CONFIDENTIAL
BIN INFORMANT PROFILE SHEET
                                     (DI Form 001)
Operation/Project:
    Action Agent
    Code Name:
    Source Code:
    Witting Informant
    Code Name:
    Source Code:
    Un witting Informant
Name:                                             Nickname/Aliases:
Place of Birth:                                   Birth Date:
Highest Educational Attainment/School:
Present Address:
Occupation:                                      Position/Title
Name and Address of Employer:
Name of Spouse:                                  Birth Date:
Name of Children:                                Birth Date:
       Prepared By:
       Informant/Action Agent: _______________________                ________________
                                (Signature over Printed name)             (Date)
       Primary Handler: _______________________ _________ ________________
                        (Signature over Printed name) Badge #  (Date)
       Unit/Designation: ____________________________
       Approved By: _________________________ _________               ________________
                    (Signature over Printed name) Badge #                  (Date)
       Unit/Designation: ____________________________
                              CONFIDENTIAL