SURVEILLANCE CONSENT AUTHORIZATION (Sanitized)

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00789R002100150049-0
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: November 4, 2016
• Document Release Date: December 4, 1998
• Sequence Number: 49
• Publication Date: September 3, 1986
• Content Type: CONT

Approved For Release 2001/
SG1J
~-007898002100150049-0
SuRVE1LLAT~'C;E CCFSr~NT AL~THOKIZATION
~TARNING NOTICE: INTELLIGENCE SOURCES AND METHODS LNVOLVED
SGFOIA3
I _ _, born on
do vo untarily consent to perform duties as a BEACON (U) for Project SUN STREAK (U)
training and. operational missions. I understand that as a BEACON, I will serve as
the focus for Remote Viewers. In consenting to this statement I acknowledge that
this authorization:
a. Will only pertain to training and actual SUN STREAK (U) missions and only
w_Lth my prior consent and knowledge.
b. Can be entirely or selectively withdrawn without question or penalty. To
do so, I need only to orally inform my immediate supervisor, the unit operations
of=ficer or the project manager that I wish to withdraw my consent without further
e~:planation.
c. Will suppose the possibility of inadvertent surveillance of my most intimate
arLd personal thoughts and that such inadvertent surveillance will nat be reported
nor become a matter of any official records and that the nature of this inadvertently
collected information will be held in strictest confidence.
d. Wi11 at no time be construed as authorization, implied or stated, to conduct
any type of physical, technical or yet to be defined form of surveillance. without my
pr.i.or knowledge and consent.
SG1J This statement of authorization is executed. in the presence of the witness whose
signature appears on this ?3 day of. 'S~'-~, 19 _, withaut
reservation, amendment or restriction and without coercion or implied and/or stated
in.ducemen
SG1J
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Approved For Release 2Q0~ .3 0~ IR~P96-00789R002100
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