GRILL FLAME SECURITY AGREEMENT

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001200280031-6
• Release Decision: RIFPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: April 6, 2000
• Sequence Number: 31
• Publication Date: September 1, 1980
• Content Type: STATEMENT

Approved For Release 2000/08/07 : CIA'-RDP96-00788R001200280031-6
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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-binding
upon me even after the termination ofmy 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)
I, /Z ,9f 2:'-/l , 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.
1. Authority: 'National Records Act, 44 U.S.C. 3102; E.O.
9397, Numbering System for Federal Accounts Relating to
Individual Personsl, November 22, 1.943.
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 2000/08/07 : CIA-RDP96-00788R001200280031-6
 Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280031-6
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
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Approved For Reida`se`2000/08/07: CIA RDP96~007$ p0120028,OQ. -6