GRILL FLAME VOLUNTEER SECURITY AGREEMENT (NANCY K. STOUT)

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP96-00789R002100150079-7
Release Decision: 
RIPPUB
Original Classification: 
S
Document Page Count: 
2
Document Creation Date: 
November 4, 2016
Document Release Date: 
December 4, 1998
Sequence Number: 
79
Case Number: 
Publication Date: 
February 8, 1979
Content Type: 
CONT
File: 
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PDF icon CIA-RDP96-00789R002100150079-7.pdf74.67 KB
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(, . Approved For Release 2001103/Q7.:. Q,IA-RDP96-00789R002100150079-7 DATE: ~j 1L \3 GRILL FLAME VOLUNTEER SECURITY AGREEMENT I . (U) I , IA- 110 u t7 - Td 00A N , understand that the highly sensitive and classified iniormation have or am about to receive as part of the GRILL FLAME P rogram 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. /s NAME, RANK/GRADE UNIT/ORGANIZATIO UNIT/ORGANIZA ION TUITION Approved For Releas p1/Q3101 : CIA-RDP96-00789R002100150079-7 3 SGFOIA3 Approved For Release 2001/03/07 : CIA-RDP96-00789R002100150079-7 DATA REQUIRED BY TIDE PRIVACY ACT OF 1971+ (5 U.S.C. 552a) 1. Authority: National Records Act, 141 U.S.C. 3102; E.U. 9397, Numbering System for Federal Accounts Relating to Individual Persons, November 22, 1.9113. 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 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 2001/03/07 : CIA-RDP96-00789R002100150079-7