Remington Arms Company, Inc. Denver, Colorado 10 - ll - Date Is he well suited for work in a manufacturing plant? Has he leadership potentiality? Is he steady, reliable, loyal and conscientious? Does he work well with others? Birth place and birth date (if known)? Is he a member of or sympathetic toward any UNAMERICAN organization or faction? Give details. Do you believe he is absolutely loyal to the United States? How do you rate him in ability? (Good, fair, poor, etc.) Do you know of anything which might reflect unfavorably on his character or reputation? How long and how well have you known the applicant? If he has been your employee, can you furnish us with (a) Date of employment? (b) Duties (c) Reason for leaving your employ? Signature