GRILL FLAME SECURITY AGREEMENT (STEPHEN C. HORTON)

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00789R002100150060-7
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: December 4, 1998
• Sequence Number: 60
• Publication Date: February 8, 1979
• Content Type: CONT

Approved For Release 2001/03/07: CIA-RDP96-007898002100150060-7
DATE : ~~ ;r~'` ~`~L=!fir.., / `.~ ~~ .
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GRILL FLAME SECURITY AG~RE,
nd that the highly sensitive
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nders
I, ~''' ~ ''~ ~ about to receive as part of the
or a~
I have
d
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and classified information
GRILL FLAME Program belongs to thon isteunishableGundermTitle 18unSection
that disclosure of this informati p " June 19+8 as amended.
798, U.S.C. "Disclosure of Classified Information,
ublish, or reveal by word,
I do solemnly swear that I will never divulge, p
conduct, or by any other means such classified informationeoific llydge~
except in the performance of my official duties, and as sp
authorized in writing in each case by the appropriate agency of the United
States Goverrunent .
e in my assignment or employment will relieve me of
I understand that no Chang rovisions of this agreement
my obligation under this agreement and that the p services with
will remain binding upon me even after the termination of my
the United States Government.
I take this obligation of my own free will, without any mental reservation
or purpose of evasion.
DATA REQUIRE(5BU?SHC?P552a)Y ACT OF 197+
1+4 U.S.C. 3102; E.O. 9397, Numbering
1. Authority: National Records Act, November 22, 19+3?
.System for Federal Accounts Relating to Individual Persons,
2. Principal Purpose: To maintaiinformation through theluseuofstheirhname
or have had access to GRILL FLAME
and/or Social Security Number.
Routine Uses: The Social Security Number is to be used to identify the
3.
individual, and the information is to be retained strictly within the rogram.
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 2001/03/07 :CIA-RDP96-007898002100150060-7
 Approved For Release 2001/03/07 :CIA-RDP96-007898002100150060-7
GRILL LAME~~SECURITY AGREEMENT CONTINUATION PAGE
DATE ~ ~GUh~..tC~, P ~ `~
rv~. N ~ut.ES
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NAME , RANK GRADE
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UNIT/ORG RATIO UNIT/0 GANIZATION
POSITION POSITION
Approved For Release 2001/03/07 :CIA-RDP96-007898002100150060-7