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               DATE: -L&,,&
       ,79
       GRILL FLAME SECURITY AGREEMENT
                r
       Q , understand that the highly sensitive
       and classified informatidn I have, or ali about to receive as part of the
       GRILL FLAME 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 anended.
       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 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 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 for 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 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 basis, but withholding information will render it impossible to
       grant an individual access to or participation in the Program.
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    GRILL FDr SECURITY AGREEMENT CONTINUATION PAGE
    DATE J-4
     WITNESS:
    RANK/GRADE
    UNIT/ORGANIZATIO9
    POSITION
    SIGNED:
    RTU @,RANK/GRADE
    P @ C)/)!2 A M T- &0
    UNIT/ORGANIZATION
         Try@aq cx c
    POSITION"
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                                         ORCON/NOFORN
            INFORMATION ABOUT REMOTE VIEWING FOR PARTICIPANTS
            1. (S-ORCON) Remote Viewing (RV) is the intellectual
            process by which a person perceives characteristics of a
            location remote from that person; it does not involve any
            electronic sensing devices at or focused at the target
            site; nor does it involve classical photo interpretation
            of photographs obtained from overhead or oblique means.
            2. (S-ORCON) RV has been performed by certain individuals
            successfully and we are confident other individuals can do
            it too.
            3. (S-ORCON) The general outline of RV procedures is.at
            paragraphs six and seven of the AMSAA RV Protocol.
            4. (S-ORCON) You as a remote viewer may perform one or
            more types of RV.
            5. (S-ORCON) The maximum frequency you may be asked to
            perform RV is.two sessions per day, but no more than three-,
            sessions per week.
            6. (S-ORCON) You may choose not to perform RV at a
            particular time without prejudice to further participation
            in this task, or you may discontinue participation permanently
            at any time without any prejudice.
            7. (S-ORCON) The purpose of this project is:
                 a. To establish a program using psychoenergics for
            intelligence applications.
                 b. Specifically, utilizing that field of psychoenergics
            referred to as Remote Viewing.
            8. (S-ORCON) There is no evidence of any adverse physical,
            psychological and/or social effects on the remote viewer
            from participation in this activity.
               CLASSIFIED'BY:'. MSG HQDA (DAMI-ISH)
            WASH DC dtd 7Jul78
            REVIEW ON: 7 Jul-98
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            RRIlim

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             lity of your partiripation
  (S-ORCON) The cOnfidentia he
  10. maintained according to paragraph 14 of t
  in RV will be
  protocol-
  t
  t
                                 Date
  41'gne@atu-rC4
  gnature
  ring the explanation referred to above,
  I was present du ipantis opportunity for questions, and
  as well as the partic is signature-
  hereby witness the participant
                              5-
  Da e
  L4%@@t-u@re
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