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               DATE-1 921
    GRILL FLAME SECURITY AGREEMENT f
          understand that the highly
    ve
     se-
    ve and class:VfieU~ I r a ion I have, or are about to
    ceive as part of the GR _.L FLAME Program belongs to the
    ce ive at
    ~rn ted'
     nited States Government. I understand that the disclosure
    i Sti
    of this information is punishable vin(le-r Title 18, Section
    798,-U.S.C., "Disclosure of Classified Infoymation," 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
    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 - take thi s obl i gation of my own - f ree wi 11, wi thout. any menta 1
    reservation or piirpose of evasion.
                      DATA REQUIRED BY THE PRIVACY ACT OF 1,974
                                   (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 basist but withholding information
    will render it impossible to grant an individual access to
    or participation in the Program.
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    C,RILL FLAMrs SECURITY AGREEMENT CONTINUATION PAGE
    DATE
    WITNESS:
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    NAME,, RANK/GRADE
    A b
    UNIT ORGANIZATION
    POSITION
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    SIGNED:
    e- (17
    POSIT