Approved For Release 2000/08/08 : CIA-RDP96-00789ROO2600180013-1
          ~~ I" r".
     &J Lj U L4-1-j Z
     SUIR GHTE
     KNOWL-EDGERBILITY CONTROL RECORD
     This record identifies indiuiduals in gour element/organization who haue
     been granted knowledgeabilitg for STHR GHTE material. (See attached
     instructions for knowledgeabilit!l request and control procedures.)
     NAIME/SSN                 ACTIVITY/PHONE NO.            DATE       DATE
                                                                        

     (FIRST NAME.,MI,LAST NAME)(DIVISION,BRANCII.-OFFICE,    APPROVED   DEBRIEFED
                               ETC.)                                    
                                                                        

     PRINT:                                                             
     ----------------------    --------------------------    ---------  --------
                                                                        

     SIGN:                                                              
                                                                        

     PRINT:                                                             
     ---------------- -----    --------------------------    ---------  --------
                                                                        

     S IGN:                                                             
                                                                        

     PRINT:                                                             
     ---------------- -----    --------------------------    ---------- --------
                                                                        

     SIGN:                                                              
                                                                        

     PRINT:                                                             
     ----------------------    ---------------- ---------    ---------  --- ----
                                                                        

     SIGN:                                                              
                                                                        

     PRINT:                                                             
     ---------------- -----    --------------------------    ---------- --------
                                                                        

     SIGN:                                                              
                                                                        

     PRINT:                                                             
     ----------------------    -- -----------------------    ---------- --- ----
                                                                        

     S IGN:                                                             
                                                                        

     PRINT:                                                             
     ----------------------    --------------------------    ---------  --- ----
                                                                        

     SIGN:                                                              
                                                                        

     PRINT:                                                             
     ---------------- -----    --------------------------    ---------  --------
                                                                        

     SIGN:                                                              
                                                                        

     UNCLHSSIFIED WHEN BLnNK
                  t1l"flinp
     PAG-TA FORM 1-1 9qp
     Z-&;r-X-7'110F0Rn/L1MDIS
     STEM GHTE
     Approved For Release 2000/08/08 : CIA-RDP96-00789ROO2600180013-1