KNOWLEDGEABILITY CONTROL RECORD (BLANK)

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00789R002600180013-1
• Release Decision: RIFPUB
• Original Classification: U
• Document Page Count: 1
• Document Creation Date: November 4, 2016
• Document Release Date: December 4, 1998
• Sequence Number: 13
• Content Type: FORM

Approved For Release 2000/08/08 : CIA-RDP96-00789R002600180013-1
STAR GATE
KNOWLEDGERBILITY CONTROL RECORD
This record identifies indiuiduals in your element/organization who heue
been granted knowledgeabilitg for STRR 6RTE material. (See attached
instructions for knowledgeabilitg request and control procedures.)
NAME/SSN
ACTIVITY/PHONE NO.
DATE
DATE
(FIRST NAMH,MI,LAST NAME)
(DIVISION,BRANCIH;OFFICE, ETC.)
APPROVED
DEBRIEFED
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UNCLHSSIFIED WHEN BLHNK
PAG-TA FORM 1-1 noFORn/LImDIS
STAR GATE
Approved For Release 2000/08/08 : CIA-RDP96-00789R002600180013-1 ,-