GRILL FLAME SECURITY AGREEMENT

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001200010088-3
• Release Decision: RIFPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: December 7, 1998
• Sequence Number: 88
• Publication Date: August 28, 1981
• Content Type: CONT

Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010088-3
DATE 2.8 hl ,u rr 19 8 1
GRILL FLAME SECURITY AGREEMENT
I _ ?,/4 ca V , understand that the highly
sensi 1ve and c; , s7 i nforni ti.on 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 -y
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
tha._tho provisions of this agreement will remain. binding
upch `me even akte'r 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.
9391, Nv ka iranq Sy4tem for , ederal 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-RDP96-00788R001200010088-3
 Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010088-3
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE COST
WITNESS:.
LTC
N/ ME, i NK/GRADE NAMI
UNIT ORGANIZATION UNIT O tGANIZATION
G _L rkft r" e - P1Za ,%-Lr CJ. ~j. (TX E47
POSITION POSITION
4 V r1
SSA
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010088-3