Approved For Release 2000108107 : CIA-RDP96-00788 ROO I 20028OMbi-
     GRTLL FLAME, SECURITY AGREF2VNT
     5 C/ understand that the highly sensitive
     and classified information I have.,or alv) about to receive as part of the
     GRILL FLAW,, Proeraan belongs to the United States Government. I understand
     that disclosure of this information is punishable under Title 18, Section
     7~93, U`.Sj.C. "Dq.sc!Osul:'e Of Classified Information," June 19118 as amended.
     I do solemnly swear that- I will never divulge, pliblish, 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 ca3e 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 Goverrunent.
     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 far 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 FlhME, 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
     'oi
     individiaul, and the in14 -mation is to be re'adned strictly within the Program.
     4. Mandat-ory or Voluntary Disclosure: Information is disclosed on a
     -voluntary basis, but -githholding information -will render it impossible to
     grant an individual access to or participation in the Program,
     Approved For Release 2000/08/07 : CIA-RDP96-00788ROO1200280033-4

         Approved For Release 2000/08/07 : CIA-RDP96-00788ROO1200280033-4
         GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
         DATE
                     WITNESS:
         la7e
         NAME,, RA -/GRADE
              IJJA~L7
         UNIT/ORGIANIZATION
         _rA/4.&QA1 6_~2 1 L & P-
         POSITION
         SIGNED:
         NAME, , R_A.NK/GRADE
              ~~Ajse-OAJ
         UNIT/ORGANIZATION
         POSITION
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