GRILL FLAME SECURITY AGREEMENT (DONALD L. HOPKINS)

CIA-STARGATE

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This document is a security agreement related to the GRILL FLAME program of the United States Government. It states that the information received as part of the program is highly sensitive and classified. It emphasizes that disclosure of this information is punishable under the law and the signatory swears to never reveal such classified information, except in the performance of official duties and with specific written authorization from the appropriate agency. The agreement remains binding even after the termination of employment or assignment with the government. The document also mentions the use of Social Security Numbers to identify individuals who have or had access to GRILL FLAME information. It includes a continuation page with witness signatures.

Text

Body:  .  Approved For Release 2001/03/07 : CIA-RDP96-00789ROO2100150066-1
 DATE:   e rc C
 GRILL FLAME SECURITY AGREEMENT
 understand that the highly sensitive
 L^             40IJ 5                       about to receive as part of the
 and classified information I have, or a14
 GRILL FLAME Program belongs to the United States Government.  I understand
 that disclosure of this information is punishable  rider Title 18,aSeectio
 798, U.S.C. "Disclosure of Classified Information,"  une      as        .
 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 specifi
 authorized in writing in each case by the appropriate agency of the United
 States Government.
 assignment or employment will relieve me of
 I understand that no change in my                 provisions of this agreement
 my obligation under this agreement and that the p              sehscas  eme
 will remain binding upon me even after the termination of my
 the United States Government.
 I take this obligation of my on free will, without any mental reservation
 or purpose of evasion.
 ACT OF 1914
 DATA REQUIRED (S BY U.S.C. . PRIVACY
 5   )
 1.  Authority:       National Records Act, 44 U.S.C. 3102; E.O. 9397, Numbering
 November 22, 1943?
 System for Federal Accounts Relating to Individual Persons,
 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
 within the Program.
 individual, and the information is to be retained strictly
 4.  Mandatory or Voluntary Disclosure:  Information is disclosed
 ssnbaa
 e to
 voluntary basis, but withholding information will render it imp
 grant an individual access to or participation in the Program.
 Approved For Release 2001/03/07 : CIA-RDP96-00789ROO2100150066-1
 Approved For Release 2001/03/07 : CIA-RDP96-00789R002100150066-1
 GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
 DATE     f= ~i3 7 ~1
 WITNESS:                              SIGNED:
 NAME, RANK GRADE                      NAME, RANK GRADE
 UN IT/ORGANIZATION                    UNIT/ORGANIZATION
 ? I
 I FI                                        77, 2<    f-I ,?
 POSITION                              POSITION
 Approved For Release 2001/03/07 : CIA-RDP96-00789R002100150066-1