SECURITY TERMINATION STATEMENT

CIA-STARGATE

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Summary: This document is an official certification form regarding the safeguarding of classified defense information. The undersigned individual acknowledges the importance of national security and certifies that they understand the relevant laws and statutes related to classified defense information. They confirm that they no longer possess any classified defense information regarding Project GRILL FLAME (U), and they also commit not to communicate or transmit this information to unauthorized persons. The individual is obligated to report any attempts by unauthorized persons to solicit classified defense information regarding Project GRILL FLAME (U). It is noted that the individual has not received an oral debriefing.

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Body:  Approved For Release 2000/08/07 : CIA-RDP96-00788R001200?~9 O0 -4
 SECUR.tW`'tk4M-TT' t STAT:
 Is the undersigned, fully realize the importance   defense National Security
 the requirement for the safeguarding of classified
 the fulfillment of this obligation, I certify that*
 as  I understand the appropriate provisions of the Espionage Laws and
 federal  ,   nal Statutes applicable to the safeeguard:9x  of classified
 defense information or material.
 b.  I have surrendered and no longer have in my possessit ; or custody
 t GRI"
 any classified defense iMformaticn or material concerting Projec
 FLAME (U).
 c.  I will not communicate or transmit in any
 information concerning Project GRILL FLAME {U)
 or age nOy.
 r, classified defense
 unauthorized person
 d.  I will report to the Assistant Chief of Staff t Intelligence, HQ,
 Department of the Army, or his authorized representative, without delay,ANY
 incident wher n an attempt is made by an unauthorized person to solicit
 classified defense information concerning Project GrIfl Dame (U
 e,.                         I k/have not received an oral debriefing.
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 Approved For Release 2000/08/IIT: CIA=RDP96 U0788R001200290005-4