(E RECORD OF PROCEEDINGS UNDER ARTICLE 15:uCIA.1 9. in el l Imo. •• MINOT immerosem ama.a.li TAG. Solt Nous al limns Complaing Rya LOOT Oft 1 imicargiro Ia 1661a MP Co, MOO, .1TF•GTMO PA, I. I no easitkrig wbaber nu shoal be nand Edo Mink IS. MIL nun fointios mimed= I/ (See Cootiomioo SONO

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i. 14.—t L —• • • IDA 907 b. = cr. if 6. Yon ate **WO gym dabt ft appeal to 6e -U1114U Commends: volnis 3 Wendy kot time sty be rejected as oadady. Aseis•men is effective inuodiasely oaten ealinvie sowed awe. DATE - MIA IMAM NC011CIAMA711111 Cl coosooloot a70.Joval epprepride Meek rase; std tis) do as loped k = I ago& and 6o lot soMdt adroiosal mom F 91 aslogboil oled000l 7. ail moon di DAIS 111411M10 MK Of UNICE MAP ow 11110.1.01111111111'• /gl S. nee cessidentO due appeal and tab my *miss abet: DATE 'MAUI APS GRAENEOF AMA ADVOCATE 1"°""" IN 9. After cossIdstisios of sd issasss 'tumid is swill, 6. sped = Deoild = Geosted is Mow a'

DATE ION^ ODADE, AND 011011MIATION OP COOMPANDED• ISIDNATUDE ID • 9..tv I RATS IINONAT11111011 SERV= ~IR ID. lbws sae the aesiostellot am on eyed.

11. AU.11111101:111411711A11100111:13111111115 II 11/ is I Report of Iovesdoadoo (AR 15-6 dated . 14 Moe 2004.• • 111.1d110.111

DA FORM 2827. AUCI 84 roman OF Nov at a Oto011it

RIPPIAmAirose

00130

ACLU-RDI 1301 p.1 DOD 13458 CK

Continuation Sheet No. 1 DA Form 2627 RECORD OF PROCEEDINGS UNDER ARTICLE IS, UCMJ, 661" Potreo:. JDOG, USA, JTNGTMO

ITEM Ni Continued:

Charge I: Article 92, Violation of a General Order or Regulation, UCMJ. Specification: in that you, did,st U.S. Naval Station, Guantanamo Bay, Cuba, on or about 18 January 2004. fail to obeys lawful general order, to wit Camp Delta SOP, paragraph 1.7(2) dated 'I January 2004. by verbally ng a detainee. .

Mu. Punialuntaft Bad-coaduct di:diary, forfeiture of all pay mid allowances, and confinement for six months. Charge II: Article 121, Ansa, UCIKL Specification: In that you did, at U.S. Naval Stadon. Guantanamo Bay, Cuba, on or about 4 January 2004, unlawfully splash a detainee in the face with Pine Oil. • Mu. Puaislunenft Bad-conduct discharge, forfeiture of all pay and allowances, and confinement for six months.

Page 1 of 1

00131

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ACLU-RDI 1301 p.5

• 4.• •••••q• • • •11/ • . 1..1 I • 48 • •I • • • I • MI5 STATEMENT TASpi AT 1 511 & DATED /4:.it:ft .)( 0.1 s 1,1,4-oti I -"'TATMAENT WARRwM ... .4.40. - • LI.P.70 PA-W.4-12111111e1111RL 4.. .i.; fr-A-e-ri.E.4 -5ha-k-, cru. t....Alimet. . e../ o urt..Q. cif.--ki ‘.0..t.. ..,11cd- Laklaa. L.L.OottAci Uta-L Wiz 1/4YLLeLt ...)--11.g. I' ! J1144.L. OLA-kt 61. azet.i.i- +..A.A. " i(ic ic Idtti-ir O. SS ,". " Fi..tp..k you" 0.4.40, iiiiiiiiietxte...-- Ct c771 6A441A.420/ n p dea\ 11ivi...A /iiiiiii zt.4.i.:= 5 t 20.. ed sheta.t. . _li &do/ &i ad 'Wt. ha-tu. 41-- pe4abez--ty, t-tot.e.A.-- Lime c.-.._N ,o..,., . sr. G: i 1,612..0 . n6t4tAcit o►s A 4 4 ME u•z..2.1 0 ec4e0 i pp- 04 byrA.: ,bize.t . 6 &f:i....11-v-rli- ... • •

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I r A/ MAW • . HAVE OB►D OR HMI HAD RIAD TO ME THIS STATEMENT ON PAW. AND SUMP ON . I FULLY WIMMITANOTHE CONTENTS'OP THE UTNE STATITAINTMADS BY Eft THISTATIMINT M TRUE. I HAVE INITIALED ALL CORRECTIONS AND HAVE IMMO TIM SOTTOM OP SACH PAGE CONTAIMNOTHISTATIMINT. MAO MADITISTI STATEMENT PRIMLY WITHOUT HOPI OP SINTIPIT OR REWARD. WMIDOT . THREAT' OP FURIMORINT. AM WITH= COERCION. UNIAVIPLIL. OR WRATH% IIMIXIMENT.

firalaa 6/Pus in !paw &spawn& • WITNESSES: end mom • bough' mi. a eesseeysassoasusW use se stbainnataltla thio • ay st • , 200E Bav Cuba 09360

ORGAMIZATION OR ACCRUE

R. Man, Maw of Paw* AdraltiW6p 0601 Azdals1.166)14) UCIAI • OANIZATION ON ACORNS fAialse*r TA Adookalmer 0601.0

(MALS OP PERSON MARINE STATIMENT PAM 2 OF 2 PAGES I • - • 4 • . 4 I III •41 III I I ••••■••• MIS 010 400 8. Pallifa1.0iin •

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00135

ACLU-RDI 1301 p.6 DOD 13463

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00136

ACLU-RDI 1301 p.7 DOD 13464

••• •■•••• ■•••••r. •••• • STATEMENT OF TAKEN AT DATED D. STATEMENT ICan4nuet0

AFFIDAVIT • . • I. . NAYS MAD OR MINE HAD READ TO ME TRW STATEMENT WHICH IMO= ON AfILI.MED ON PASILL.. I FULLY UNDERSTAND yintoterens OF TIM mow STATEMENT MADE SY ME. TIDE STATEMENT •11111131.; I NAYS INITIALED ALL COIMECTIMES MID HAW MIAMI THE SOTTOM °FRAM MR COWjAIMPIS THE STATEMENT. I NAYS MAINTIIISSTATIMEIff ROILY WITHOUT HOPE 011 MINT OR AIWA= wmouY 'MEAT OF PUNISHMENT. AND VDTMOUT COERCION; MAMA Sal11111111

Subsodbod and swum m beton, ma, • omen stahsfhod SY Myr Is dasInlood mho. Efla day of . 2004 in Gulp Dolls, Osustamoo DarCiaba 09340

ORGANIZATION OR ADDIIMIS filonswe Pima Aealphinering OM)

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0 013 7

ACLU-RDI 1301 p.8 DOD 13465 REPORT OF INVESTIGATION (AR 15-6) 111.11111111111116145/4""1"" AND EVENTS OF JANUARY 2004

11.1111111.1.0 INVESTIGATING OFFICER 14 JUNE 2004

OFFICE OF THE STAFF JUDGE ADVOCATE JOINT TASK FORCE - GUANTANAMO

00138

ACLU-RDI 1301 p.9 DOD 13466 DEPARTMENT OF DEFENSE JONI TAIX PORCIOLIANTANAISO OUANTANAINO OAT, IONIA APO AN

JTF OTMO • JDOG 21 lune 2004

MEMORANDUM FORPOpdionfileprod. Jay IV: liggl, Commanding General, Joint Task Force

Guantanamo (717-0Tbib), Guantanamo Bay, Cuba SUBJECT: Endorsement of AR IS•6 Investigation of11.111, Mk-Military Men Company, and Events ofJannary 2004

I. On 28 May 2004, I appointed 111111111111111111111USA, as aninvestigating ofEcer pursuant to :.7 4 AR) 154, to investipteallegations concerning detainee abuse committed 4611J4Slitary.:Police•Coaquiw, oa4 January 2004 and 18 January 2004,

and the actions the company-level chain of command in response to the alleged abum. 2. 1 •have reviewed the findings and endorse the recommendations of the investigating silica.

3. Point of contact is.111111111.11111StaffJudge Ad cats, at #sepc

COL, Commanding

00139

ACLU-RDI 1301 p.10 DOD 13467 INDEX

EU= DATE 1. Legal Review- Memorandum for Commander, JDOG (14 June 2004) 2. Investigating Officers Findings and Recommendations- Memorandum for Record (9 JUN 2004) 3. DA Form 1574 (28 MAY 2004) 4. (Enclosure 1) Letter of Appointment fo Investigating Officer (28 MAY 2004) S. (Enclosure 2) DA Form 2823, 8 JAN 2004) 6. (Enclosure 3) DA Form 3881, DA Form 2823, 0 MAY 2004) 7. (Enclosure 4) DA Form 3881, DA Form 2823, MAY 2004) 8. (Enclosure 5) DA Form 3881, DA Form 28231 MAY 2004) 9. (Enclosure 6) DA Form 3881, DA Form MAY 2004) 10. (Enclosure 7) DA Form 3881, DA Form 2823 0 MAY 2004) 11. (Enclosure 8) DA Form 3811, DA Form 2823, 4 JUN 2004) 12. (Enclosure 9) DA Form 3881, DA Form 2823, JUN 2004) 13. (Enclosure 10) DA Form 3881, DA Form 2823, 1 JUN 2004) 14. (Enclosure 11) SIGACTS Report # 69155 (18 JAN 2004) 15. (Enclosure 12) DA Form 3881, DA Form 2823, (18 JAN 2004) IA. (Enclosure 13) DA Form 3881, DA Form 2823, al MAY 2004) 213. (Enclosure 14) DA Form 3881, DA Form 2823, JUN 2004) 3C. (Enclosure 15) DA Form 3881, DA Form 2823, (2 JUN 2004) 4D. (Enclosure I6)DA farm 3881, DA Form 2823, JUN 2004) SE. (Enclosure 17) DA Form 485611111111.1118 JAN 2004) 6F. (Enclosure 18)DA Form 3881, DA Form 21123,11.11111111113 JUN 2004) 7G. Materials Obtained But Not Cited In Final Report/Findings and Recommendations 8H. ADDENDUM: SIF-GTMO Commander's Critical Information (CC1R), JDOO CCIR, JDOO SOP dated 1 January 2004

0 014 0

ACLU-RDI 1301 p.11 DOD 13468

DEPARTMENT OF DEFENSE f. JOINT TASK FORCE GUANTANAMO GUANTANAMO BAY, CUBA APO AE 09360

JTF GTMO • SJA 14 June 2003

MEMORANDUM FORCommander, Joint Detentions Operations Group, Joint Task Force Guantanamo,•Guintanamo Bay, Cults, APO AE 09360

SUBJECT: Legal Review, Informal AR 154 Investigation, Aliegadons of Detainee Abuse by IlMillilantid6~ Co Chain of Command Responses

II1A. II '1 WOO 1. I have reviewed the informal AR 15.6 ∎ 1111 art 2$ May 2003, to consider allegations of detainee abuser ommitted by I:MR.Co., on 4 January and IS January 2004, and the actions of the command in response to said allegations. The allegations against wen substantiated and the responses of the company-level -chain of command, relevantplatoonlevel, were found deficient. Action-under the UCMJ was recommended egainstMlinend the platoon leader, Hued upon bromides iliscovered during the investigad fat er was recommended apinst the field grade leadership allegedly involved, 1.79040 Eder objection to this investigation. I find no error in the appointmenttf1111 the Investigating Officer in accordance with AR 154, paragraph 2.1. The findings and recommendations are suitable for consideration of final action.

