Approved For Release 2001/04/02 : CIA-RDP96-00788ROO1200010095
       DATE _,770 4,
       GRILL FLAME SECURITY AGREEMENT
       I, understand that the highly
       sensEtIve i_n_a@_6 assif -3ed'in formation 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.j, "Disclosure of Classif ied Inf ormat'."Lon, " June 19 48,
       as amended.
       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 emFiloyment
       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
       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 2001/04/02 : CIA-RDP96-00788ROO1200010095-5

       
Approved For Release 2001/04/02 CIA-RDP96-00788ROO1200010095-5
GRILL FLAME SECURITY AGREEMENT CONTINUATION PACE
DATE
WITNESS:.                        SIGNED:
                                 

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Approved For Release 2001/04/02 CIA-RDP96-00788ROO1200010095-5