Approved For Release 2001/03/07: CIA-RDP96-00789ROO2100150066-1
      DATE:- A /'@
      GRILL FLAME SECURITY AGREEMENT
      understand that the highly sensitive
      and classified information I havel or a14 about to receive as part of the
      GRILL FLAME Program 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 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. Authority: National Records Act, 44 U.S.C. 3102; E.O. 9397, Numbering
      System for Federal Accounts Relating to Individual Persons, November 22, 1943.
      2. Principal Purpose: To maintain a record of those individuals who have
      or have had access to GRILL FLAME information through the use of theirname
      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-RDP96-00789ROO2100150066-1

      

         Approved For Release 2001/03/07: CIA-RDP96-00789ROO2100150066-1
         GRILL FLA14E SECURITY AGREEMENT CONTINUATION PAGE
         DATE 9 /:@iF/3 -7
         WITNESS: SIGNED:
         NAME, RANK/GRADE
         NAME, RANK/GRADE
         UNIT/ORGANIZATION
         POSITION
              c L a@tql)
         A
         UNIT/ORGANIZATION
              ;@-, V1 /16 er
         POSITION
         Approved For Release 2001/03/07: CIA-RDP96-00789ROO2100150066-1