GRILL FLAME SECURITY AGREEMENT

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001200010036-0
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: December 7, 1998
• Sequence Number: 36
• Publication Date: January 12, 1982
• Content Type: CONT

Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010036-0
V
DATEZ ~~ ( Z
GRILL FLAME SECURITY AGREEMENT
I
'~ , understand that the highly
sense zve and classified information 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
798,-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.
1-,.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.
I" take this obligation_.of...my...own, free will, without..any mental.
reservation or purposeof 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-RDP96-00788R001200010036-0
 Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010036-0
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
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WITNESS:
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NAME, RANK GRADE
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NAME,
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UNIT ORGANIZATION
UNIT ORGANIZATION
POSITION POSITION
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010036-0