3. The proceedings comply with all legal requirements of AR 154 and other applicable guidance (e.g., Article 31, UCMJ). No errors are apparent on the face of this investigation. 4. There is sufficient evidence to support the finding:tithe htvesdgadng Officer. Witness interviews were conducted which lead credible support to the fmdings.

S. The recommendations are conduct with the findings. The investiptisg Officer's recommendations provide sufficient suggested corrective action.

6. Point of Contact for this memorandum is the undersigned at 3637.

FOR THE STAFF JUDGE ADVOCATE:

CPT, IA Assistant Staff Judge Advocate

0 0 141

ACLU-RDI 1301 p.12 DOD 13469 OLVE 1. CI 0 CI

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ACLU-RDI 1301 p.13 JTF-GTMO-JDOG-XO SUBJECT; Addendum to ' and Findings for an AR 15-6 Investiption into allegations made agai "The 661* Military Police Company

3. FOC is the undersigned at DSN 660-390113731.

MA MP X0 Enclosures: I - 3712-GTMO CAR 2 - !DOG CPR 3 - Chapter'1, JDOG SOP

0 0 14 3

ACLU-RDI 1301 p.14 DOD 13471 DEPARTMENT OF DEFENSE JOINT TASK FORCE GUANTANAMO IIVADOUARIERI, JOINT OLMOMON OPERATION GROUP WOO) OlIANTANNIA0 MANIA APO AE MIS

JTF-GTMO-JDOG-X0 9 June 2004

MEMORANDUM FOR RECORD SUBJECT: Findings and Re rant.to AR 15.6 Investigation into allegations of misconduct by I* Military Police Company

I. I was ted the investigating officer for allegations made against IIIIIII oltbeddlr..hfiliisegoliew(MP) Company and the widow of the company level chain of command in response to these allegations pumnint to an from Joint Detentions Operations Group (MOO) Commander, to me on Friday,21 May 2004. The preponderance of the id twice mistreat detainees under his care and that his.company chain of command vat aware of these Widens and did not report them to the chain of command. . Additionally, intone of the 2 cases, no corrective'action was taken.

2.Guidance from the appointment letter: See appointment letter (Enclosure I). 3. Findings. Allegation that ono January 2004 at approximately 0330 hours lid throw Pine Oil at a detainee and that the Pine Oil landed on iliaface and eyes. Discusslasamadmighel fijpa 04 at approximately 0330 hours, the block NCO forM4laci ll I'MP. BR) was called to see a detainee by the otherdetainees on the block. • called him because they claimed dug an MP had thrown pine oil on a-demines. MEM ins Swan Statement node on 1$ Jan 04 (Enclosure 2) noted that although be tlid not see the MP 111111111111111111161XMP Cojtbrowthe pine oil, be did see "a liquid substance still dripping from the cell door." He then "wiped it with a glove and it smelled like pine.oil." In addition, he saw "the detainee rubbing his eyes intensely and moaning in pain." He reported the incident to the Platoon Leader on Duty 661'5 Kt Co) (Enclosure 3). The MOO was conducting an Operation Clean Sweep on the night of 3 Jan 04 into the morning of 4•1an 04.. At.the time of the incident, a Clean Swap.team bad just arrived on M block. The UM was waiting outside the tier while theta= NCOIC (BSO.Dean Johnson, 46334P Bo) walkedthe tier to assess the situation prior to moving the team' in. He "smelled and stepped into a liquid substance on the tier...that appeared to be pine

00144

ACLU-RDI 1301 p.15 DOD 13472 JTF-07/40-JDOO-X0 SUBJECT: Findings and Rzn tact to AR 15.6 Investigation into allegations of misconduct by 1`Military Police Company oil." He also notes that the detainee "was laying on his bunk moaning with a towel wrapped around his eyes." The other detainees on the block "stated that the block guard thzew sere oil in his a "jllIllIllreported the incidentio his Platoon Leader MP Co) and lathe Field Grade officer on duty in the wire 177kMP Bale) (Enclosure 4).

IINIIIIIeportcd the incident to the Platoon Leader on duty 66.1"•MP Co) and returned his focus to Operation Clean Sweep The company commander in charge of Operation Clean Sweep 460.MM* we informed of the incident by his soldiers. He tell iMny o soldiers who saw the incident provide a tenement (Enclosure° However, when be was informed that none of his soldiers were actual witnesses, he "then stated that they not write statemeats about did not witness." [his intent was to inform the company commander on duty 11441, Co) who was the company commander for the:soldier who allegedly threw the pine oil and let him handle the situation. However, he "cannot accurately recall whether that conversation took place" (Enclosure 7).

One of Co gkge:infi Hospital who was assisting with Operation Clean Sweep attending.to a detainee ht the back area of M block when be "noticed in MP pick up a cup alpine oil and walked into the block. When he :gunned the cup was empty." He did not flush any detainee's eyes in relation to this incident (Enclosure. FLIAIRIIIIIIIIIdecided to movelffilliff the block When questioned about the incidentillillunwers that he does not remember if he ever threw pins oil ata detainee. He remembers that on the night of the Clean Sweep he got spit on and had bodily fluids thrown on him.

Emma Thatiliffithre pinew oil • at a detsinee, and the pine oil landed on the detainee's face and eyes. ISSUE c. investigate the actions of the company level chain of command in response to ISSUE NI.

DISCUSSION11111111ecalls receivin a call from...Into go to M block in regards to detainees• options that had thrown pine oil on a detainee's face. When he got to theblock be 'spoke to the detainee and I new that lie was riming

00145

ACLU-RDI 1301 p.16 DOD 13473 ITS.OTMO-JDOO-X0 SUBJECT: Findlnp and Rao urwtnt to AR IS-6 Investigation into allegations of misconduct 661" Milli* Police Company • his face. There was _oil on the cell door." He.thinks that he "briefly discussed the incident with at thrtime be war:III:56nm believes that from his experience with this soldier it was However, at the time of the incident, be decided "to ascertain whether actually did throw the pine ail." He felt that the "had no proof other than the word of a detainee" (Enclosure 9). does not recall being told of the ineident or even bearing about the incident until just prior to the 661" departure from 01140 (Enclosure 10). MEMO ThatelMwast informed that one of his soldiersIMI had thrown pine oil a , there was physical evidence to support the allegation, thathriatew the soldier's temperament was in accord with the allegation,- and that he not take any action or report the incident up the chain of command.

ISSUE 03. During the course of the lave:fig:don, It has come to light that the Field Grade Officer on duty in the Wire was aware of the situation and did not take action or report the incident tip the chain of command.

S . Since stated that he had reported the incident to MR coI ntacted 1111111111111110111111who is horns on terminal kava and informed Ida that] needed to talk.to him. Rather thawhisn coming back to Gunstanamo, I went Wigan.. His only concern was orders being cut which the J i worked out with Ft Dix. I setan'sp churnfor the morning of 7 Jane 04. When I arrived idtteuoiron 6 June 04,1 coned confirm our appointment for the following morning. At this time heinibuned me tbatbe'would not come to the Armory unless be . had orders. 1 asked for directions to Viand explained that1would be glad to drive up to talk to hist Ile would not give me directions, captaining to me that'll. was on leave now and "not playing Army more." contacted the commander, 177 6 MP Bde (Befilia lisigeBitre)who convinced come down to the Armory. Witardwaniyedelumas very combative in . When itrulted about his.. orders, explained to Wombat Ft Dix was working on moving his data antis DD 214 one day to the right but that hams still an active duty soldier. Herwalked out saying that he should be home witbdisPfamily, not here.nd that hemight call the 10. Who:kite:lame backvhe again confronted me about his orders and I asked'him if he-was ready we could go ahead and gummed. He pointed at me and said "You're costing we money." When 1 asked him 40 calm down he said "You're not going to get morn calm down." I asked again if he was ready to get started and he stommd out of the room again. Whew he. came back 1 read him the privacy:et statement which clearly points out thin this is an informal Investigation in accordance with AR 15.6. He signed this form. 1 then read him his fights statement (as Hid for everyone else I intaviewedl explaining that we were going to discuss a situation which occurred during Operation Clean Sweep in January and

00146

ACLU-RDI 1301 p.17 DOD 13474 JTF-OTMOJDOO-X0 SUBJECT: Findings and Recommeodations to AR 15-6 Investigation into allegations of misconduct by 6610Military•Pollee Company that Ise•did not have to incriminate himself in the are of dereliction of duty. He asked me "Who ordered this debacle? I showed him the privacy act statement which states that this investigation is on behalf of the Commander, JDOG. At this timeltainvoked his . rights to a lawyer which terminated do iaicnicw. figniNa. Thatill1111111.0Field Grade Officer on duty on the night•of3 Jan 04 has knowledge of the events and may have failed to takeaedon or report the incident to the chain of command.

ISSUE 04. Allegation that on III January 2004 at approximately 04900 1111111111111did swear at a detainee, telling thedetainee Co "eat skit" or wist:11311111111111.. and that bel.111111voul"kick his Gar or words to that affect. DISCUSSION. SigActs 1169155 is 1:59:31 PM reflects that a detainee in Hotel Block alleged that was hamming him by saying that be-eat shit you." StAct the Be) notified the SOO MP Co), that teras removed from the an was ClUedand helped calm the detainee (Enclosure M. Sworn Statements:from dated 111.Jan 04 (1516 hours), 30May 04„ and 3 facts (Enclosure 12). In a •Sworn Statement given on FA) whewas cat duty on 11 Jan 04 recalls hearing "something -to the detainee in the shower" blINIOWOI oot near Wreath; that the comments "upset the detainee" (Embalm 13). In a Sworn Statement given wire. had been an incident between to follow instructions MVO 14). In a Swoeninrtatirntent ina giuven on .2 June 04 Pl. cm shift states that haloes not remember any ata detainee (Enclosure 15). FINDING. The weight of the evidence indicates that it is credible thallilltid swear ate detainee, causing himto becomeagitated. ZSUE 05. Investigate the actions of die company level chain of command in response to ISSUE • DISCUSSION. In a Sworn Sthteman dated 2 Junarlaillin ampiquaisavi Co) =alb that had called him firm work about an widest of disobeying her eaters. He took • and was meant fining a session (Enclosure 16). Ilse counseling statement from IS Jan between •

0 0 14 7

ACLU-RDI 1301 p.18 DOD 13475 ITF-GTMO-JDOG-X0 SUBJECT: Findings and ' nant to AR 154 Investigation into alkptions of misconduct by 160 /Mum Police Company clearly outlines S bebavioras causing a detainee to become agitated by speaking to him. It at ad sees diems eel to an NCO (Enclosure 17). In a sworn statement dated 3 Inn 04 II MP Co) SW= that the catalyst to the Compsnyirade Article IS imposed on • Feb 04 was the incident of 11 Jan 4. Unspecific statement was mein the SJA files for the Miele ISAMU thaukrovve his ISO a stack of statements and that JAG selected the ones 1111 would e included in the Article 15 (Enclosure 11). In aphone conversation on 2 June 04,111111111111formethead of Military Justice, JTF-01M0) Informed me that any statensent.thatOgosed fors case'would be in the SM files and than if he.did not use a statement it would save been reamed to the company. The Article 15 in question was for two counts of failure to be at place of duty, two con* of cheeped to an NCO, and two counts of provoking language. .. • ' ME was removed from duty on the Nadu aeof 11 Jan 04 'and ally reamed to the blocks 1 months later. His ISO made an appointment fortim at Combat Suess. to his appointment but did not stay to discuss anything. . FINDJNO111Wwas not tfuciplined for sweating at a detainee but be was removed from on the blocks and referred to Combat Stress. 4. Recommendations.

a. Two allegations againsallill am substantiated: Recommend that action under the UCMJ (for example, Article 93 or Article 128) be initiated against him.

b. Alleged= thatilMvus Madill* in his duties on 4 Jan 04 is substantiated: Recommend that action under the UCMJ (for example, Article 92) be initiated against Wk. c. An issue that arose during dal course of the investigation,mm but noiromadly od addressed in the appoinamot later, is the allegation that knowiedp of the detainee abuse on the i of 4 Jan 04. Based en the aedible statement byillIllMetvl in light focal m cooperate with this bwatigadon, recommend that his salons on a =mug of4 Jan 04 be further Investigated as an independent Issue to damming if action under UCMJ is IPProlxiste.

