GRILL FLAME SECURITY AGREEMENT

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001200010034-2
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: December 7, 1998
• Sequence Number: 34
• Publication Date: October 7, 1982
• Content Type: CONT

Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010034-2
SG1I
DATE -1 OCT 82
I understand that the highly
sensitive and classified information I have, or am about to receive
as part of the GRILL FLAME Program belongs to the United States
Government. I understand that the disclosure of this information is
punishable under Title 18, Section 798, U.S.C., "Disclosure of
Classified Information," June 1948, as amended.
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 specifically authorized in writing in each case by the appropriate
agency of the United States Government.
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.
I take this obligation of my own free will, without any mental
reservation or purpose of evasion.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
(5 U.S.C. 552a)
1. Authoritj: National Records Act, 44 U..S.C. 3102; E.O. 9397,
Numbering ystem for Federal Accounts Relating to Individual Persons,
November 22, 1943.
2. Princip~al Purpose: To maintain a record of those individuals
who have or have h T 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 Tae individual, and the information is to be retained
strictly within the program.
4.. Mandatory or Voluntary Disclosure: Information is disclosed on
a voluntary basis, ~ti1T fl hTio-T i'nc~ng information will render it
impossible to grant an individual access to or participation in the
Program.
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010034-2
 Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010034-2
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE 1 OCT 6 2--
SG1I
WITNESS:
t_TZ. RO BE1Za ," c u- 1"
HCQ T IvSC -~
PTc~Z i MACETL_
SIGNED:
gam -)V/ (-Ise!"
T/ORGANIZATION--
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010034-2