pproved For Release 2000/08/07 : CIA-RDP96-00788ROO1200 28002"---
  ....,~Appr,
  DA!UE: .1 Al ~AN 7?
  GRILL FLME SECURITY AGREEM1,,NT
  M44 Z: (I.V141AA0, understand that the highly sensitive
  and classified information I have, or aorj about to receive as part of the
  GR'I'LL KAMM,' Program. 'belongs to the United. States Government. I understand
  that disclosure of -this information is punishable under Title 18, Section
  798, U-SX. "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 writ-ing 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 Covernment.
  I tttke this obligation of iffy own free will-, without any mental reservation
  or I;iurpose of evasion.
                    DATA REQUIRED BY THE PRIVACY ACT OF 1974
                                (5 U.S.C. 552a)
  1. At-thority: M~JCJ.onai Records Act, 44 U.S.C. 3102; E.O. 9397, Numbering
  System for Federal Account's Relating to Individual Persons, November 22, 1943.
  2. Principal Purpose: To maintain arecora of those individuals who have
  or have had access to GRILL FLAME informa:tion 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-RDP96-00788ROO1200280023-5

      Approved For Release 2000108107 CIA-RDP96-00788ROO1200280023-5
      GRILL FLAME SECURITY AGIIEENMWT COMNUATION PAGE
      DATE AY 7AA/ 7-
      WITNESS: Sil
      DE NAMN, RLNK/GRADE
      N RATE7
      Abckcrv-
      UNIT/ORGANIZATION
      AA
      V I "r. IV J)V, 7-
      UNIVORGANIZATION
           G~LLL PLAME Pg0jec owtcelt_
      TOSITION
      POSITION
      Approved For Release 2000/08/07 : CIA-RDP96-00788ROO1200280023-5