Approved For Release 2000/08/07 CIA-RDP96-00788ROO1200280036-1
      DATE: /,V/
      GRILL FLAME SECURITY AGREEMENT
      understand that the highly sensitive
      and classified information I have, or atj about to receive as part of the
      GRILL ]FLAKE 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 Govertunent.
      I understand that no change in my assignment or,Ae mployment will relieve me of
      my obligation under this agreement and that t46 provisions of this agreement
      will remain binding upon me even after the t9rmination of my services with
      the United States Government. /
      I 'take -this obligation of my own free wi;n-, without any mental reservation
      or pu--rpose of evasion.
      DATA REQUIRED BY TFP11PRIVACY ACT OF 1974
      U
      (5 U.,.C. 552a)
                        1. Awlthorit-y: National Record, Act, 44 U.S.C. 3102; E.O. 9397, Numbering
      ~/d,Act
                         System for Federal Accounts Re ating -to Individual Persons, November 22, 1.943.
      atIne
      2. Principal Pur-oose: To /aintain a record of those individuals who have
      or have had access -to GRIVL FLAME, information -through the use of their name
      and./or Soc-i-nI Security Y6ber 1*
      3. Routine 'Uses: T4d 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 particip-ation in the Program.
      Approved For Release 2000/08/07 : CIA-RDP96-00788RO61'200280036-1

      
   Approved For Release 2000/08/07 : CIA-RDP96-00788ROO1200280036-1
   GRILL FLAITS SECURITY AGREEIVEM CONTINUATION PkGE
   DAT
                                 SIGNED:
                           TGNED
                        WITNESS.
                             N UTK ~GRAD
   NAyEi , RAITK GRADE
   4
   NATC, ADE
    UNIT/oRGANIZATION
   MN
   UNIVORGANIZATION
   Approved For Release 2000108/07 C IA-RDP96-00788 ROO 1200280036-1