GRILL FLAME SECURITY AGREEMENT
CIA-STARGATE
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The document is a security agreement from the GRILL FLAME program, dated May 1961. The agreement states that the individual receiving classified information from the program understands that the information belongs to the United States Government and that disclosure of this information is punishable under Title 18, Section 798, U.S.C. The individual is required to not divulge or reveal this classified information except in the performance of their official duties and with written authorization from the appropriate agency of the United States Government. The agreement also states that the obligations of the agreement will remain binding even after the termination of the individual's services with the government. The document includes data required by the Privacy Act of 1974, specifying the authority, purpose, routine uses, and voluntary disclosure of the information. Additionally, the document includes information regarding the names, ranks/grades, and positions of individuals related to the GRILL FLAME program.
Text
Body: Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010044-1
DATE L MP1Y 1961.
I, - ROEF- T Y. JACVA , understand that the highly
sens1Trve andd classiried 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 uncl.r 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.
I1understand 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 2001/04/02 : CIA-RDP96-00788R001200010044-1
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010044-1
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE 1.. MA,( l g8.L
uTc,
N11ME, RANK/GRADE NAME $ RANK /GRADE
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UNIT ORGANIZAATIOI
LP
POSITION
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UNIT ORGANIZATION
POSITION
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010044-1