0 014 8

ACLU-RDI 1301 p.19 DOD 13476 JTF-OTMO-JDOO-X0 SUBJECT: Findings and Recommendations uamrt to AR 154 Investigation into allegations of misconduct by 661 Ltv llimy Police Company

5. POC is the undersigned at DSN 660,39011373.1. .

MAL MP X0 Enclosures: I - Appointment Letter 2 - Sworn Statement, 20040118 3 - Sworn Statement, 20040530 4 - Sworn Statement, 30 May 04 5 - Sworn 30 May 04 6 - Sworn Statem dated 30 May 04 7 - Sworn Statement, 20040530 8 - Sworn Statement, dated Winne 04 9 - Sworn Statement, 2 Jtme 04 10 - Sworn Statement, dated 4 June 04 11 - DIMS report SigAillaim 12 - Sworn Statements dated 20040118, 20040530, and 20040603

13- Sworn S ; .' ". '." dated 31 May 04

14-Sworn . . ' 4 " , ''''/ dated 2 June 04 15-SwomS- ., -, -,. 2 Jane 04 16 - Swam Stamm - •:.t..-,1 1 I i . 2 17 -Developmental Counseling Form for • , , - • 11 January 2004 18 - Sworn Statement, allia■Pdated 3 Arne 04

00149

ACLU-RDI 1301 p.20 DOD 13477 ▪

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00150

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00152

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00153

ACLU-RDI 1301 p.24 DOD 13481 DEPARTMENT OF DEFENSE JOINT TM FORCE GUMITAMAO CRIANTAHAMP SAY,CUBA APO AZ

JTF GTMO — ZOOG

MEMORANDUM FORIIIIIMINtor Detentions Operations Group, Joint Task Force Guinnommo, Guantanamo Bay, .AE 09360 SUBJECT: Appointment es Investigating Officer

1. You arc hereby appointed as an investigating officer pursuant to Amy Regulation (AR) 1S-6, to investipte the following minas: 2004 and 18 a. Allegations of dendnes abuse committed January 2004 (as detailed in the stemmas of d doted 18 Jan 04). b. The actions of the company level chain of command in response to the above allesations. you 2. Made the 15.6 Investigation Officer Guide provided by OSJA, hfilitary Justice, to assist in the investiption 3. Complete pow investigation in accordance with the procedures set forth in AR 15-6. I may compel soldiers to provide sworn statements, however soldiers me not required to incriminate themselves: f. during the course of roar investigation, you suspect that any individuals may • have wed misconduct or criminal activity, you must advise than of their rights under Article 31, UM% or the Fifth Amendment as applicable. Utilize DA Foos 3881 as appropriate. You must also administer a Privacy Act statement before you solicit soy personal info:motion. 4. If in the course•ofyons investiptioa you discover misconduct not covered by the guidance above you will notify main wilting of such misconduct.

5. This investigation takes precedence over your normal duty assignment. 6. You will consult wits Office of the StaffJudge Advocate prior to caintnencinsper investigation, and at any point during the investigation you feel is necessary. 7. Submit yonr.fintfings and recommendations on DA Form 1574 to the Staff Judge Advocate for legal review no later than 9 June•2004.

0 0 154

ACLU-RDI 1301 p.25 DOD 13482 1712 OTMOMOO SUBJECT: Appointment as Investigating Officer

8. POC is Chief of Military! ' at act.1 3637.

End SUS.. Commanding

2

0 0 15 5

ACLU-RDI 1301 p.26 DOD 13483 SWORN STATEMENT For we of 1his fens. owe HI 12045: the pawpaws away is ODOOPII PRIVACY ACT STATEMENT • INN 10 CSC Sastion M x MN 6 CSC toot on 2961: 2.0. 6217 dated Nowanhas 22. 11143 AUTNOSITT: mom, platens Is ploolle esowneffidlos am 1rwodige111911 Midi* with mos by Mi InkanNion •Na9161v 01109411itationto faclitus ging and reuleveL ROUTINE USW Your weithiseNty numbs/ Is awl a an eddhlenalfolossals ii weld astwity numeet ti volAntom. • 01211021,4:. Obelesun at your 2. OATS OFTIITUAtDDI 2. TIME 6. FILE NUMBER I . LOCATION Mad , Camp Dom, Gmatasamo lay Cuba 24:701OUR MAI. hours T. sipswe NUS

8. Oda. Ommasamo Sly C911 09360 j$11444. . WSW Pollee 1§244•A:e. 4 C91111

, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH: Oft or 26(3,44 Amory 2W11 et appropinisiety mac heews r wassftis.iins fravv, nidnibers cheivics opera+tor. &eon swap when de:Fein/2es staried for nie cowe fo ENO. they were ieWn Wie 1111.1tieri -ttv -Pace elP alegrei 4111111,11■11111=111Mtid 40 Id we -the he toss

sptiiov) by -fhe detainee., bu.i voisde vw) vievreotr) crr 4ke piee oil. I imadateirly Sevit littv tbvwedecei, rf ftyylefgreci torleer toko diell wins+ 41rst. eot,Lid sea a itL41-.1 evaps4swe arivifs cicor. r wipecl LA)ZiVI %love ancI swelled Vt, piv%e-pi I. 'The clef-8(mA e.otoid be seen rubbies his e.ye4 tni-evIse,ky mid moaning ryi ?ern. up0/1 A-wiiy/9 ot,di rylcht:Piec edi. tzVit) was c.s.tyletyrty +lie 101C04 abed he ma f defai.tiee -Nash his eyes ou.i toa-kz. -rhe WAicoic op The opera:v(0h 5taitA Ale thai iype cicesni4 vvitliCe owe S ar ple.444914iect oPf +Ter_ 2' .+0614 fo sis 04) ismoesliate.ly $404iRe -04e In-C-Fir, and ivamrfrasi siittaiion. He said c1J06% Vted em;enedee.cI iscovrtetlt abou.t. +teifs. deisloee

prior +0 ivteclesAt.Ogwr, srAv- r AAA

10. 11/0490 11.NOM PERSON MAKING STATEMENT PAGE I OF 2 paCieS ADDITIONAL PAGES MUST CONTNN DE MOOING TA TAKEN AT DATED

THE 80770MI OP EACN ADDITtONAL PAGE NUSTBEAR Tra r mauls OF THE "WSW MAMMOTHS STATEMENT, me mar wise. ...NUST • • SE SE a:MGM: Circuit: 2122, DEC 11111$ FORM Gin,

0 0 1 5 6

ACLU-RDI 1301 p.27 DOD 13484 DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 USC 5520 AUTHORITY: Title S USC Section 301 and Tide 10 USC Section 3013.

PURPOSE: To he used in an internali inverdgarion on behalf of the Joint Detention Operations Group Commander in accordance with May Regulation 15-6. • ROUTINE USES: Any information you provide may be disclosed to members of the Department, of Defense who have a need for the information in the performace of their dudes. DISCLOSURE: Disclosure is mandatory. Failure to provide information could result in disciplinary alien under the UM!. Information provided assists the Commander for his decision in this maner. You do not have to inetiminste yourself Article 31 tights advisement and the Fifth Amendment of the US Constitution sups series this portion of the Privacy Act statentent.

•CERTIFICATION: 1. have tad and ondastand the above Privacy Act suaternent, and for signed a rights advisement.

Name: RankiBrandc Tide:

00157

ACLU-RDI 1301 p.28 DOD 13485

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00158

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CONNittt ICsimirsie

I 'REVERSE OF DA FORM 3811

00159

ACLU-RDI 1301 p.30 DOD 13487 SWORN STATEMENT FFa use id dia %mu sa e Alt '111041: No poweINIII It Ma 144 mit act ukes U1CATION ■ 610111+01410•.0 al4/1 C.& bo 1>nsieS 15.39 tst I reef 1 , 113110411STATi4 0....161 tAL MST WALL MOOLINAi 14 iiiiiiil I ONGANMATION ON AWNING Hie' gHtifit 1,4P40, -

. WANT TO MAXI TNN FOLLOWING STATIMENT WON OAT* • blar.X....47444.5 Okiciad air( no•-•mil ., As I 4:4 1-111petObet3 get ;goys 1,44 itinvitie FierfeN itstoied filo Woad lelli pvloi llevn ratan, 4o rld ie martu- Atiforeumilietv co )metre, Alda ressuespl" tell', wsvi t kitmillillallang«is ., fc +ier sná MilisigIllefFaVonta 01 btc.g. lietuven 032•0444 0547411hoort iota it:eaviiins ., btoot awl ousolial,..11K/04kbi pointi 7 slapped ohs4 T woes deal and ren Me *law Dog 41 ,raett 40 ilv detiOntes anund slid Berm& •fl-oro tun/ **id 4 itt Hrs, nor risYstiP Sod eausliy seen -Site iticitlevrt. , Z -Oita iislOtImm• ;vo i; lad l■Ni siont R .4restace.4-"24•16 lost k spirevi we bkLA lid not *Ay 41frogitg the pule- Oily z *41'4 vv.c111 iiVigasImut 4.6 spsitiol. ..Te zugki Known or 4.4 at4+16,1. asobusel love p4.411/41 toir +It 44tr immediehtir• I 4)tcn smote/. Ito rsubica Sint* nite.iy 20 piP% 0.1 4lnit SADocni a IF ale 4..6%. e raw 0„yep. S. vst1140.4 Nip -to itv soit and sok, 4001`011ien, cif ;pp; gm le el. 1,. ka ;pc.o i} us*, 0 10h* &ewe A4Leisitdo On fat Woe" &re Pi &ate Ii4 Vie WI, ► G1Clitn "Imp, tient.ea e4 {fie heroine. 3 ;e44 the ostrah-0 ,,,i■lo LOGS con siv logCSitst• or 0 Pllswlson4 is 4le Beta evec anti boa the 401$80se -flush isisoyes. IoNts mien Arice awl% i\ii% 4he. aesioce cdhowl Gown. Thu mak Sofa i) el detinet igilkea

