GRILL FLAME SECURITY AGREEMENT
CIA-STARGATE
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This document is a security agreement related to the GRILL FLAME Program, a classified program under the United States Government. The agreement states that the individual receiving sensitive and classified information as part of the program must not disclose or reveal this information, except in the performance of their official duties and with specific authorization in writing from the appropriate agency of the government. The agreement also highlights that the individual's obligation to protect classified information remains even after their termination of service with the government. The document also includes information related to the Privacy Act of 1974, stating that the individual's name and/or Social Security Number will be recorded to maintain a record of their access to GRILL FLAME information and that withholding information will prevent their participation in the program.
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Body: Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280039-8
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 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 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 2000/08/07 : CIA-RDP96-00788R001200280039-8
Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280039-8
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
NAME, RANK/GRADE
&s J - `, y..,. 7-
UNIT/ORGANIZATION
UNIT OR ANIZATION
Irv''
POSITION
Approved For Release 2000/08/07 : OIA-RDP96-00788R001200280039-8