Approved For Release 2000108/07 : C IA-RDP96-00788 ROO 1 200280~W_/,
     DATE
     GRILL FLAME SECURITY AGREEMENT
     SG1 I
             understand that the highly
     sensiEi'v'~-and classified information I ha ve, 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, pablish 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 provision's of this agreement will remain.. binding
     upon me even after the termination of my services with the
     United States Government.
     I-tak.e this obligat-ion-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 Personsl, 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-RDP96-00788ROO1200280018-1

            Approved For Release 2000/08/07: CIA-RDP96-00788 ROO 1200280018-1
       GRILL FLAME SESCURITY AGREEMENT CONTINUATION PAGE
                             DATE 19
       SG1 I
       WITNESS-0. SIGNED:
       NAME K/GRADE
       !-MF,-,R L;G-
       Approved For Release 2000/08/97 : CfA-RDP96-00788ROO1200280018-1