r "reklVs iilleW4T4112%4111. 641viril"Vbax$V16 +t /L•IL ttlestaertirrer, oPelliW 11.Z0 t1442:(1414e refeIngat :lee 'the senna. 41'#1S I 41:g.i. 'Me detiks i aset ∎nees werta t . COLC Or t%1 SWAP allio rn 3 elle•stIne Far A' op The +kr .30 vAteri Tait, eveti tojnitelit-waS 2.-ssi9vlesi 4o -Ole setypor4 1,0041. 1a Set seity %Ley Jetuvi err Wave someone le4 Wt ' i hilviset4" ivt40einIt pis vhcy 1" ticAtka his ?L i 3 of emed-to 4* 9;1%3440n, eviel Slilted ilit t 14 *vas re • uj0,4 14 ile 411tH care or anti that -lite Cootratorld" 66NOSa kade ft)bienst wall re ar44 corialt4h dart a 3.abeaurC7 44 no,. having PiTscts1;6 1".`; ""el"ma.4P f6.1.565:14:44:: VI seen or Vle.26 of tthievl, T eke - °" VA rofni 292.1 atoizt +he sii+43 .14.0n. 7 evc, e siketenievi (4"ilit)t his st,Lkaci leafier 4h S. "11. rose ii 2oaloile, I toes recsewo ley -Ole couviselois I believe 4o piece 'cum..% "y Oteri ibipeoP ielievior into e co,L•ase IN , I sdaresseel 6S 03%4wi — nrrawary taig.ms cot the bIotie livid J's +a SP, PIC.0 by RWM %dem fro.", 00 a _ liis posi-, Tin tisreAl , I li.t3c1 noWcee% ticirf as. due 4c) his vac 1 avig oy, +ha bloc.g. I to off ruz,..aved asskinad A •ci is,covereel 4hivf ' toes glue. 40 criAnc.e I:whew/Or issuzs. Once X irvoitzed GIA.6vAtivienfo "say, 1 once 41,04 1 MU( 944•Cr- Ltnii de' sPaivo bete„ .to uzvider i anyone 14vsew ode or _Vas corwisend•) op EMIT I INITIALS 1101111143 STATION? i t PAGEIOF ...2..- PAM AcesnoNAL MUS MOT COWAN Wil IMMO VTAITMONT df...—ZOKEN AT ...... DATID...... COWIN= ' warren, °PION ADDINCIIML INGE OUST WHOM P 411141.$ Of PIAP IWNSON *WOW 1Plf STATIODINVID II !MUM • AS vaes.__,OF_Aunz• WIENANYOONAI, PAWS ARVITOZED, ne MIX OF MON EMILIE LIND CUT. Ma fl IsrAnuoirewu Ir COMM= ON Do 1 Affair:we Of AAOTHEN COPY Of VA FOAM. DA FORM 2I221, JUL 72 SUIWRIKNO OA POW OM • JAN ft. N'HICW WILL "u•••'• •••••••••••Oews

00160

ACLU-RDI 1301 p.31 DOD 13488 STATEMENT fc••••• 411e incicievri or en), Enit'or, inski io Pact keg," -belleyi. -Nest, / bouck ort Wee g %SO X Was e-SUe4 -fp *le Inspector General 's aPiCCe os Oal Very inticturiOivdtby be.i.ets irtiertianuec% for -0,7e same.,,(Otio of 101741611r7

*PROM , NAVE READ OH NAVE HAD READ TO WINO STAMMER mow Nam ON pAgg 1 Apo Dimon MUM UNDERSTAND TIO.CANTERTS OF THE WIRE STATEMENT MADE re ME. TIS STATEMENT IS TIM I NAVE INITIMID ALL CORRECTIONS AND NAVE INITIALED THE 1101TOM ON EACH PAM COWARDS TIOSTATEMBIT, I NAVE PAW TIRE STATEMENT INE LY WITHOUT NON OP SPORT OR REWARD. WITHOUT THREAT ON •UNDINEEINT. AND WITHOUT COERCION. ARILAWRIL

INFLIANWIMilitaartairogl WITNESSIM 111Aeolbad aw/ wows urea as. • mom •••■•Os• by taw so esNe. Pr/ *I OM, .eigai naliff$1

ORGANIZATION ON AMOS entmiumM hewn Aewlainsi.

ab;41 I ir In °." ORGANITATION OR ANNUS lAuseiro, To Malabar Onset MITIALS OP POISON Mira I PAGE 2 or 2. mou •

00161

ACLU-RDI 1301 p.32 DOD 13489 DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 USC

AUTHORITY: Title 5 USC Section 301 and Tide 10 USC Section 3013.

PURPOSE To be used in an informal investigation on behalf of the Joint Detention Operations Group Commander in accordance with Army Regulation 154.

ROUTINE USES: Any infatuation you provide may bedistlosed to members 011ie Department of Defense who have a aced.for theInformation in the performance of their duties.

DISCLOSURE: Disclosure is mandatory. Failure to provide information could result in disciplinary action under the UCKI. Information provided assists the Ceounande• for his decision in this matter. You do not have to inaiminme yourself Amick 31 tights advisement and the Filth Amendment of Om US Cons:I:Won supersedes this portion of the Privacy Actstatentent.

CERTIFICATION: 111111111111111 hew read and understand the above Privacy Act statement. and ior

Nene: Rank/Branch:

00162

ACLU-RDI 1301 p.33 DOD 13490 •

RIGHTS WARNING PROCEDUREANAIVER CERTIFICATE fat um cm ON um ea AN isA.13 M sessamo wpm • MEM HATA MU= BY THE MACY ACT

AUTIONOTY: TON M. IMMO SIMS Coda. OWN 3012w r .C1PAL PLINPOSS: To povkle emosandos sod MW anlanomont OWN with may Is* "ANA lolsomatim may is eacensevilm0140. Ow OMB USES: Voir IKON iseufay Numbs; is said as so addlOmollamensis wow of kMANNeasiot S Maws Ila. mg naives!. DISCLOSONt Diskoura al war Seds1 imuder fasolorla valonors.

1. LOCATION 3. ONO A. MI6. Guamsommo sq. Coto MAY Di I 1F$1f0 1 S. ONOANITAT1ON ON MOW *446 114P40 51111111 L aftegan •14:04 • Cr44°

►AOti • ROHM WAMEMON4VAIVIN consochn UAW A. ICOM

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L. COMMINTS iCsaNail am omasesalal

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SWAMI Of INTOIVONS I ATTACH ONO WAIVII MINICAR TO ANY SwONN STATIMINT sOs RIM 312V OUNSIONINTLT 01,44“2 •1 gif M OUVOCOIACCOMO DA FORM 31111. NOV MI EINTONSOf NOV OSA OISOLATI

00163

ACLU-RDI 1301 p.34 DOD 134Q11 miff II OWNS VOMINIft0 1110C11011* 101WAININO

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COUSINVIS 01000•011

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00164

ACLU-RDI 1301 p.35 DOD 13492 SWORN STATDAENT for use et Ns term. see AA 1104i$ I DATE r 3o to' 21 0 I 11 1111111111 4elePA't C.0 ...11)04 0440

WANT TO MAKE 111E POILOWUN STATDAINT {MOM OATH: Le Th/046 ainherie OF A taiNUSAISEP"OPSetiTlaii 44941lmicy pit (7(4i5 • WE. umcausit) W "M" rtaCie , CAMP Dam I cskosiE Ares A0 „sic. occiocws. WAN I CAINE DAITO 774c ittC.JC TOI RCeP Fog VE OfregATIDV NOTICE)) .4 .Ste.6,92 tE404401fi 11414110144) -niE ree. wilau Okla AT WE DF THE 77eR/ 71ie S2DIER HAb A LREAbsi ape HIS kW( Tes 7NE 11414DLE OF We 776 t M911$414 1) Die FRDArr, 5114812.CO 57EPPEO IAJM A UCNID SteMIXE - OM VIE TV By C.E1 THAT AIMPEO 76 3e Pee axe p, 011-- ISIMF760 it-CFab CLEM TIE Bata l air Vis UM 755 STRDAJG OF A milmi(timo t geuEte MSS 714V VICTIM tOtS L.Ayllar aU 115311AIK MarildAlgt MYTH 4 row& LuR4550 HIS ayes. I ASIZO WHAT LOWS Weals •I• Itis FEuzbv terAltureg 577Mb 'TAINT 71 MOCK GLII740 771,51(1 PINE OIL 14 Msey. t Asab IF Ile 4.11E6C611 MEDICAL AMMON 1- kiAs ResPoA05!) To ICNo. HAD 44501Gli. Fuesi-1 E'/Es Mystkly. 1 Teat) war lb BcoCX //CO (twaexiio) Aro 7bu) iom wow /115 Sahel #14 et- 'nig THIS OK kw- To Ee 7151.4semo, nwriee mos THAI I WOULD iftlaie gun toF Airy et ?fm/4T / &War o SE HUM ON 711E SLACK / r 5 HISCV11617H5 riff-A) BgieFED AM, PL r1411 15(7 ANO 4/111/DAE, S Lono Lirge.0 Lisrav To Mr-iparr. I WAS ¶01.6. EIOCID JOB 4ET7 14 kiwi OFF nie Etzcie 1311 ALL I -M4& Ora. I NOTICED 'THAT HE LUIS si-rn46 NU 7?ie 641)46 SHAC< AWR Lf Fit 44E 4416 1 iliffice A7 7)-16 Stib DF -n46 ELocic 77

00165

ACLU-RDI 1301 p.36 DOD 13493

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ACLU-RDI 1301 p.37 DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 LSC 5S2a)

AUTHORITY: Title 5 USC Section 301 and Tide 10 USC Section 3013.

PURPOSE To be used loan informal investigation on behalf of the Joint Detention Openuioas Group Commander in accordance with Army Regulation 154.

ROUTINE USES: Any information you provide may be disclosed to members of the Deputation of Defense who have a need for the infonnadon in dm performance of their duties.

DISCLOSURE: Disclosure is mandatory. Failure to provide information could result in disciplinary action under the UM. latonnadonprovided assists the Commander for his decision in this macer. You do not have to incriminate yourself. Amick 31 tights advisement and the FM Amendment of the US Constitution supersedes this portion of the Privacy Act statement.

CERTIFICATION: L,1s have iadis,' sar"-."Videntiuld• above Privacy Act it acme: and Am Bipeds

Nam • Rank/Braneb:// Tide:

0 0 167

ACLU-RDI 1301 p.38 DOD 13495

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CERTIFICA Jaye read and tenlasund the above PrivacyTM:statemen Act I, glIMa rights advisement.

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ACLU-RDI 1301 p.47 DOD 13504 DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 USC 552a)

AUTHORITY: Title 5 USC Section 301 and Talk 10 USC Section 3013.

PURPOSE: To he used M an informal investigation on behalf of the Joint Detention Operations Crump Commander in accordance with May Regulation 15.6.

ROUTINE USES: Any Information you provide may be disclosed to members gibe Dep t:mem of Defense who have a need for the information in the performance of their duties.

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00178

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00179

ACLU-RDI 1301 p.50 DOD 13507

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00182

ACLU-RDI 1301 p.53 DOD 13510 DATA REQUIRED BY THE PRIVACY ACT OF 1974•5 LSC 557A)

AUTHORITY: Title S LSC Section 301 and Tide 101:SC Section 3013.

PURPOSE.. To be used in an informal invatigarion on bcbdtoldie Joint Detention Operations Otoup Commander in mordant* %%kb Ann) Resulation 15-6.

