(.1 E,t _e@ ase,2Op3/0?/Pg 1A RDP96-00789ROO
@y_ ,@rJMe
14AMF e I I 11. a OP
rq 'GANIZATION Tclcphone Number
p
C-,,AAAW bq R L I L L I A IJ 0 /,23
I@F sc- SSN:-
G PA JOB TITLE AID 7-e /c I
I CEPTIFY THIAT THE A130VE--NAMFD II-JIDIVIDUAL MET.'TS TITIE RF@QUI1@UMENTS FOR ACCESS
TO CLASSIFIED DEFENSE INFORINIATION TNDICATED BELOW.
ACCESS AT)THORIZATTON TO CLASSIFIED INFOPMATION
PROJ'!,'CT AUTHORIZED: SUN STREAK DATE:
Authorized by T
BRIEFING ACKNOWLEDGEMENT
1. 1 acknowl-c-dae I have been briefed concerning the project indicated
above. Having received highly classified information relating ito the
United States Government, I am aware the unauthorized disclosure could
seriously damage the national security and the transmission or revelation
of suich information to unauthorized persons could suMect me to prlosecu--
tiCjl) Llidler the Espionage Laws (Title 18, USC, Se-ctions 793, 794 and 798) or
other- applicable laws including the Uniform Code of Military Justice.
2. 1 do solemnly swear or affir-m that I will never divulge, publish, or
reveal by word, conduct, or any other means such information or knowledge
except when necessary to do so in the performance of my official duties in
connection with the project indicated above and in accordance with the lawp
of the United States, unless specifically authorized in writinq in each ar,--@
every case by a duly authori.7.ed representative of the United States
Government. I take t1his obligation freely, without any Toental re serv&tiun
or purpose of evasion.and in ahsenc--@ of duress.
3. 1 acknowledge that information I receive is provided only to@persons
specially approved for the project and that the information may not be
further divulged without specific prior written approval from the Project
Headquarters. All access is restricted to "must)-know" based upon one's
present position of functional use.
4. 1 understand that in the event I am reassigned from my present
position, I will.notify the office granting access to the project indicatc-,9
for briefing on actions deemed necessary at the time.
SIGNA
SG1J
SIGNATURE OF INDIVIDUAL BRIF-'FFD
0 Lip
For Release 2003/09/09 CIA-RDP96-00789ROO2100150018-4
Approved For Release 2003/09/09 : CIA-RDP96-00789ROO2100150018-4
DR,BRIE'FING AGPEE1,*.:NT
1. 1 hereby reaffirm my ack-nowledgei,fient of being briefed on the DIA SUN
STREAK Project, the text of which appears on the reverse of this form.
2. 1 certify I have surrendered and no longer have in my possession or
custody any classified information or material acquired as a re'@sult of t-hi,@
association.
13. 1 ftirl-her acknowledge and agree I have a continuing individual respon-
Isihility to the United States Govcrnment for the protection of @uch infor-
mation and termi.nation of access to information concerning this project
does riot relieve me of my obligations under this oath or any other
previously executed aareements or those imposed by law.
4. 1 take this obligation freely, without any mental reservation or
purpose of evasion and in absence of duress.
SG1J
TMMArJ1T7PF op
SIGNATURE OF ACKNOWLEDGER
DATE:
PRIVACY ACT STATEMENT
@iUTHOP 10 U.S.C. 8012; 44 U.S C. 3101 and EO 9397.
1PRINCIPAL PURPOSE: FOR GRANIING ACCESS TO
I-
1A(jTK,0!--,'TZj'D, ACCESS TO PROJECT DOCUMENTATION.
A CLASSIFIED PROJECT AND 91,C)
POLVIII.-JE USP: TO RECORD PROJECT ACCESS. USE OF SSN IS NECESSARY TO
SITIVE 1DENTIFfCATION OF TBE INDIVIDUAL LkND RECORDS.
P
IDISCLOSURE IS VOLTTNTARY- FAILURE TO PROVIDE THE INFORMATION AND SSN WILL
IRESULT IN ACCESS BEING@DENIED.
Approved For Release 2003/09/09 : CIA-RDP96-00789ROO2100150018-4