KNOWLEDGEABILITY CONTROL RECORD

CIA-STARGATE

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This document is a knowledgeability control record for the CIA's Stargate program. It lists individuals within the organization who have been granted knowledgeability for Stargate material. The record includes their names, social security numbers, activity/phone numbers, division/branch/office, dates of approval and debriefing, and signatures. The form is labeled as "SECRET" and is unclassified when left blank.

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Body:  Approved For Release 2003/04/18 : CIA-RDP96-00789R002600180003-2
 SECRET
 STAR GATE
 KNOWLEDGERBILITY CONTROL RECORD
 This record identifies indiuiduals in your element/organization who haue
 been granted knowledgeability for STRR GATE material. (See attached
 instructions for knowledgeability request and control procedures.)
 SG1J           NAME/SSN
 (FIRST NAME, MI, LAST NAME
 ACTIVITY/PHONE NO.              DATE           DATE
 (DIVISION, BRANCH, OFF ICE, ETC.)     APPROVED       DEBRIEFED
 PRINT:
 -----
 --
 ------
 -----
 -----------------
 SIGN:
 -
 PRINT:
 --------------------- I
 ----?------
 ----
 -------
 SIGN:
 PRINT:
 ---------------------
 ---
 PRINT:
 PRINT:
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 PRINT:
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 UNCLASSIFIED WHEN BLANK
 PAG-TA FORM 1-1     SECRET/noFORn/LImDIS
 STAR GATE
 Approved For Release 2003/04/18 : CIA-RDP96-00789R002600180003-2