ROUTINE USES: An) info/notion you previde 1111) be disclosed to members of the Department of Defense who haven need far the infonnation in the mention of their duties.

DISCLOSURE: Disclosure is snandmory. Failure to provide information could result in disconasyscrion under the VOW. Information provided assists the Commander for his decision in this matter. You do not have to incriminate yourself. Ankle 31 rights aMaenent.ard the Mb Amendment Mho US-Constitution supenedes this ponion of the Privacy Act statement.

CERTIFICATION: I, have read and understand the above Privacy Act si s a cyaws

00183

ACLU-RDI 1301 p.54 DOD 13511 RIGHTS WARNING PROCEDUREAVAIVER CERTIFICATE em el ate Hem me AR MOW me maws woe HOWSON; DATA WOWED Sr WI PRIVACY ACT

AUTHORITY: UM $0. United AWN C. NOM 30121OI 'OCTAL WINOS* To provide TelmmeMme and We oelomemsol dISIds wish mono W MINI bllomeeNeN Toby be swam* elreelmel annum Your Semi Someity PM*, u NMI IMO MIONTelliftemme owe or Mendbootion M faereale lbeo erd semeem. DISCLOSUAlk Neolowe N your Sadie Swat, Itembm velemem.

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00184

ACLU-RDI 1301 p.55 DOD 13512 PART 11 • MONTS INMINNO• POWWOW . TIN WARIIII40

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00185

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OMIT I INITIALS OF MESON airnmea • LAGS I OF MSS ADOVONAL RUIN DUST 00117A11 VIE MIIIONNI WITArsuerr IN E 1101TON OF SAM Ammons of zurtNAT AS 'PAGE ma 'Nun wand !MIAS CIPTZ PERSON 14.47IN- nit srA OF PAGES.• MON AMMON& PAGES ARE MUM. IDE RACK OF AlUE I WU BErawamosepgaw UNEDOUT, =mew mu It COMMA! ON THE REHM SOO WAIMEA COPT OF DM oDast De DA FORM 2222. JUL 72 surgeon at SOMA Mn •tam U. wool WILL at MD. UNIPielatle

00186

ACLU-RDI 1301 p.57 DOD 13514 DATA REQURED BY THE PRIVACY ACT OF 1974 13 LSC SS2a)

AU Title 3 USC Section 301 and Tale 10 L:SC Section 3013.

PURPOSE- To be used in an informal investigation on behalf of the Joint Detention Operations Group Commander ia accordance with Army Regulation 15.6.

ROUTINE USES: Any information you provide may be disclosed to members of the Department of Defense who have a need.for the information in the performance of their duties. •

DISCLOSERS: Disclosure is mandatary. Fallon to provide information could result in disciplinary action ender the LY1.0. Inforination provided assists die Commander for his decision in this snow. You do out have to incriminate yourself.. Article 31 tights advisement and the Fifth Amendment of the US •Constitution supersedes this portion of the Privacy Act gnomes*

CERTIFICATION: 1 . barn read and understand the above Privacy Act statement. signed a n advisement.

Name Rarer/Braneb: Title:

00187

ACLU-RDI 1301 p.58 DOD 13515

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ACLU-RDI 1301 p.59 ▪

NW • NOM twos' Pieesouirt THE WA10010

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THE *AMR

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naliecnOM ••

v...INOWICIACCUMEO WINS 70 PON IRINVIR CIMPIC411; fi es 2. Ills sismiNsarma elgeftei IMO MOW 111011111111.14.80NO luseerianesed OW soled Naar Apra Nit Nesse terieee mow d liner epos es rem essmise mem es el dr propft, 01 11.1iNg esillata. Remo pentad vela es oporeld. Nan nurse se Sr MIS* UN 116 01,50.21. TN east so es ewer NW waiver iwillicale Os else ler NNW Ps mod due Wes inewbult Jul Ateseer Ned ervassed anion= to OM* paw l*Aux Nea M ersea easrs, ewe N rears es elleessil soft dos &kb& • viadpft•. and Nem rep Ns mew sideree NOM N I et 2 wafts. Ow list 04011168 111*******1 after IS WARM CIIITIMATI WNW RE CIPAPISTIO 004101ATILY: d sem ocemenrift "IPA beard •l Mr earrowe seriet w aN eds. Is weer sandissio ern Re semelasol se are se ped ie. left ren Need St es areparossoure dere ele Nedo **Isile quallealftwo *Mew ****. *Os. N Ria *low serleas meet N aendmed se ere se to es oar Id emir aUSPI1S'CCIP1110 01101AV5 111018210011 ON 118011:104 101 08 mat Imasseileam Resseelle falff Ilesmignift PeolmesCifta showl0 Mk NOM OUNNIS Ile INTINIOOATOR 01100110a N eresioa bre.= Ilif*COMIN*116 dustronise UN mete *dm andsseleso dee sseasame semi Nr USN" Veda f dare pat • iesse6•. Mew eaerealep me suss M011 eCarameeill STATOMPORS:- lemserele.ro NMnt semi eft oast • ♦ssoise M Nee•sureeer es* is orpeatesserod IN ere woosereeele ernomindes Mom* sereemer deller ems IN deem N Mile awed Us Restesers art Na Wow as nodi Ward el *Air slaw Mae **1111, *I *I Is wed is resseesse N rerMar0NlrO Nor emeesor roar eras ••• Sudi sIllemosIS Semi elpon Waft to mow knee ♦ reanos. oramsla.ols ado sod teesares as 'N IND Nil de sootter war see astaftv eate el annseet.,

COMMENTS Ilkosesse

REVERSE OF OA FORM 3181

00189

ACLU-RDI 1301 p.60 DOD 13517 SWORN STATEMENT For use 0 this lam. No A 111041: the itr asa LOCATION I DATE 1114 RLI NNNMEEIt a .4 a $7:11111

• dfloo 4E 0936

Tirt . WANT TO MAKE THE FOLLOWING STATEMENT LOW OATH: / . 1 turf(1)4 Pm daft 4:4-0617.- 0451,41 ih.t. /vit.* . iktf.arsj foe "awe 1,14. 0 4 rc.c.ew el at CAI ;IV MI to- 464. 8•r VOA/ Aft iltt■141114+ Am.) ape 0. ; sek. sicti:rtet. sr sJ -Ad- Ac eAliv r;ru.;r) • A.„,i Lce. %ere 004 p;n0 0;1 . cell 6.4c, 1 01 liN8 Ad' ‘Joril be al 16.1 11,45 ./ti h. sea s sty. Istren L Je'oefire 1 A...... dr-, up 10f— ;inn& ii"t c.. A.ri, lover he di an it gletawlee, 4*/ ..Z lit 1 Ini4rc .• Aci13. t•Nue-44041:1/. /V. .^4 4 as) "k pat :ii on Ike tiletisea• .....I ikalk Z eriat7 ilue.tiel fit, ;Rectetia tkc *e—tJe.a. A co. Ply ml:4 hoiliqn oi,, -h &Az..u. att4ilt Awaitt.if,44; oil. i is w4 troi dieritiftt ikt weal 4 At c.c. &IA di* . 017-itorteg issedintel iv CD And tt.;.% d.rtiorti .p.on. irek _t 0,4 017 Ll gicc,vi4.1. 2 itaitc Mar ;nit.c.c lo• sitefre$cp) ji/chr i'444 e 1 Aft su, ;nude*, .. tio.h 1.41A c de ed 4 Ogneset kb,. ..fro..„ 04, 4/440. scdtbefidr, -pap Jo , c •• elm; ch. t .Zatit fie 044ev-c. is- .....77,04k...., cog li44, .4 h.-46. (43 .•141ce. "II ritaAtf-i-hr A,* 4 411s..,. ft. tea. IIIII=1 INITIALS OF MIN PACE I OF -Z__ PAGES AOOMONAL PAW war CONTAIN IN t NEATNNS "STATIAWil Of..... MIN AT...... - DAM COMMIS' TN I SOTTOMOP MON AD01710441. PASISMINT WAN VW MIMS OR TNII ITIVIONMANINS me STAMM' AND susigua AS ?AOC OR AWN.' AWN AMMAN& PAWS AM MUM We MDT Of mesimctutussume ASS TIN ISTAvaten . WU SOCONCLOOSS 0 N INE MINS( NOS Of ANOTHER COPY Of MS FOAM. DA FORM 2223. JUL 72 MIPIESIDES OA room 2572.1 JAN IL WHIM mum USW. WAG 4.111

00190

ACLU-RDI 1301 p.61 DOD 13518 61,CCI. 000

T6T00

.1110111NIVOS•0004

now go sow I

„„ZErrirtatsratij

'Mirk • ----.7.111*- " i,vr Mid vele AdMopriPs Na1 A volsonne vowed S •rs wess4 it mew fint pocrampvg

1101:111302.00KUM.ONVDMIIISNNW dO 110111112 ATV MO LAM AO WON MONISM AVOW MaY811115 SN4L3OVId MTh I 11811811/121,11 WANIVINOO iDVA KM AO MOWN OIL =vim MVO (INV INOIL.13111103 17V 017VLUNI SAW I •MIL tr AMVSSIOSS *LI In AS 30111 JOVOLIAMI *WM SHLAOW4111/40* 9148. ONVISIA0NA Al v1d 1 • •••r" 10111 OW I SOW NO LadrilVIS SHL all 01 OM OWN RAW WO OM MTh • JJAVOIAN

rri -4.4•ru yaqk ./.11.3. 41 *II rinvItu ...*?yA vriu 17 "y1 1 $1"7 4,"%lewill gill 1.11 t 11 ul 7119 my 1 7yi-JQ v 7o- rai -12" 17 -.lur:t 314! V r .211' 'I* 4 lel 40(b°10 „...r r ry cm, ir, avratial 4,1 gsmorc:41.-yemit,. -s- .iir ri r, 'SEI 9Qc I7 Pr 4.: i'd•ft 1111 11'67' 'i' .rartre "aypwitart .47 x., 4:71:07t Ar1/4,01.%-) vg u! rt..!-4 II W. fa 4w, fp"? . .1. a *top i -all till I ayi. sf Jug. 4..v!oifot v. v vv o jr ',r Pr -^? (14.1. Pig 11: " i" nrns Ja t1.41. -1. .4414.2 lai l*"...P"sai Qty lat '7 47" ats lav - '1"Y I'w oer li L''74 4 "H'4". '1 -1Yl a 1""r4-r -4:7 *s.V -LI 1 "4"a 1 41 r

ACLU-RDI 1301 p.62 OZ9C1.000

ECM

:atilt Nuustiti"tun mem

iniesestuve spip • pantiprzsi puemournvit AL•Pd puvisinpua pus puu mai • 41 :NOU.V31.411.=

laanta3M 13V AX1414 NIP Jo uonsod smaposaadmvopmpsuo3 sn stop inagupaury emu up pus ImuiraslAist =PP IC sio!UV 701010•C essultollsot sAsitionoP RDA lstgeols1113 u! =IV* sillus suPonougo3 aqt s8sliss PaPlikold uoPsouolur iron allinPuft Alo!iciPsIP Plool uolosolosiol MAGA as =UM '&10111Puso s! alusolasKI :3111S013Sla

vamp Jpqtp mgriguopad sti uoinnuojta moi paan tai awn astsapa wastattkia NI Jo =Mewof Posolos!P aq *Wad not uo!Isuooiul (111, I 3M11:1011

'911 uo!tsluSull (ouV VI* xampieue ,13rustUtUO3 deal° stsapr.Ddo uottosna otri uqUo MIR uo volialnaAR Poilaiu! uc Poo 41 PI :350411 Id

110E BO'S. 3S.'10t mu. Put to .1101133S. asn S allt 1.: .u.nottriv

(eus s) tat JO .1,3V at3VA1liel 3H.1. SS CH111.10,311 VIVC1

ACLU-RDI 1301 p.63 WARNING PROCEDURE/WAIVER CERYWIC was ►TE Malo N Ws 1ra1. ma AR IOWA at•oromoram ammo a COMM DATA __CARED If THE MAO' ACT

TAW IC. Uni181 MOW CNN. UAW au mot 70 peak* aw•itoadmit and Imo saImmonstA AIDA* elMh momalw witch intonostioo Marr Maccomodp ioormed. Wu Saki Swift Newer it stai ae ea Anilionoitillemlla mews of almidli•oticat to loam, IVION ant samara'. Clatimumul Vow NNW NM* ttombor is velimaro.

