TERMINATION SECRECY AGREEMENT

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001200290001-8
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: April 10, 2000
• Sequence Number: 1
• Publication Date: August 21, 1981
• Content Type: STATEMENT

Approved For Release 2000/08/07 : CIA-RDP96-00788R001200290001-8
DEPARTMENT OF THE ARMY
US ARMY INTELLIGENCE AND SECURITY COMMAND
FORT GEORGE G. MEADE, MARYLAND 20755
TERMINATION SECRECY AGREEMENT
CLASSIFIED SENSITIVE GRILL FLAME INFORMATION
1. 1 acknowledge that by virtue of my duties, I have received or been
exposed to classified sensitive Grill Flame information, the unauthorized
disclosure or negligent handling of which could adversely affect.the
interests of the United States Government. I am aware that the unauthorized
disclosure-. of classified information is prohibited by the Espionage
Laws (Title 18, U. S. Cede, Sections 792-798) and the Internal Security Act
of 1950, Section 19, P. L. 831, (81st: :Congress) and that a violation of
these laws may subject-me to prosecution by the 'U.:..: Government
2. 1 hereby reaffirm my pledge:.that --I =will never-.publish -or =reveal -by-- -
any means classified sensitive :Grill Flame information. I`agree further
that I do not now, nor will Iever.,_possess any right,;interest, title or
claimwhatsoever to such information.: I recognize the:--full and vested
property right of the United States in such matters.
3. 1-certify that,I have surrendered and no longer have in my possession
or custody any classified 'Grill-Flame..information or material acquired
as a result of this association.
4. I further acknowledge and-agree that I have ..a continuing individual
responsibility to the United States Government for the protection of
classified sensitive.Grill Flame information and that the. termination from
this relationship with my employer-and/or-the United States Government does
not relieve me of my obligations under this agreement or any other previously
-,executed Secrecy Agreements. I understand that:L,.,. 11 not be relieved of
these-obligations except when specifically advised in writing by the
sponsoring activity of the U. S.'Government.
5. 1 understand that this document may be retained by the U. S. Government
for its future use?-in any manner within the scope of this agreement.
6. I take this obligation freely, without any mental reservation or purpose
of evasion and in the absence of duress.
DATE
WITNESS' SI NATURE
PRINTED NA & S (See Reve
__ - - - - - -~5~-_-L4~~ +~.. Tall x+11 G PJ>~' ~ ~..1y'#
SGF I o NE 41
-17or e s~
Q Ot _'T
M: CIA-RDP96-
b1UIVHIUKt t... W
rse) SGFOIA3
3~ iticscsp~ - "UM+PT
 Approved For Release 2000/08/07 : CIA-RDP96-00788R001200290001-8
The Privacy Act, Public Law 93-579, requires that
Federal Agencies inform individuals when they are asked to
provide their Social Security Account Number (SSN) whether
the disclosure is mandatory or voluntary, by what authority
such number is solicited, and what uses will be made of the
SSN. Disclosure by you of your SSN-is voluntary. The
authority for this solicitation 'is Executive Order 9397.
The SSN is used as an identifier in removing your authorized
access-to classified-information. Failure to provide this
SSN_may delay the processing-required;-in-accessing authority
removal.
Approved For Release 2000/08/07 : CIA-RDP96-00788R001200290001-8