Approved For Release 2001/04/02 :'C IA-RDP96-00788 ROO 1200010048-7
      DATE
      GRILL FLAME SECURITY AGREEMENT
                    understand that the highly
      fi-Al information I have, 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.0 "Disclosure of Classified Information," June 1948,
      as amended.
      I do solemnly swear that I will never divulge, publish, or
      reveaI by word, conducte or by any other means such classified
      information or knowledge, except in the performance of my
      official" duties, anti 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 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
      Ind-ividual 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.
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   GRILL FLAME SEXURITY AGREEMENT CONTINUATION PAGE'
   DATE -7
                                        WITNESS:. SIGNED:
   -zld -
   NAMPI, RANR7GRADE glib@o RAOX/GRADE
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