DAT1 I 3. VW s ail NO. Gammaboo Bay. Cuba W. Wm 08/ It •• • S. filogiANCATION CS moon

..111.11W1111110 PART I CIRTIPICATS fasten A. Mils •

Tao ormalawar same awn aloft laskos *am 111* 11141***** 111111111***1* *Mit kilt Task Faye CASEIDAVIO. /OW Mambo Operatics, Go varasina gram an about sellosals1 M asses 1 au in•posaitaasmok del 1 Of hitt Mom WO* m od Oa sty goesaaaa **aft altasairla . Was Aiwa I alasr Wm* Os Iwo Ow lalhariag *pug 1. tag 801 WW1* ammo tar si•ilaw ma matirm. 3. Amor. a am or Mu* looms• oa orimmo moms ao aboirailol. 3. Wm arm* apiamM116131U *1/18$41111 A1M ■ a* weak M smarm Wm. *aim. ord atm woollalra No v alma • Iwo mos mikan 4malolso.406 arrow ari as • aging maim Irma I maw fir*•railwat Mal ihisomat at • naliar lomat mialso ow an al me sepia gas. sr balk war. wt./away moota p mg givoks • so pawaso igo owswgerigslook aall osaliwag as Immo Imam mum arm masa. eassimwst woloatad 'WIWI Wastes Mom MAI mop AT Arm arsawas. Imam wed bony, am vim "ma lima 1.110•4108****111111111181***********0 *oft. Il 1 aa PIM vamp r awns me oilmaloa ailinamaaollsa. wlNas val.* a lemaar saaara.1*** • 0.111011,11 blevialkal Maim 111 M am. et Nay. *ma* waft arawast talo a sramort Nom asset I otprOs maw MAE&

I. CCIAIINTS Cowart so amormaWal

L MOM

1 miaow sop Allem 11111 Om 1 so Iia van, ta Own tam aaemasIN emir lavosamilla ma mote a ouomma wino mike la a bow as sad wham Wage leaver waft ma• ma. AMR/ONS ft ssellable 00■14 Ingli of NMI

0. ONOMMATION ON ADIMIDIAMD MONA

a.. Rugg frig* or POW

a. ' tinGMI AUONsal.100gtaa asao mat

Swaim C. ica.swisat so ow mot a floommr *MA 0 I waw same 0 1 da am mom M iammiama M aim mom, samotuai at imilMaIWII

MACH 11411.waivili CIAMICATETO laly MOM MUMMY 461 IOW 8C231 SAISPAltalta MARDI tf rr •allioetacomoo OA FORM MM. NOV tOttwll atMOfr •ealottettfl

00193

ACLU-RDI 1301 p.64 DOD 13521 PART SWIM WARMAN PIU VS PIANOS

%AMMO • wow aI. ar•icustaiss0 Tow M mime. Make a wise ler ellaglite, el al lagliale go Me Geamemeal le e leate. imager eataleg Ile VIPS el alltlagNalle ∎ b. haws AS allsossed. is Wilei. Vim. • • es • C. TIN IAM INN WO, is s shamslassusst ir• sissess an maw Is Sis UMW VOW Am Po ..ata • NIP ammo, • a molTS ••••• irsmusaoessmd slesselliiislas le Ishes: • bow Pim. Swum ale slat Pusemosso am Is Pass • 'Wm I•oll Vae Ileelallee, wee Mtge 40aPeollege flew Wet • brew Mimi mak ON &MI IMINWaliffe Tai UMW tan ill a. 'Paul on Wor Os arewilw lar sir impiftiqp.• Ass iss rams le a sat sso moss, WA samosa WWI • spew sal P NUMIelle tau sw die as es moss se swims Mom vim ewe/ Me. a karat was. ita asmoul la IAN Men ow WoomsasI i elisissr•Pagisa.' i1 411.'1 Was *Po* fame IP Secure Ihe snows a...** .l woo Ne WAS ',es Ws as asIs a IMP low. 4•••••*, ask • wait* s two asses. yr Pose a mks es No assassi was* ss Immo Imssocirsag. sh• wessess• /Me • eall•AS AL Me Polk iit WNW Maser, nib I Pasta saps pow lioNA WA NMI •AlslegmE• nollAvve kiwi Meg IMIegieg bgegt WWI Wge Op • *anew gealleile. • Atm aft= Ow sopmellsssessis pop, ~sumo soap tom PSI MAN

1). IN mawsissi sae IOW "Cinss moss Wow IA essr P•6111 INV ilbeirodsio aAr is sof ambiliert welt arrossarseasse se.1101: PAO Ilya slaeali.rdlr tPlYMaae tot awsusl, nlogol Ilya sawmills' Vs adileasoLM IlleArswassused sow kw" • 'we sal Os Mesas sailleal I/ sassearrosi insNW' ask Way Nr IsIbesss •••••1

this ems. ma sou seas Is *Pao Ss •Newlel IMP Issuppiis lbw yes was tesossrl Ism* aft kis sood Avg s•i• Aper ads astiluanlriSlMRullyN wessIlsesswilsesS 'tee IWO gig Woo ate •sismse iM Wart Mires Wow run. IP IN swat war a go ormelamesil oaf more ala. Amy, Am $01 •Ps. • 010 ss Om** we 101 "pat skein IIPSUPS Po Atm alkas. ssmiss. hes•mplos.* MEPAILIEPA liessessokor weer W Ms mks. asillissos we sommansesse asve Mk' NM top* aftwahtset Mit Pam N New ow meows. as ausso•SsrmOSSOF 'Ow Maim me Brei,/ sraIseJ a aper irehw AMIN am/ maw se moiler sonelparay tkfirmw *Nal NOM AP

SPECIAL INSTALICTIONE

D BIMPICTIACalie ASRKiS TO SINS tsAANRCIPIIMPICAPS: M an 1. Iles aspostOmmlell vili ipmelsosll Nob slew sailed We assIssi Eissesvormmo irstossiossitsArss Apo Ass smasss Al stag" wow at Maw dela esPlEalk. Sao Iwo pea lwlIlMhaMemoaMos sr sem smssiss sisa as Is Nya treador of as as alel.W,yawas mummits‘ lk. sessisl aro taloa! SIMMS Wile Ps is• ***ed. Ms APB sl IM sm. awl slIsseslase Was Ni sums do NW. woonsissel aIw Ai. %saw M.w*WOi.sesomilsrslrtsallge 11, *Mg as my WA.. are alt waea isavogr. sees **pm ar ellwarli war lora NNW. Asealsivias..witailwar slie•e missy sslitur.

NOTS SINS PPOPIII6 so S•AIM alITIPICA11 CAINIOT SE COMPLEPED IIAMEDIMILS2 Pea rare Nip eta rat refteuesays4 wan wow alma* 4ikaN Mt awl bake esamea• Wien sp•s• ssolsous mos Ps asso•INIas sats is 10 51011•110110 Mom en Oa maw aAilaa sisl 1410110W Is• sorpsamossessa *•ld Po awl irwab Ni Shersehse swiNals lobos 0/1,111000AN borms.11 aA. Ism Mame NMI i. sasOkIsS PI sue as IA Os sus et WIEN SLIOPECTACCUIED SIMMS mow mossessies, esssimise ow Is emssrsol• ssevored. Noss *NIA PI 1411 OR Nil thrAwassupssaL MS111014/11 CUM SITEISIOSAPION PROMO Mee Iks Irsonssok Nis imam &dm Istessiolso sets •ossliog ssusel Sae Piot mama MA STAIIIMEWIS: eaI" 'P.M I SNIPS VI • bernt.i. WWI onellerime oftsi awn asysesse•. As No ssost. mos, Me.weswilesms40 Assam& sormsarss Inalssesie as■ AwasPse ohs spesstAsaral siVr sams ••ssosime saws« Pow ohs rpm le solve mewl The asosisisp ass lish••isisp Poss••16410101•04, elpshwills MAAS la me est le AIN zumilmen rr1.1 ESMONi ftweirrle Ormeor isalsw sseeims. Imam dimerage umwooftetwaes kens emnompaieser asms. she weal. Is am mat asewassuirms is *DI saw det's es "ems sass. woo ohnisst ems Aso serras.1

CISAIENTS sersessia

REVERSE OF DAMN, 3W

00194

ACLU-RDI 1301 p.65 DOD 13522

SWORN STATEMENT is of ea Mom em All 111041: LOCATON IIIA mercy is 77:P 6/4 lnnaro: ;c21": FLE wamin SOM,imimin lactmO •NIM I ormrs

•

T • .WAN TOMN KE 'QUA:WM STATEMENT WO& ONTN: a..4 • 2 Ga4 4 as stOri 4. o'er ?A 4: de -4.-1- 7144‘ 7‘004 ,"•-• 4.1,10‘ al/ . 4.4.7004 graer41 z‘, 4,00

4.,4 .1al... 44/ -A go 90:44

4,,t4 .400/ 440— 04,04- ,44 Au. s-

STATEMENT ADMNAmt AMES must "71111111ra ; witim am ammo7,1 memo • ►AO 1 OF vANIS OP SAW ACoMOINL PAN STAIZIONT Ar TANN AT DAMP CONTINVIA • As "Kw mar DEINMAIS orig. mom N.474 SON? arCONOWDSOOP MOM° AVOMAINt ON AMMAN IIMATE4 Mr &CSC, PAO:no 1 sr.WU maw? AND a e rimAtio I:MAT DEANNNON SCE Of mum am DA FOAM 2223. ANNONN COPY WINO maw. APO TAW JUL 72 SUPONNONI rut FORM 2 1 AN R WHICH WILL I 11110PCIPAIN

Raiilliews••••1

1.

