GRILL FLAME SECURITY AGREEMENT
CIA-STARGATE
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The document is a security agreement pertaining to the GRILL FLAME program. The individual acknowledges that they understand the classified nature of the information they have or will receive as part of the program and that the disclosure of this information is punishable by law. They pledge not to divulge the information except in the performance of their official duties and with the written authorization of the appropriate agency. The agreement remains binding even after the termination of their services. The document also includes data required by the Privacy Act of 1974, specifying the authority, purpose, routine uses, and voluntary disclosure of information.
Text
Body: Approved For Release 2001/04/02 :'CIA-RDP96-00788 R001200010056-8
DATE 2l0 N ML ?I c82..,
understand that the highly
lens t ve an+ class ~i ed oration I have, or are about to
receive as part of the GILL 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 Informat'ion," June 1948,
as amended.
I do soleimily 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.C.
9397, Numbering System for Federal Accounts Relating to
individual Persons), 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-RDP96-00788R001200010056-8
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010056-8
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE 20 AmL IK82.
SGFOIA3
WITNESS:.
LIZ. ROBS' ZACH 1
ORGANIZATION
I~IAIJi~L-
oR ITI4N
SIGNED:
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NAME, RANK GRADE CQiZ11J('y
UNIT ORGANIzATION
POSITION
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Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010056-8