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: 
April 1, 1982
Content Type: 
PDF icon CIA-RDP96-00788R001200290002-7.pdf93.56 KB
Approved For Release 2000/08/07 : CIA-RDP96-00788R001200290002-7 DEPARTMENT OF THE ARMY US ARMY INTELLIGENCE AND SECURITY COMMAND FORT GEORGE G. MEADE, MARYLAND 20755 TERMINATION SECRECY AGREEMENT CLASSIFIED SENSITIVE GRILL FLAME INFORMATION acknowledge that by virtue of my duties, I have received or'been exposed-'to classified sensitive Grill Flame information,, the_--un'authorized disclosure or negligent handling of which could adversely affect the interests of the United StatesGovernment.:.I am aware that the unauthorized disclosure of classified`' hfbrmation is prohibited by the Espionage aurs (Title' 18;'U. S. Code, Sections 792-798) and the Internal Security Act "Of-1950,-Section 19, P. L. 831, (81'st Congress)_and that a violation of these laws may subject me to prosecution by the U. S. Government 2. 1 hereby reaffirm-my pledge that !"will never publish or reveal-by any means classified sensitive Grih-Flame information. I agree further that I do not now,-nor-will I ever,-.pbssess.any right, interest,_.title or claim whatsoever;to such information.- I recognize the-,full-and vested .,property right of the United States in such matters. 3. I 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:andthat 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 I will not be relieved of these.obligations except when specifically advised in writing by the sponsoring activity of the U. S. Government. 5. I'understand that, this document may be retained by the U. S,Government for its future use irf 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 -q TA' h 2.. SIGNATURE i , PRINTED NAME & SSN (See Reverse) A9,a / 4, 4?wsT or* * = SGFOIA3 4 i ed'WWWe1e 2000/08/07 : CI` 9 W-8b~ 88 R001200290002-7 JDscY4 e,.). Mc_Akt)A36A-LL_C- 5S 40, 942 Approved For Release 2000/08/07 : CIA-RDP96-00788R001200290002-7 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-RDP96-00788R001200290002-7