GRILL FLAME SECURITY AGREEMENT

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001200010104-4
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: December 7, 1998
• Sequence Number: 104
• Publication Date: January 5, 1982
• Content Type: CONT

Approved For Release 2001/04/02 :'C IA-RDP96-00788 R001200010104-4
DATE .3AI`1 VI41R_ 1982-
GRILL FLAME SECURITY AGREEMENT
I, ?v understand that the highly
sensit e and class ed 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 Informat`ion," 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 reiieve..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 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-RDP96-00788R001200010104-4
 Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010104-4
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
WITNESS:.
"SIGNED:
C.
NAME, RANX GRADE NAME, RAN GRADE
"ROBS %. CJ IM,L C ss
C IPD
UNIT/-ORGANIZATION
pROJZT MAN .
POSITION
SG1A
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010104-4