Approved For Release 2000/08/07-: CIA-RDP96-00788RO01260800 44v--2-11
    DATE: lQj~tm~~A 07
    GRILL FLAME SECURITY AGREEMENT
    151 MAX _S4 j F 4c- understand that the highly sensitive
    and classified information I have, or ar4about to receive as part of the
    GRILL 'PLA14E Program belongs to the United States Government. I understand
    that disclosure of this information is punishable under Title 18, Section
    798, U.I.-C. "Disclosure of Classified Information," Jure 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 ditties, 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 Government.
    I take this obligation of my own free will, without any mental reservati-oz-1
    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 Persons, November 22, lQ1113-
    2. Principal PurDose: To maintain a record of those individuals who have
    or have had access to GRILL FLAME, information -through the use of their name
    and/or Social Security Number.
         3. Routine T Tseo: The Social Security Number is -to be used to identify the
    V
    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-RDP96-00788ROO1200280044-2

    
       Approved For Release 2000/08/07 : CIA-RDP96-00788RO01 200280044-2
       GRILL FT1AiV1E SECURITY
       DATE I I 'bc- CC- P-4 6,R.
       WITNE SS~.
       NAME,, RANK-/GRADE
       AGREEMENT CONTINUATION PAGE
       19 -76'.
       SIGNED:.
       -9-
       NAMr,,, RANK/GRA
       C's ow -6tv AA T TO 57 a Of L7~ -5
       UNT F T. -- NIZATION ~4- UNIT/ORGANIZATIOW
            C -L-,qr-7 6 4~7TNS-Cow-t)
       A
       ITION POSITION
       Approved For Release 2000/08/07: CIA-RDP96-00788ROO1200280044-2