GRILL FLAME SECURITY AGREEMENT
CIA-STARGATE
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This document is a security agreement for the GRILL FLAME Program within the CIA's Stargate program. The agreement states that the classified information related to the program belongs to the United States Government and that disclosure of this information is punishable under the law. The individual signing the agreement swears to not divulge or reveal the classified information except in the performance of their official duties and with written authorization from the appropriate agency. The agreement also states that the obligations will remain even after the termination of their services. The document also includes information related to the Privacy Act of 1974 and the use of social security numbers to maintain records of individuals who have or had access to GRILL FLAME information. There is also a continuation page with spaces for the names, ranks, organizations, and positions of individuals involved in the program.
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Body: Approved For Release 2003/09/`10 : CIA-RDP96-00788R0012002800Q6-4
D A T E R _ _ _ A-
GRILL FLAME SECURITY AGREEMENT
SG1I '
? , understand that the highly
sense rv ana c ass ied in ormation 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 2003109/10: CIA-RDP96-00788 R001200280006-4 _? __.
Approved For Release 2003/09110: CIA-RDP96-00788R001200280006-4
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
NAME, RAMC GRADE NAME, RANK GRADE
5 3\ TI1? NSA K
UNIT 6RG NIZATION UN,T U GANIZATION
POSITION POSITION
SG1I
Approved For Release 2003/09/10 : CIA-RDP96-00788R001200280006-4