GRILL FLAME SECURITY AGREEMENT
CIA-STARGATE
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This document is a security agreement for the GRILL FLAME Program, part of the CIA's Stargate program. It states that anyone receiving highly sensitive and classified information as part of the program must understand that it belongs to the United States Government and that the disclosure of this information is punishable under Title 18, Section 798 of the U.S. Code. The agreement also includes a statement that the individual will not disclose or reveal this classified information except in the performance of their official duties and with the specific authorization of the appropriate agency. The agreement remains binding even after the termination of the individual's services with the government. The document also includes information required by the Privacy Act of 1974, stating that the individual's name and/or Social Security Number will be used to maintain a record of individuals with access to GRILL FLAME information.
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Approved For Release 2001/04/02 :'CIA-RDP96-00788R00120001p09$.2r
DATE _ G 7~ -'
GRILL FLAME SECURITY AGREEMENT
I,(Z,4_`_~ 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 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 employment
will relieve-me of my obligation under this agreement and
that the provisions of this agreement will remain.-finding
upon. me even after the termination of my services with the
United States Government.
I take this obligation of.:myown free will,, without any mental
reservation or purpose of evasion.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
(5 U.S.C... 552.a)
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-RDP96-00788R001200010098-2
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010098-2
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE"
DATE
WITNESS:.
NAME, RANT/GRADE
6
,oo
UNIT/ORGANIZATION
POTTTION
SIGNED:
NAME, RANK/GRADE
UNIT ORGANIZATION
POSITION
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010098-2