Approved For Release 2001104102 : CIA-RDP96-00788ROO1200010036-0
       DATE
       GRILL FLAME SECURITY AGREEMENT
       n understand that the highly
       sensiVive ana clas-sir-DI-d 'information I have, or are about to
       receive as part of the GRILL FLAME Program belongs to,the
       United States Government. I understand tha e disclosure
       t th
       of this information is punishable under Title 18, Section
       798, 'U.S.C., "Disclosure of Classified Informat'ion," June 1948,
       as amended.
       I do solemnly swear that I will never divulge, publisb, 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.
       J.'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 this obligation of.-my-own, free will, without..any mental.
       reservation or purpose,of evasion.
                        DATA REQUIRED BY THEPRIVACY 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 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 2001104102: CIA-RDP96-00788ROO1200010036-0

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      GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
      DATE
      SGFOIA3
      WITNESS:
      SIGNED:
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      Approved For Release 2001/04/02 C IA-RDP96-00788 ROO 1200010036-0