GRILL FLAME SECURITY AGREEMENT
CIA-STARGATE
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This document is a security agreement for the GRILL FLAME program, a part of the CIA's Stargate program. The document states that the information obtained through the program belongs to the United States Government and disclosing it is punishable under U.S.C. Title 18, Section 798. The agreement also states that the individual who signs it pledges to not divulge, publish, or reveal any classified information, except in the performance of their official duties and with written authorization from the appropriate government agency. The agreement remains binding even after the individual's employment with the government ends. The document also includes information required by the Privacy Act of 1974, including the purpose and routine use of the individual's Social Security Number.
Text
Body: Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010088-3
DATE 2.8 hl ,u rr 19 8 1
GRILL FLAME SECURITY AGREEMENT
I _ ?,/4 ca V , understand that the highly
sensi 1ve and c; , s7 i nforni ti.on 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 -y
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
tha._tho provisions of this agreement will remain. binding
upch `me even akte'r 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.
9391, Nv ka iranq Sy4tem for , ederal 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-RDP96-00788R001200010088-3
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010088-3
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE COST
WITNESS:.
LTC
N/ ME, i NK/GRADE NAMI
UNIT ORGANIZATION UNIT O tGANIZATION
G _L rkft r" e - P1Za ,%-Lr CJ. ~j. (TX E47
POSITION POSITION
4 V r1
SSA
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010088-3