00195 ACLU-RDI 1301 p.66 DOD 13523 00196

ACLU-RDI 1301 p.67 DOD 13524

SWORN STATEMENT Foe ols of ea 1810. ass AR 11040:11111 00/01/001 WAN O CIOCIOM FR/ACV MT TMs 10 Inc limoon201; WORM lloAlon 2lits LO. 0207 dm/ tormoloo 22. WM NV& AUTMCOITTs Ow, via arm IN WWI Wenoodon now bo mum* SAL pumas To pestle toomMom Ad lsw ordommoot mai. s wed moo ohlrionollakenum moms NA Henle MIs- w Nollsolo moo d souisol. MIMI UM Yea said gasON oWNANuss . mama • yap NAM owlet ewer b 2. OM1 rerromutot s. 11TH Ams,s1• . NUMMI 1. LOCA11011 • Skst, Caw Zleks•Osi lmaillo Mar Cite I,(. /1 1 / gintilos

o^A oft QM Ws. Gummy° Ow OW ONO • •---, P41 1° ••••• T .. 1- il!. 11111111 , WANT IO MART TH1 POLLOVAPGU to - n k ykot.I.A.D■rked AC) & a421424."..4 "" Mir LALLerus 6p qa- Lik•At Z.Le■TYLLA CO 0 40-441 LA.L.vi.14-1:4-• 1-4-Ardcrefeaci 12344 fto447 Slittu.u.r- 4 c. - lit-far.0.44C4e1 - dije. d 50G I CLrcl PLL 10 e_i date ov&tz X114 (AX4-#-CLUIS - ic33: vaii0Jan, biltx.fr. A.A..1:1.4 LJW-44-r4.e.t Yat `, " /11•# 5h tt aft-

Akick. t. A-56"eddrwilltotA4tzl- Lz-orti-t111111 Lobfres..u. .u-) Lk& L.4,"CrUAA.r. CL41.0.. . *Th.& eitebi-ti ► 9 rniou_Lrix..L.th mrd •L.t-t-c, 1/4..ted ob-t.n.st. Lt,y. lo.L.L.v- L.4.43t:t.k.t.sti be 6 bkocit "T71' • Lt.zsw LA.4.4ecif.4111111111111 ti.uot IDLAAzi 6ruxi Et, is.o..r.:TE-u.0 way. Lotaakt.cl Of t bin-u. SLS'/ advi sic*. 0/ LA.i.z.4.1.zazzim frb ) bei•en tet.k.. &Ice* e cu. /el G4i(4-tt tru 1,44:&“*.eL4i0 L CaSUASSed 04,,,. Asj s tc-1,4.4-6 •or eel GA-L-k.(4 trzakl=tice..1:z ot am ,f- .d (-ha-4u 1.)1,71/ r , --* 10. IDORIT 111. emu =ma STATIMINT cAaa or moss

AMMO& PAONIA IMMO! 111XIIIMEN1 MON AT OA11}0

ON NOTIONS. MON ADOMOMIL MAU OF Mt AMON MHOS TM E STATIMOST. AM MOE MAIM MAD 'VS of ("001710. PA Kea 2p23, Pep !Ni • • • • • oa; 3823. 'Ai: 72. sioswinz •

00197

ACLU-RDI 1301 p.68 DOD 13525

9Z5el. CIOCI

86T00

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•

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ACLU-RDI 1301 p.69 DATA REQUIRID BY THE PRIVACY ACT OF 1974 (5 USC 552a) ti r• AUTHORITY: *Mel USC Section 301 end Titic 10 USC Section 3013. t.. PURPOSE: To be used in an informal investiption on kW or the Joiat Detention Operation Group Commander in accordance with Amy Regulation 154k

ROUTINE USES: Any Wormed= you provide any be disclosed* members gibs Department of Derma who ban a need for the: lami:slim in the performance of their dudes.

DISCLOSURE: Disclosure is stendamry. Failure to provide information could result in disciplinary action under the UCMI. Information provided assists the Commander for his decision is matter. You do not lava to inanimate yourself Miele 31 rights advisement and the Fifth Arasadthent oldie US Conaitudon supersedes this portion of the Privacy Act statement.

CERTIFICATION: L. e Ned and uadarstand the above Privacy Act statement. ane tor aimsnipsIms anvisement.

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00202

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00205

ACLU-RDI 1301 p.76 DOD 13533 DATA REQUIRED BY THE PRIVACY ACT OF 197413 LSC 352a)

AUTHORITY:. Hite S USC Section 301. and Tide 10 USC Section 3013.

PURPOSE: To he ttoad in art informal lovestlgodott on bate olds Joint Detention Operation Group Commander in accordance with Army Regulation I S46.

ROUTINE USES: Any Weaned= you provide may be disektscd to members of the Deportment of Def .who haves aced fee the information in the performance of their duties.

DISCLOSURE: Disclosure is mendonary. Failure to provide informs** could result in discipIthery sedan under*. UCP.U. laformation podded assists the Comatoodor for his decision In Ns manor. You do not hem to inctiolwte youndE Atticis31 debts advisement and the Fink Amendment. dic US C000doution supersedes this Ionian of de Privacy Act statement

CERTIFICATION: lave read and mulennand the shove Privacy stHshsstesesent, lots facda rights advisement.

Nam: Rank/Beend Titim 6

00206

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ACLU-RDI 1301 p.80 DOD 13537 DATA RHQURED SY THE PRIVACY ACT OF 1974 (5 CSC 552a)

AVIIIORFIN: 11de 5 CSC Semion.301 and Title 10 L:SC Section 3013.

PURPOSE: Ti he wed in an informal iffordption on behalf of the Join Detention Opmatiotts Gawp Coutesesder in amordenee oith Army Resoled= 154.

ROl:TNE USES: Any information )uu provide may be disclosed tolnemhers of the Myanmar of Defense Who hew a need for the information in the performance of their dudes.

DISCLOSL RE: Disclosure is mandatory. Failure to peovide information could fault in disteiplinmy action under the UM. Infirentalion provided embus the Commander for his decision In this matter. You do not hew IDifiliimble yowea Amick 31 rights sdvisinnoat and the Rah Aistadinsat of du US Cossidonion agaustisr this portion of the Prim, Act insement

csicnixATION: I, _11111111111&" mod and mulemnde the above Privacy Act eatement, and tor signets sit' nowt[

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ACLU-RDI 1301 p.85 DATA REQUIRED EY THE PRIVACY ACT OF 1974 (5 IJSC 552o) AUTHORITY: Tidc.5 1:SC Suction 301 and Thiele CSC Section 3013. PURPOSE: To be used io an informal laveniption on behalf of the Joint Detention Operations Grove Commander in accordance with Army Regulation 15-6. ROUTINE USES: Any intimation you provide may be disclosed to members of the Department of Defense who have aimed for the information in the performance of their duties. DISCLOSURE: Disclosure is inandstory. Failure to provide information could Midi in disciplinary action milder the UM,. Infoonationprovidod assists the Commander far his decision in thIrmaner. You do not have to incriminate yomself. Article 31 tights advisement and the Fin Amendment of tbs US Constitution supersedes this portion of the Privacy Am statement.

CERTIFICATION: 1 bare mid and understand the above Privacy Act slimmest. and tor signed a rigbatedvissamot.

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00217

ACLU-RDI 1301 p.88 DOD 13545 SWORN STAMM wwp Ai Ow Am ANON 111/41: Ow mow arm Is 0001011 tAe^t I7w TM! tommon /". :2 misio 0 ays-

I. . WANT TO WA THE F011.0oANO STATiMint WOO OA . Z11 4kAALE Ada& AO I'rii:44. I eadio ea.,/ .,Z lee:d 411-1w 4444444 4,4;a:1111.1111,1111..a.t. en s .r.4.43 4.J. hilioumeafe.ot a .koze-e Azia. told .6,4

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=MT NITIAAS CO plimiair paws A00$101ML Mai MIS VON'hwi &Mimi *8147DENrili 801011 OFMCN MICI110014 AM OUST WAR At_ &MDCommiga• INIOOMS DEIVIWNININI8 AS Mar OF MOM• 1MR111w00wWwww AM= ARO mum SAtinew DWIMMIr "%MUNDIAL. srAreaswr Vas at CONCLuDID A1 OPMat I Ost. allow O AND my flNtMIliMEM1tgr Mg7ACOPpprDES DM* DA NNW 21122. JUL 72 ILVOMOOSI OA MOO 2121, 1 JAN es, mica au .1 I Wain _ IMAM 11240

00218

ACLU-RDI 1301 p.89 DOD 13546 DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 LAC 552o)

. NOUN : 'title 5 CSC Section 301 and Tide 10 CSC Section 3013. • PURPOSE: To be used man informal investigation on behalf of the bait Detention Orations Damp Commander is accoedinct widt May Repletion 15 ,4. ROUTINE USES: My information you welds may be disclosed to members of the Department of Defense who have a need for the information in the performance of their dudes. DISCLOSURE: Disclosure is mandatory. Failing to provide inhalation could result in disciplines, action under ths41Chtl. Infenamicapeovidul assists the Ceminander for his decision ier skis manse. You doom have a Modulate "small. Asdele 31 tights advisement and the nab. Aiscadreem aids US Constinsion supersedes this portion of the PriVael Actstmemem.

CERTIFICATION: 111111111111_ haw read and undaestend the show Privacy Act statetweit, and /or, sights advitimmet.

RanldBrmmhNlnillIl The:

0 0 2 19

ACLU-RDI 1301 p.90 DOD 13547

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00223.

ACLU-RDI 1301 p.92 DOD 13549 SWORN ITATIOADIT Per um M Ins Neel. me MI IWO: IAA a MATZO* i DATE• , RUE KAMM "XrF Grrtic) ammo awr rams vulfr ec t Or #n imirwitE NAME soak. IICIMITY NAOMI • MR ADIMMIS AIM eilir

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00222

ACLU-RDI 1301 p.93 DOD 13550 loomftern dc's eirmi citart.1.-) 44. co. oAti. 104.4vs Aticw-41.4 bt. &mug te ft taccordmer , r4Lie ► ► h s ( loss moirra riwortLitued extec, (144m t, thetV,Atpit.4 cRexi. r..„ ,50./ cr.,/ 4,4„ imm clhmtekbk.ts oarlovet.d . -641- it. Z. cp." ,14> ult co4.11-11$ a ver%1 cpo- l taar.gar.Im7b4ci iljaljkl 131•34111.A") )1tc tleale VuS c,‘.16144trirr C: Ad dr Sidi

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00223

ACLU-RDI 1301 p.94 DOD 13551

DEVELOPMENTAL COUNSEUNG FORM For wee of this Ion% was FM 12.101k Ms ersponenl WM, IS MI= I • sr a • an • . i. 1 • DATA inciumosinn PRIVACY ACT OP 11174 • ---1 1 AU114ORITY: 5 Laic XL Oseennwnew Ilseulatkols 10 USC 3013.SWerelent of **MITI** 1.0. OW SSW — Is unto lenders in arnducdso Iwo welornwo cova••••• do• wormy wgebsydinelm 1.• •111010PAL PURPOSE: 1 130 4•110•• 110•00proun lAW PM 21400. Lowers mesa was this Min as ilsswwwv. AUTINE USES: For 1•10020• 1 DISCLOSURE: Disclosure 4 volopury . . . . PART I -ADIAINISTRATIVI DATA ► a MAN Rawly No. Dan ej COVnaiNinars u 447 v 91,1111.11.. la .240;1 ....11f.0 I . c"nIrcarrn di) PART II •• SACILOROUNO INFORMAISPAIIIII orovsnrwownwel twine et Counsellow Amor saws ow mien ter Me eina ssliv. as.osilowoniolniontsielwe pima 1/620/71iseeing. and inciudnn ow andwir ben and obsenwinne Om 70 MO goonnleng•O ;yak/ ry JD., au-

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00224

ACLU-RDI 1301 p.95 DOD 13552

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00225

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00233

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DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 USC 552a) AUTHORITY: This 5 USC Section 301 and Title 10 USC Section 3013. PURPOSE: To be aged in an infonaut iavestiption on behalf of the Joint Detention Operations Group Commander in exordia= *ids Army Repletion 154: ROUTINE USES: At infOn116311 youprovidemay be disclosed to members aide Department of Dermas who bevy a need for the information in the preferment. admit duties. DISCLOSURE: Disclosure's mandatory. Failure us provide informations:4mM result in disciplinery action under the UM. Informadon provided -assists the Commanderfor Iris decision In this leaner. Yon do not Myst° incriminate yourself. Article 31 debts advisement and the Rik Amendment of the US Coostitadon supersedes this portico of the.Privacy Act Satelllalt.

