Document Number (FOIA) /ESDN (CREST):
CIA-RDP96-00788R001200010014-4
Body:
Approved For Release 2001/04/02 :CIA-RDP96-00788800120001-0014-4
DATE ~~ ~'~-~ _~_U..~
GRILL FLAME SECURITY AGREEMENT
I, ~ ,~'1 ,~~~~~~ ~~, .understand that the highly
sensitive and classified vrmation T have, or are about to
receive as part of the GRILL-FLAME Program belongs to-the-
.United States Government. I understand that the disclosure
of this information is pi2nishable under Title 18, Section. .
798,"U.S.C., "Disclosure of Classified Information," June 1945,
as amended.
I da solemnly swear that I will never divulge, publish,-crr
reveal by ward, conduct, ar by any other means such classified
information ar 3cnowledge, except in tY~e performance of my
official duties, and as specifically ,authorized in .writing
in each case by the appropriate agency'of the United States
Government.
I-understand that no change in my assignment or employment
.will relieve_me of my obligation under this agreement and
that the provisions of this agreement will remain--binding
upon me even after the termination of my services with the
United States Government.
T take this obligation af.my_awn free wil-1;_without_any mental,
reservation ar purpose of evasion.
.DATA REQUIRED BY THE PRIVACY ACT OF 1974.
(5 U.. S.G., .. 552a}
1. AutharitX: National Records Act, 44 U.S.C. 3102; E.O. ,
g3g'7, Numbering System for Federal Accounts Relating to
Individual Personsl, November 22, 1943.
2. Principal Purpose: To maintain a record of those individ-
uals who have or have had access to GRILL FLAME information
through the use of their name and/or Social Security Number.
3. Routine Uses: The Social Security Number is to be used
to identify the individual, and the information is to be
retained strictly within the Program.
4. Mandatary or Voluntary Disclosure: Information is
disclosed on a voluntary basis, but withholding information
will render it impossible to grant an individual access to
or participation in the Program.
Approved For Release 2001/04/02 :CIA-RDP96-007888001200010014-4
Approved For Release 2001/04/02 :CIA-RDP96-007888001200010014-4
DATE I I ~,,,~Ltvv
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UNIT7(~RGANIZATIUN
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PUSITIOitI
NAME, RANK/GRADE ~
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Approved For~Release 2001/04/02 :CIA-RDP96-007888001200010014-4