GRILL FLAME SECURITY AGREEMENT

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001200010098-2
• Release Decision: RIFPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: December 7, 1998
• Sequence Number: 98
• Publication Date: December 21, 1978
• Content Type: CONT

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Approved For Release 2001/04/02 :'CIA-RDP96-00788R00120001p09$.2r
DATE _ G 7~ -'
GRILL FLAME SECURITY AGREEMENT
I,(Z,4_`_~ understand that the highly
sensitive 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.
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.-finding
upon. me even after the termination of my services with the
United States Government.
I take this obligation of.:myown free will,, without any mental
reservation or purpose of evasion.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
(5 U.S.C... 552.a)
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-RDP96-00788R001200010098-2
 Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010098-2
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE"
DATE
WITNESS:.
NAME, RANT/GRADE
6
,oo
UNIT/ORGANIZATION
POTTTION
SIGNED:
NAME, RANK/GRADE
UNIT ORGANIZATION
POSITION
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010098-2