ACCESS AUTHORIZATION TO CLASSIFIED INFORMATION
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP96-00789R002100150038-2
Release Decision:
RIPPUB
Original Classification:
K
Document Page Count:
2
Document Creation Date:
November 4, 2016
Document Release Date:
December 4, 1998
Sequence Number:
38
Case Number:
Publication Date:
January 15, 1988
Content Type:
FORM
File:
Attachment | Size |
---|---|
CIA-RDP96-00789R002100150038-2.pdf | 154.21 KB |
Body:
SG1J
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ne Number
GR.A]]E (J- 'J~G (G SSN: JOB TITLE C~ C ~' 7~/ ~ ~~~
I CERTIFY THAT TI3~' ABOVE-NAMED INDIVIDUAL MEETS THE REQUIREMENTS FOR ACCESS
TO ('CLASSIFIED DEFENSE TIVFORMAZ'ION INDICATED BELOW,
_____W .._.~._
SGFOIA3
ACCESS AUTHORIZATION TO CLASSIFIED INFORMATION
PROJECT AUTf~IORIZED: SUN STREAK DATE:
Authorized day
BRIEFING ACKNOWLEDGEMENT
].. I acknowledge I have been briefed concerning the project indicated
above. Having re~e~ived highly classified information relating to the
United States Government, I am aware the unauthorized disclosure could
seriously da~tage the national security and the transmission ar revel.atian
of such :information to unauthorized persa.ns could subject me to prosec~r-
tion under the Espionage Laws (Title 18, I7SC, Sections 793, ?94 and 79S) ar
other appalicable laws including the Uniform Code of Military Justice.
2. I do solemnly swear or affirm that I will never divul.gF~, publish, or
reveal pay word, conduct, or any ether means such information ar knowledge
except when necessary to do sa in the performance of my official duties in
connection with the project indicated above and in accordance with the laws
of the United States, unless specifically authorized in wr.it.ing in each and
every case tyy a duly authorized representative of the United States
Government. I take this obligation freely, without any ment,~,al reservation
ar purpose of evasion and in absence of duress.
3. I acknowledge that information I receive is provided on1.y to persons
specially approved far the project and that the information may x~ot be
furt.hc~r divulged without specific pr_iar written approval from the Project
Headgt.zarters. All ar~cess is restricted to ?must-know'? based ta.pon one's
present position of functional use.
4. I under.3tand that in the event I am r.eassictned Pram my present
pasitiaxr, I will. notify the office granting access to the project indicated
for briefing on actions deen~~ec1 necessary at the tune.
SIGNATURI OF BRIEFING OFFICER SIGNATURE OF INDIVIDUAL BRIEFED
DATE -?'._._._ .__._.____.. __._..._ _.._._. __.~..._.
Approved For Release 2001/03/07 :CIA-RDP96-007898002100150038-2
Approved For Release 2001/03/07 :CIA-RDP96-007898002100150038-2
DEF3RIEFING AGREEMENT
1. I hereby reaffirm my acknawledgement cif being briefed on the DIA SUN
STREAK Projects the text of which appears an the reverse of this form.
2. I certify I have surrendered and no longer have in my possession or.
custody any classified information or material acquired as a result of this
association.
3. I further acknowledge and agree I have a continuing individual respon-
sibility to the United States Government for the protection of such infor-
mation and termination of access to information concerning this project
does not relieve me of my obligations under this oath or any other
px~eviousl_y executed 4~greements or those imposed by law.
~. I take this obligation freely, without any mental reservation or
purpose of evasion and in absence of durESS.
SG1J
DATE : '~
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 801; ~4 U.S.C. 3101 and EO 9397.
PRINC:[PAL PURPOSE: FO.R. GRANTING ACCESS TO A CLASSIFIED PROJECT AND TO
ROi3TINE US.E: TO RECORD PROJECT ACCESS. USE OF SSN IS NECESSARY TO MAKE
POSITIVE IDENTIFICATION OF T~?E INDIVIDUAL AND RECORDS.
DISCLOSURE TS VOLUNTARY: FAILURE TO PROVTDF TF~E INFORMATION AND SSN tn7ILL
RESULr~ IN ACCESS LiEING DENIED.
Approved For Release 2001/03/07 :CIA-RDP96-007898002100150038-2