Document Type: 
Document Number (FOIA) /ESDN (CREST): 
Release Decision: 
Original Classification: 
Document Page Count: 
Document Creation Date: 
November 4, 2016
Document Release Date: 
April 6, 2000
Sequence Number: 
Case Number: 
Publication Date: 
May 19, 1980
Content Type: 
PDF icon CIA-RDP96-00788R001200280012-7.pdf97.06 KB
Approved For Release 2000/08/07 ':"CIA-RDP96-00788 R001200280012-7 DATE GRILL FLAME SECURITY AGREEMENT I,,4~lcr~RE~F , understand that the highly sensitive and classified information I have, or are about to receive as part of the GRILL FLAME Program belongs to the United States Government. I understand that the disclosure of this information is punishable under Title 18, Section 798,-U.S.C., "Disclosure of Classified Information," June 1948, as amended. I do solemnly swear that I will never.divulge, publish,-or reveal by word, conduct, or by any other means such classified information or knowledge, except in the performance of my official-'duties, and as specifically authorized in writing in each case by the appropriate agency'of the United States Government. (.:understand that no change in my assignment or employment will of my obligation under this agreement and -that.- the provisions of this agreement will remain.. binding upon me even after the termination of my services with the United States Government. I -take this obligation will,. without-.any mental. reservation or purpose of evasion. DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 U.S.C.. 552a) 1. Authority: National Records Act, 44 U.S.C. 3102; E.O. 9397, Numbering System for Federal Accounts Relating to Individual Personsi, November 22, 1943. 2. Principal Purpose: To maintain a record of those individ- uals who have or have had access to GRILL FLAME information through the use of their name and/or Social Security Number. 3. Routine Uses: The Social Security Number is to be used to identify the individual, and the information is to be retained strictly within the Program. 4. Mandatory or Voluntary Disclosure: Information is disclosed on a voluntary basis, but withholding information will render it impossible to grant an individual access to or participation in the Program. Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280012-7 Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280012-7 GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE' DATE t 8) WITNESS: ~:~, trct NAME, N MDE C- s__ - UNIT)`O-RGANLZATTON to Lam UNIT ORGANIZATION 2 Approved For Release 2000/08/07, CIA-RDP96-00788R001200280012-7