GRILL FLAME SECURITY AGREEMENT

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001200280045-1
• Release Decision: RIFPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: April 6, 2000
• Sequence Number: 45
• Publication Date: November 4, 1980
• Content Type: STATEMENT

Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280045-1
DATES
GRILL FLAME SECURITY AGREEMENT
I, ALJ--E ~ S-6v ~ , 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.
swear that I will never divulge, publish, .or
I soymwly word, conduct, or by any other means such classified
reveal- by'
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.
Iunderstand 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 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 2000/08/07 : CIA-RDP96-00788R001200280045-1
 Approved For Release 2000/08/07 CIA-RDP96-00788R001200280045-1
DATE ) 1 14~Yl.-- _6_
WITNESS:
ETC-
SIGNED:
NAME, RAND/GRAt}E NAME, RANK/GRADE
UNIT/RGANI ZA '~
SON
POSITION
POSITION
2
Approved For Release 2000/08/07': CIA-RDP96-00788RO01200280045-1
s"tis C ,~eS~a PS
UNIT ORGANIZATION