GRILL FLAME SECURITY AGREEMENT
CIA-STARGATE
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The document is a security agreement for the GRILL FLAME program, which is highly sensitive and classified. It states that the information belonging to the United States Government cannot be disclosed, published, or revealed by any means, except in the performance of official duties and with specific written authorization. The agreement remains binding even after termination of services with the US Government. The document also includes information required by the Privacy Act of 1974, such as the authority, principal purpose, routine uses, and voluntary disclosure of information.
Text
Body: Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280023-6--
DATE ~A/'' 79
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QWCA , understand that the highly sensitive
I, I//' __
and classified information I have, or aorj about to receive as part of the
GRILL FLAN,,' Program 'belongs to the United. States Government. I understand
that disclosure of this information is punishable under Title 18, Section
798, U.S.". "Disclosure of Classified Information," June :L948 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 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 Persons, November 22, 1943.
2. Principal Purpose: To maintain a record of those individuals 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.
it. 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 2000/08/07 : CIA-RDP96-00788R001200280023-5
Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280023-5
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE bi-Y 7AW 7 /
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NAl~, RA_ K/GRADE NAME, RANK/GRADE
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UNIT/ Oi ORGANI ZATI
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C tLL FLAME P9o3e 0q,,ce1t- _ 6j0m4.wtfx4ht
POSITION POSITION
Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280023-5
UNIT/ORGANIZATION