CERTIFICATION: L have read aid naderstnad the above Privacy Act ststeman, and thr signed aright; advisement.

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00236

ACLU-RDI 1301 p.107 DOD 13564

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00238

ACLU-RDI 1301 p.109 DOD 13566 DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 USC 532.0 AUTHORITY: Tisk 5 LSC Section 301 and Title 10 USC Section 3013. pugp0SE: To be used-in so informal investiption on behalf of the Joint Detention Operations Group Comas da in accordance with Army Regulation 154. ROUTINE USES: Any information you provide may be disclosed to atemberg oldie Department of Defense who have a peed for theInformation in the performance of their duties. DISCLOSURE: Disclosure is mandatory. Faure at provide information could result in disciplinary action under the UCMJ. Information provided assists the Commander for his decision in this manor. You do not have to innintinete yourself. Article 31 tights advisement and thefiAlt Amendment of the US Constitution supenedes this portion of the Privacy Act statement.

CERTIFICATION: i, , have read and understand the above Privacy Act statement. a sus advisement.

Naae:111111111 RankiBrarich: Talc:

0 02 3 9

ACLU-RDI 1301 p.110 DOD 13567

RIGHTS WARNING WAIVER CERTIFICATE Per ter ei ors reek use as iamba0a pospran mew re oaceepe

DATA REWIRED SY THIE PRIVACY ACT

ADTHOINTY: 111Us 10. United sow cook. Bastian ammo 1 C1PAL. PURPOSE: TO ',wide corentendere and ire erdettellealt orikieu is moans try whim inlannetien may Oa scam* identified. ROUTINE USES: 'tow Social Security Number is wad as it sdditienallatiresete arsons of ideniticsien to teatime Sig aryl setneleti. DISCLOSURE: Mows cd your Social Security We in , is veluntary.

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SPECIAL INSTNUCTIONS

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00241

ACLU-RDI 1301 p.112 DOD 13569

MOW STAMM ler on SO Ow • AA NOAk NO MAW ONO IWINS

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00242

ACLU-RDI 1301 p.113 DOD 13570 ima AT a TM 0 ( a1® kok 05 Ti

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00243

ACLU-RDI 1301 p.114 DOD 13571 DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 USC 552) AunioAm: Tide S USC Section 301 snd Title 10 USC Section 3013. PURPOSE: To be used ht an informal investigational behalf of the Joint Detention Operation Group Commander in accordance with Array Regale:ion 154. ROUTINE USES: Any information you provide may be disclosed to members of the Deparunent of Defense who have a need for the information in the petformanee of their duties. DISCLOSURE: Disclosure is mandatory. Failure to provide: information Gould result in disciplinary -action under the UCMJ. Information provided assists the Commander for his decision in this Yaw do not have to incriminate yourself. Article 31 rights advisement and the fifth Amendment of the US Constitudon supersedes this portion of the Privacy Act statement.

CERTIFICATION: 1. Awe read and maslerstand the above Privacy Am statement.

0 024 4

ACLU-RDI 1301 p.115 DOD 13572 RIGHTS WARNING PROCEDUREAVANER CERTIFICATE Tv ma 80 Ms Wok ow AA 1104 Cado rellsiet PPM, IS 000011 • DATA SEQUINED OY TIiIE MINACY ACT AUTHORITY: Thle 10. UriNd States Cads. Sadden 30121.1 TV& FUNPDEN: To pawl& maantmesra owl Mw onfomonsoot offoisIt with mow Or which infolmothah may be karat* deositiso. MoUTINE U11111 Yaw feat SaawIty amber is mad 88 an arekismumemsto man Of klonliScadon to beau= Mao and meow& CINCLOSUNI: Distemora of ~SOMA facatty Number N valntary.

t. Lamm T. DASI 1 3. 'o* Guantanamo Bay. Cuba J i. NIR NO s. mom if 01113ANDATION aCCIMES TD04 issen.• T71,— 6 ro •c• PANT I • 1001121 WAIVERINONNAIVIN BINTIFICATI kotloo A. MOM

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00245

ACLU-RDI 1301 p.116 DOD 13573 VL g C L, CI 0 CI

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ACLU-RDI 1301 p.118 DATA REWIRED BY THE PRIVACY ACT OF 1974 LSC 3524/

AC UIORITY: 'fitly 5 CSC Section 301 and Tide 10 CSC Section 3013.

PURPOSE: To he used in an informal investiptinn on Wulf of the Joint Detention Operations Group Commander in accordance 'Ads Army Regulation 134.

ROUTTNE USES: Any information you provide ata) be disclosed to members of the • Dgparinigni or Deane who have t need for the informmion in the performance of their duties.

DISCLOSLRE: Disclosure is mandatory. Failure to provide infatuation could result in disciplinary action under the (,'CMJ. Inhumation provided assists the Commander for his decision in this MUM You do arm have to Incriminate )01111elf. Ankle 31 rights advisement and the Filth Amendment of the US Constitudon supersedes this portion of the Privacy Act statement

CERTIFICATION: L bane rad and understand the above Privacy Act statement, snd /or signed a rights advisement.

Name Rank/Brandt k

00248

ACLU-RDI 1301 p.119 DOD 13576 RIGHTS WARNING PROCEDUREMAIVER CERTIPICATE ter IN• el too WIN. Ns Ai Mai as /Mama aeeeehr =CRON DATA NOUN= DT MG PIRACY ACT

AUTHORITY: Tide 10. Wised Slaw Cods, Neetien 30120 NOM PUIPOR: To provide Carawinders and kr* aideneroott Wig* willf mem by offish idennotion nor be newel* Nonfood. noUTIIII Tao fecal Itoarrlop Mentor • mud won adatieroGesonefe Num of ilondlleodon to lacieune IMO era newt& CNICLOSURi: Diocpsers t Mr Sod* Smoky Number* velimtaiy.

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ACLU-RDI 1301 p.121 DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 LSC 552as

AOMORI rY: Title S CSC Section 301 and Title 10 L'SC Section 3013.

PURPOSE: To he used in an informal ineentiption on behalf orthe knit Detention Operation Group Commander in accordance 40. ith Army Resuletion 154.

ROI :TINE IMES! An) information yuu purl& may be disclosed to members of the Deparuneni al Defense who have e. need for the information in the performance of their duties.

D1SCLOSLRE: Disclosure is mandatory. Failure to provide information could result in discipliner, action under the UCKO. Information provided assists the Commander for his decision in this matter. You do not have to inaisnionte puma Article 31 rights advisement and the Fifth Amendment oldie US Constitution supersedes this portion of the Privacy Ant statement.

CERTIFICATION: 1. ,re read and understand the above Privacy Act siasaraott. arse roe Stereo a nynts anrisement.

Name Rankniontelt: MUG:

0 02 5 1

13579 ACLU-RDI 1301 p.122 DOD

RIGHTS WARNING PROCEDURE/WANE/I CERTIFICATE Po Ilse es IM Wm. be 4111110 tat P•M•1•14smor • MICK DATA Rout= ST INK PRIVACY ACT

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00253

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ACLU-RDI 1301 p.125 DATA REQUIRED BY THE PRIVACY ACT OF 1974 15 USC 552

AU 1110RITY: Titi• 5 LSC Section 301 and Tide JO USC Section 3013.

PURPOSE: To he used in an informal investigation on behalf of the Joint Detention Operations Group Commander ht accordance with Aral) Regulation 15-6. ROUTINE USES: An information )ou pinvide may be disclosed to members of the Department of Defense who have a mad for the information in the performance of their chides. • DISCLOSURE: Disclosure is mandatory. Failure.to provide information could faith in disciplinary action under:the UC/44L Infonnatice provided assists the Commander for his decision in this matter. You donee Wm to incriminant yourself. Miele 31 rights advisement and the AM Amendment oft* US Constitution supersedes this portion of die Privacy Act

CERTIFICATION: read and understand the above Privacy Art

00255

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ACLU-RDI 1301 p.130 DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 LSC 552a)

AU 1110RITY: Tide 5 CSC Section 301 and Title le (SC Section 3013.

PURPOSE: To be used in an informal inveaiption on behalf of the Joint Detention Operations Group Commander in accordance wfthAtmy Repletion 1 S-6. •

ROCTNE USES: Any information you provide may be disclosed to members of the DepartmentorDefense who have a need for the information in the perfomenceof their duties.

DISCLOSURE: Disclosure is mandatary. Failure to provide information could result in disciplinary action under the U0441. Information provided assists the Commander for his decision in this mom. You do oat have to incriminate younelf. Ankle 31 rights advisement and the Fink Amendment of the US Candastioa supersedes this ponion of the Privacy Act statatnatt.

0 02 6 0

ACLU-RDI 1301 p.131 DOD 13588 RIGHTS WARNING PROCEDUREMAIVER CERTIFICATE 111. we of We Yam mg AA tilOok Nor pmponott O 001308 DATA MOW= Be INS IMAM ACT

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ACLU-RDI 1301 p.136 DOD 13593 DATA RFQCIRED BY THE PRIVACY ACT OF 1974 (5 LSC 552a)

AL.111010TY: lithe S CSC Section 301 and Tide Hi CSC Section 3013.

Pl:RPOSE - To he used in an infurnad imnistivion on behalf of the Joint Detention Operations Group Commander in accordance with Arm) Resulation15-6.

ROC17SE 11SES: An) information you provide may be disclosed to members of the Department of Defensewho lama need forthe.informstion in the performance of their duties.

DISCLOSLAE: Disclosure is mandatory. Failure ice provide infOmmtion could sesult in disciplinary action under die IJCMJ. Infonnationprovided assists** Commander for his decision in this matter. You do oat have to incriminate yourself. Article 31 rights advisement and the Fifth Amendment of the US CionitigiOri supersedes this portion of Privacy Act statement. the 1111111C CER11FKATION: L mad sad understand the above Privacy Act Mb:mat. an Mr a ralviscroarik

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002 6 6

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ACLU-RDI 1301 p.143 DATA REQUIRED BY THE PRIVACY ACT OF 197415 L.SC 3520

HORI TY: Title S USC Section 301211 Title 10 CSC Section 3013.

PURPOSE . To he used bran informal investigation an behalf of the Joint Detention Operations Group Commander in Deco:dance with Army Regulation 13.6.

ROI:TINE USES: Any Information you pnwide may be Ifiscloscd to members of the Deparunentof Defense who•sve a need for the information in the performance of their duties.

DISCLOSLRE: Diselosum is mandatory. Failure to provide information could resuh in cfaciplinary action under*, UM/. Informadon provided assists the Commander for Iris decision in this manor. You do mot hove to ineriminste yourself. Maisie 31 tights advisement and the Filth Amendment friths US Conedustion supersedes this portion of the Privacy Act statement.

CERTIFICATION: I.OM have read and understand the above Privacy Mt stmernora, a his advisement.

Rank/BraidNaillaill Talc t

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