KNOWLEDGEABILITY CONTROL RECORD (BLANK)

CIA-STARGATE

PDF Scan: PDF

Open AI Summary

The document is a control record for the CIA's Stargate program. It lists individuals who have been granted knowledgeability for Stargate material. The document includes spaces for names, activities, phone numbers, dates of approval and debriefing, and signatures.

Text

Body:  Approved For Release 2000/08/08 : CIA-RDP96-00789R002600180013-1
 STAR GATE
 KNOWLEDGERBILITY CONTROL RECORD
 This record identifies indiuiduals in your element/organization who heue
 been granted knowledgeabilitg for STRR 6RTE material. (See attached
 instructions for knowledgeabilitg request and control procedures.)
 NAME/SSN
 ACTIVITY/PHONE NO.
 DATE
 DATE
 (FIRST NAMH,MI,LAST NAME)
 (DIVISION,BRANCIH;OFFICE, ETC.)
 APPROVED
 DEBRIEFED
 PRINT:
 ----------------------
 --------------------------
 ---------
 -------
 SIGN:
 PRINT:
 ---------------------
 --------------------------
 ----------
 --------
 SIGN:
 PRINT:
 ---------------------
 --------------------------
 ----------
 --------
 SIGN:*
 PRINT:
 ----------------------
 ----------------  --------
 --------
 ------
 SIGN:
 PRINT:
 ---------------------
 --------------------------
 ----------
 --------
 SIGN:
 PRINT:
 ----------------------
 --  ----------------------
 --------
 ------
 SIGN:
 PRINT:
 ----------------------
 --------------------------
 ---------
 ---  ----
 SIGN:
 PRINT:
 ---------------- -----
 --------------------------
 ----------
 --------
 SIGN:
 UNCLHSSIFIED WHEN BLHNK
 PAG-TA FORM 1-1                           noFORn/LImDIS
 STAR GATE
 Approved For Release 2000/08/08 : CIA-RDP96-00789R002600180013-1 ,-