Approved For Release 2001/04/02: CIA-RDP96-00788 ROO 1200010029-8 DATE- -2Z DECEHISG9- 198.1 GRILL FLAME SECURITY AGREEMENT understand that the highly sensitive and classified -information I haver or are about to receive as part of the GRILL FLAME Program belongs to the United States Government. I understand that the disclosure of this information is punishable under Title 18, Section 798,,*U.S.C.o "Disclosure of Classified Informat"on," June 1948, as amended. I do solemnly -swear that I will never clivulge, pnb:Ll:sh, .,Or reveal. by word$ conduct, or by any other means such classified information or knowledge, except in the performance of my off icial'- duties, and as specifically authorized in writing in each case by the appropriate agency'of the United States Government. 1-,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 oblicjation_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 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 i.ndividual, 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 2001/04/02: CIA-RDP96-00788 ROO 1200010029.8 Approved For Release 2001/04/02 : CIA-RDP96-00788ROO1200010029-8 GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE' DATE ZZ WITNESS: SIGNED: 2 Aliproved For Release 2001/04/02 CIA-RDP96-00788ROO1200010029-8 SGFOIA3