Approved For Release 2001/04/Oi :'C IA-RDP96-00788 ROO 120001 PqqjW-
      DATE ;2 bte-
      GRILL FLAME SECURITY AGREEMENT
      Rkj -TT understand that the highly
      sensitive and-classified 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., "Disclosure of Classified Information," June 1948,
      as amended.
      I do solemnly swear that I will never.divulget 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-hinding
      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-RDP96-00788ROO1200010098-2

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 GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE'
 DATE
 Approved For Release 2001/04/02 CIA-RDP96-00788ROO1200010098-2