Document Type: 
Document Number (FOIA) /ESDN (CREST): 
Release Decision: 
Original Classification: 
Document Page Count: 
Document Creation Date: 
November 4, 2016
Document Release Date: 
November 3, 1998
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PDF icon CIA-RDP96-00789R002600220028-0.pdf63.29 KB
NAME (las~pp~OV~~ ~Fc34'il~~l~:~ds~'~0`(~/b~/08 : G~~c~'~T~SNI89R0026 GFADF SSN: JOR TITLE ~.. o b~g~Op2$ Q Numher I CERTIFY THAT THE ABOVE-NAMED INDIVIDUAL MFETS THE RFQI~IREMFNTS FOR ACCF.~.S TO CLASSIFIED DEFENSE INFOR~9ATION INDICATED BELOW. ACCESS ACiTHORIZATIC~N TO CLASSIFIED INFORMATION PROJECT AUTHORIZED: SUN STREAK DATE: Authorized by BRIEFING ACKNOWLEDGEMENT 1. I acknowledge I have been briefed concerning the project indicated above. Having received highly classified information relating to the united States Government, I am aware the-unauthorized disclosure could seriously damage the national security and the transmission or revelation of such information to unauthorized persons could subject me to prosecu- tion under the Espionage Laws (Title lE, USC, Section= 793, 794 and 798) or other applicable laws including the Uniform Code of Military Justice. 2. I do solemnly swear or affirm that I will never divulge, publish, or reveal by word, conduct, or any other means such information or knowledge. except when necessary to do so in the performance of my official duties in connection with the project indicated above and in accordance with the law of the United States, unless specifically authorized in wri.zing in each an .every case by a duly authorized representative of the United States !Government. I take this obligation freely, without any mental reservation ~or purpose of evasion and in absence of duress. 3. I acknowledge that informatior- I receive is proc?ided only to persons special~,y approved for the project and that.the information may not be further divulged without specific prior written approval from the Project Headquarters. All access is restricted to "must-know" based upon one's present. position of functional use. 9. I understand that in the event I am reassigned from my present position, I will notify the office granting access to the project indicate for briefing on actions deemed necessary at the time. SIGNATURE 4F BRIEFING OFFICER ~SIG2:ATUF.E OF INDIVIDUAL BRIEFED Apprgved For Release 2000/08/08 :CIA-RDP96-007898002600220028-0