GRILL FLAME VOLUNTEER SECURITY AGREEMENT (STEPHEN C. HORTON)

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00789R002100150062-5
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: December 4, 1998
• Sequence Number: 62
• Publication Date: February 8, 1979
• Content Type: CONT

Approved For Release 2009~Q3/07; ~.~,~A-RDP96-007898002100150062-5
DATE : ~G~ ~ l g
GRILL FLAME VOLUNTEER SECURITY AGREEMENT
SGFOIA3
1. (U) I, ~~%~P~~R.~ l > ~ l~'~7?"-'" ~ ssAN:
understand that the highly sensitive and classifie in orma i e or
am about to receive as part of the GRILL FLAME Program belongs to the
United States Government. I understand that disclosure of this information
is punishable under Title 18, Section 798, U.S.C. "Disclosure of Classified
Information," June 19+8 as amended.
2. (U) I do solemnly swear that I will never divulge, publish, or reveal
by word, conduct, or by any other means GRILL FLAME 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.
3. (U) 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
of my services with the United States Government.
4. (S) I take this obligation of my own free will, without any mental
reservation or purpose of evasion. I understand that as a GRILL FLAME
volunteer the fact that I possess psychic abilities is classified and I
cannot divulge this fact by word, conduct, or by-any other means.
WITNESS:
~~2~eC ~ ~IK~
NAME, RANK/GRADE
UNIT/ORCxANIZ TION
POSITION POSITION
Approved For Release 2001/03/07 ;.,C1,~4-RDP96-007898002100150062-5
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 Approved For Release 2001/03/07 :CIA-RDP96-007898002100150062-5
DA`i'A R,-'G~UIRI~T~ BY 7'IiE 1-'l'~T~IACY ACT 01~' 19'~l+
(5 U.S.C. 55~a)
l . Authority : Ptatior.a'1 Records Act , 1+1E U . S . C . 3102 ; T'. 0. 939'(, DTutnl.~ering
Syster:: for, I~'ed.er^1 Acco;~nts P,el.ating to Individual PeJ?sons, November 2?_, ].9ZE3.
2. Prr~cinal Purpose: To maintain a x?ecord of tho:~e indiv:Ldua_ls who have
or have h=zd ~.cces~ to GRILL' FLAP~IE information through thE: use of their name
and/or ~ocil Security Number.
3, Rots+,ir:e Uc;es; The Social Security Tdumbe.r is to be used. to identify the
individual, and. the information is to be .retained strictly within the Program.
l+. Mandatory or Voluntary Discl.osur.e: Information is clisclosed on a
vol?~;nt~xry bu,si.s, but wi~thholdirig information wi7.1. r~_~nder it impossible to
grant a.n individual access to or partic_i.pa.tion in the Program.
Approved For Release 2001/03/07 :CIA-RDP96-007898002100150062-5