Formica Report Annex 212: Detainee Screening Report

This detainee Screening Report is a standard form letter for processing detainees taken in to custody. The detainee associated with this Screening Report is redacted. Report details a male detainee, a Republican Guard in Tharthar. Classed as member of the Fedayeen.

Doc_type: 
Questionnaire
Doc_date: 
Wednesday, April 28, 2004
Doc_rel_date: 
Thursday, June 29, 2006
Doc_text: 

..Ar tAtabeilillar COMPOUND:
Name:
Fathers Name:
Grand Fath. Nm:
Tribe Name: -an

/At-Pre-t-iR
Alias/AKA:
DOB:
LC:taitatlissi i ptidig, ;ref-ligor r 76

Children: 1. • • pre-N
Languages: 4

Strom: Farce ?roulette:,
Former Re Lo .albt C Ober

Branch: AFIn AR L CO MC NV Rank: Fa lesr Fall Unit Div ge-Pr f . opep
114), &moot
Duty Psi:

r Join 4140/44) 0)/4 Ni4;n Wes'?Station: -TN qg 7-144.e Skins: Experience: 004 • F-011

seaeemlwear -`
Jeln Org: FP13 Prele..."4 ria.' -/" OW.Duties: 1IN - t q Al-
i/tad
Skins: AAP- .
Technical/Spada! Training:, /9 Ekii (e Pee). -
ecial Handling Requirement Cedes/Notes:

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/ ,
Special merest Group:
.4.1-Qacda Y
US oraql Intel Service).. Y

N
SSO N Fulayeen Y
N
Foreiga Fighter: Y N Amax Al-Islam Y
N
Other:
fell I I R

C Date: 17 talieicogiTizae: .re
A Place: 4.0.m.r,
T Cap Unit 1110•Mminius
U Circumstances: A9 cA•yrs• An,

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Physical Condition: SentrPtr "
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%ywed: Y N 13}'
Remarkename. -

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S •, Yrs 5 Intelligence: Ave + . Ave Ilgr Ave -. it Mental Stew 6t7OZ, Meats' Condition: -Eduestion____
X T Screen= IIMINNONMiliiift Date: Time: J/,•5k IA (Low)Cooperation : l 2 . 3 0 A ODSh) (Low)
Knowledge: AO DO CO
BOW List: YONO BOW Code,
Sow c Cototioir AO DO CO DO
Approach: picryl
I I
Ethnicity:

Nationality: .-X7. E Region: 7ract: Y .r) 144 Ube: A Home ofResidence: .4. . It '7%,•ef:A .
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siedaiwitioremi Maks Swats Amex Mit
3321
DOD JUNE
DOD057134

Doc_nid: 
4977
Doc_type_num: 
80