GRILL FLAME SECURITY AGREEMENT (DONALD L. HOPKINS)

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00789R002100150066-1
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: December 4, 1998
• Sequence Number: 66
• Publication Date: February 8, 1979
• Content Type: CONT

. Approved For Release 2001/03/07 : CIA-RDP96-00789ROO2100150066-1
DATE: e rc C
GRILL FLAME SECURITY AGREEMENT
understand that the highly sensitive
L^ 40IJ 5 about to receive as part of the
and classified information I have, or a14
GRILL FLAME Program belongs to the United States Government. I understand
that disclosure of this information is punishable rider Title 18,aSeectio
798, U.S.C. "Disclosure of Classified Information," une as .
I do solemnly swear that I will never divulge, publish, or reveal by word,
conduct, or by any other means such classified information or knowledge,
except in the performance of my official duties, and as specifi
authorized in writing in each case by the appropriate agency of the United
States Government.
assignment or employment will relieve me of
I understand that no change in my provisions of this agreement
my obligation under this agreement and that the p sehscas eme
will remain binding upon me even after the termination of my
the United States Government.
I take this obligation of my on free will, without any mental reservation
or purpose of evasion.
ACT OF 1914
DATA REQUIRED (S BY U.S.C. . PRIVACY
5 )
1. Authority: National Records Act, 44 U.S.C. 3102; E.O. 9397, Numbering
November 22, 1943?
System for Federal Accounts Relating to Individual Persons,
2. Principal Purpose: To maintain a record of those individuals 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
within the Program.
individual, and the information is to be retained strictly
4. Mandatory or Voluntary Disclosure: Information is disclosed
ssnbaa
e to
voluntary basis, but withholding information will render it imp
grant an individual access to or participation in the Program.
Approved For Release 2001/03/07 : CIA-RDP96-00789ROO2100150066-1
 Approved For Release 2001/03/07 : CIA-RDP96-00789R002100150066-1
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE f= ~i3 7 ~1
WITNESS: SIGNED:
NAME, RANK GRADE NAME, RANK GRADE
UN IT/ORGANIZATION UNIT/ORGANIZATION
? I
I FI 77, 2< f-I ,?
POSITION POSITION
Approved For Release 2001/03/07 : CIA-RDP96-00789R002100150066-1