GRILL FLAME SECURITY AGREEMENT
CIA-STARGATE
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This document is a security agreement for the GRILL FLAME program in the CIA's Stargate program. The document states that the information in the program belongs to the United States Government and the disclosure of this information is punishable under U.S.C. Title 18, Section 798. The individual signing the agreement swears not to divulge, publish, or reveal any classified information unless authorized in writing by the appropriate agency. The agreement remains binding even after the termination of the individual's services with the government. The document also includes data required by the Privacy Act of 1974.
Text
Body: Approved For R 04102 :,CIA-RDP9-00788R001 200010007-2
; 2 - 9 9 MAQ - X982
GRILL FLAME SECURITY AGREEMENT
I, ~~1~, understand that the highly
sens a and ass. -ed in ormation I have, or are about to
receiv 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.
1.,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 Programn.
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010007-2
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010007-2
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE 29 mNVxA 1982
SGFOIA3
WITNESS: '/SIGNED s
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NM P,,, RAN K GRADE NAME, RANK GRADE
NCB 3 K SICDM
UN ORGANIZATION
CaRaLL- FL(*ME ?"PR T'
MWPCgLET _
POSITION POSITION
T Ca , US AUC
UNIT% ORGANIZATION
Gt -/r%i p1sr
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Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010007-2