Approved For Release 2000/08/07: CIA-RDP96-00788 ROO 1 200281~~ DATI!',:'~'v GRILL FLAME, SECURITY AGREEKENT 15 /Xf-,,7r- understand -that -the highly sensitive and classified information I have, or aM about to receive as part of the GRILL FLA.N1E 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 Goverriaent. I take this obligation of my own free will., without. any mental reservation or purpose of evasion. DATA REQUIRED BY THE PRIVACY kCT OF 1974 (5 U.S.C. 552a) 1. Authority: National Records Act, 44 U.S.C. 3102; E.O. 9397, Numbering Sy-stem for rederal Accounts Relating to Individual Pei-sons, November 22, 1943. 2. Prircipal Purpose: To maintain a record of -those indivi.duals 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. 11. 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. / 51_~ 'If (_5 Approved For Release 2000/08/07 : CIA-RDP96-00788ROO1200280014-5 Approved For Release 2000108/07: CIA-RDP96-00788ROO1200280014-5 GRILL FLATE, SECURITY AGREEIMENT CONTINUATION PAGE DATE, S: WITNESS: _&7 - - - - - - NAME', R.LNK/GRADE SIGNED: NAKV, RANK/GR.ADE UNIVORGANIZATIO POSITION UNIVORGANIZATION POSITION Approved For Release 2000/08/07 : CIA-RDP96-00788ROO1200280014-5