STATEMENT OF UNDERSTANDING

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78-00052R000100080062-2
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 15, 2016
• Document Release Date: November 20, 2003
• Sequence Number: 62
• Content Type: FORM

Approved For ReleQ,&e 2004/05/05,: CIA-RDP78-00052R00Q0 080062-2
Security Classification
STATEMENT OF UNDERSTANDING
I, , acknowledge that my spouse
and I attended the CIA narcotics seminar on
I further acknowledge that I have or will discuss this matter in
an appropriate manner with my children.
To the best of my knowledge, my dependents are not using any
form of narcotics or hallucinogens. Also, to the best of my
knowledge, my dependents are not involved in the sale or traffic
of narcotics or hallucinogens. If at any time any information
comes to my attention that my dependents are using, or'are in-
volved in the sale or traffic of narcotics or hallucinogens, I
will immediately bring this information to the attention of my
Chief of Station or his designee. I understand that if for any
reason I withhold information on the use, sale or traffic of
narcotics or hallucinogens by my dependents, I will be subject
to appropriate disciplinary action by the Agency.
Name Date
Component
5-73 3494Appdr~NQSor Release 2004/05/05 : CIA-RDP78-00052R000100080062-2
Security Classification