Document Type: 
Document Number (FOIA) /ESDN (CREST): 
Release Decision: 
Original Classification: 
Document Page Count: 
Document Creation Date: 
November 4, 2016
Document Release Date: 
April 10, 2000
Sequence Number: 
Case Number: 
Publication Date: 
August 21, 1981
Content Type: 
PDF icon CIA-RDP96-00788R001200290001-8.pdf90.48 KB
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