GRILL FLAME SECURITY AGREEMENT

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001200010005-4
• Release Decision: RIFPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: December 7, 1998
• Sequence Number: 5
• Publication Date: September 4, 1981
• Content Type: CONT

Approved For Release 2001/04/02 : CIA-RDP96-00T88R001200010005-4
DATE
understand that the highly
sensitive and c ass a in ormation I 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 punishable under. Title 18, Section
796, ' U.S.C., "Disclosure of Classified Information," June 1948
as amended.
I do solemnly swear that I will never divulge, publish, or
reveal by word, conduct, or by any other means such classified
information or knowledge, except in the 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 employe sent
will relieve..me of my obligation under this agreement and
.that. the provision's of this agreement will remain- binding
upon me even after the termination of my services with the
United States Government.
I' take this obligation of my-own. free will, without, any mental.
reservation or purpose of evasion.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
(5 U.S.C.. 552a)
1. Authority: National Records Act, 44 U.S.C. 3102; E.O.
9397, 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. Mandatory 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-RDP96-00788R001200010005-4
 Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010005-4
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE J I l
WITNESS:
NAME, RANK/GRADE
UNIT/ORGANIZATION
SIGNED: Q,/d e
NAME, RANK GRADE
UNITY
ly T
I U. IT' C.
ORGANIZATION
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010005-4