GRILL FLAME SECURITY AGREEMENT

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001200010077-5
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: December 7, 1998
• Sequence Number: 77
• Publication Date: February 12, 1982
• Content Type: CONT

Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010077-5
DATE 12 cE OPR R982
Pulr B . - C-N A- understand that the highly
sens t ve .aia c:1.assi $ed inform tion 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 1.948,
as amended.
I do solemnly swear that I will never divulge, ptxbl.isb, 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 rrty 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 ;qty services with the
United States Government.
I 'take this obligation of a y...own free will, without any mental.
reservation or purpose of evasion.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
(S U.S.C.. 552a)
1. Authority: 'National Records Act, 44 U.S.C. 3102; F.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 aTI individual access to
or participation in the Program.
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010077-5
 Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010077-5
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE I it- 3 ! P
WITNESS:.
SIGNED:
SSA t,J
SGFOIA3
.LTC..gO ~T .j. z -["I Cw4 PtOWL 6
NAME, RANK GRADE NAME, Ft NK7 GRAI)
W.33~SCc)"
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UNI1 OFtGANZZATIUAI -~~ UNIT RGANIZATIrJN
3V T MGR. M G= ~N J ~e ~P'i ~1~~v -v TC N Aa 1 a v
?C~~LL Tr.l.~~'LE. ~~
- POSITION
POSITION
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010077-5