Document Type: 
Document Number (FOIA) /ESDN (CREST): 
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Document Creation Date: 
November 4, 2016
Document Release Date: 
April 6, 2000
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Publication Date: 
November 4, 1980
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PDF icon CIA-RDP96-00788R001200280045-1.pdf95.43 KB
Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280045-1 DATES GRILL FLAME SECURITY AGREEMENT I, ALJ--E ~ S-6v ~ , 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. swear that I will never divulge, publish, .or I soymwly word, conduct, or by any other means such classified reveal- by' 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. Iunderstand that no change in my assignment or employment .will relieve.: me 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 of my..own free 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 Personsl, 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-RDP96-00788R001200280045-1 Approved For Release 2000/08/07 CIA-RDP96-00788R001200280045-1 DATE ) 1 14~Yl.-- _6_ WITNESS: ETC- SIGNED: NAME, RAND/GRAt}E NAME, RANK/GRADE UNIT/RGANI ZA '~ SON POSITION POSITION 2 Approved For Release 2000/08/07': CIA-RDP96-00788RO01200280045-1 s"tis C ,~eS~a PS UNIT ORGANIZATION