GRILL FLAME SECURITY AGREEMENT

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001200280012-7
• Release Decision: RIFPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: April 6, 2000
• Sequence Number: 12
• Publication Date: May 19, 1980
• Content Type: STATEMENT

Approved For Release 2000/08/07 ':"CIA-RDP96-00788 R001200280012-7
DATE
GRILL FLAME SECURITY AGREEMENT
I,,4~lcr~RE~F , understand that the highly
sensitive and classified information I have, or are 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.
(.: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. Authority: National Records Act, 44 U.S.C. 3102; E.O.
9397, Numbering System for Federal Accounts Relating to
Individual Personsi, November 22, 1943.
2. Principal Purpose: To maintain a record of those individ-
uals 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 individual, and the information is to be
retained strictly within the Program.
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 2000/08/07 : CIA-RDP96-00788R001200280012-7
 Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280012-7
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE'
DATE t 8)
WITNESS:
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NAME, N MDE
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UNIT)`O-RGANLZATTON
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UNIT ORGANIZATION
2
Approved For Release 2000/08/07, CIA-RDP96-00788R001200280012-7