is yew approximate 6 l ' Si nay d'A ilmeni 01 trend COOMCId0A edit torn tr nyinu yee 913 O la-In. oat oa Pt 3) is,„ .cl an allow yOu MO asy odusimal anted ra woo• nen s Coosonsabont Ea NW O O manlier obhgAdon oo dais? 10 How you Ater ladkd is bus. N di 'Vet: odes at PO) Gm sue a eomptoriesenent 4. Mos yOide :Mary Inc ban T Es a T y 7 Kate you eyed Open sued or N g encleary. to laden 'nanny It 00 yet retch" any ream YES el poly to a basso? el a lyeasnenv ad! lot a pasl 014tabt lannbece? IN -Its:pilaw ea Ps. 3) O Or Ik$:. FOAM. ea Pa 3) a "lei: wpm on Is 31 Ell "MC Mien, on Pt 15 O PRE-EMPLOYMENT STATEMENT • r understand and agree hat Sear, Stearns & Co.. and/or its agents will make a thorough investigation of-my past employ- malt and activities. and I agree to Cooperate in such an inveingatiai. . IL I also understand that under the - Fair Credit Reporting MC Public Law 091-50S. I. as an employee. have theright upon written request to know the name of the Investigative serviceamplosed and the Scope Of their report should ono be used. I further understand that any falsification or iinsstatement on this application or in carieCtion with the above investiga- tion will be grounds for embetkate discharge. I consent to take any pre-employment physical examination and such future physical examinations as may be required by Sear. Stearns & Co. I also understand that the hest three months will be considered a probationary period and that, should Bear. Stearns & Co or I decide. ring his period, that a lack of so pEY it h either party. My employment may be terminated by myself or th r hout noyeand with ice ry y Applicant's Signature Oate nfit ", Pc 91 ' / .00 Oredel WA Got! •fridedOn • ... a ••••••rne/ manta 0010[ 1.7AnToid Laden Adieleer4 Ore( 1 it l} _.- tJt...e...• frnts IC :Pio? a—i . 4 Csalcid.... %kr/ 76. Tun Or nenenisn v s nos • Winne u A00 TO PE******** C I EUNNEA O FULL lilt c TES r"' ... NO • • TV4POINAIn O NOOILY TINE --. REPtACLNENT orintitAtown ontacto inner(( WAS - • EN/tOTEE O PRONOTE0 'ENLACE° CLONE Or ABSENCE TRANS AAAAAA TO O intiottairat L ' lOTHEil . . CMO( SALAilir COCA TN didentYinnfit CAA/ an untornmee aT MM02-BEAR STEARNS-000021 SONY_GM_02743104 EFTA_00229751 EFTA01261105