SURVEILLANCE CONSENT AUTHORIZATION (Sanitized)

CIA-STARGATE

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The document is a surveillance consent authorization for a person identified as "SG1J." The individual acknowledges that they will serve as a beacon for remote viewers and the authorization only pertains to training and actual missions with their consent. They can withdraw their consent at any time without penalty or question. The individual also acknowledges the possibility of inadvertent surveillance of their thoughts, which will be kept confidential and not recorded in official records. The authorization does not grant permission for any physical or technical surveillance without the individual's prior knowledge and consent. The document is executed without reservation, coercion, or inducements.

Text

Body:  Approved For Release 2           11RM P96-00789R002100150046-3
 71-'~ EeK
 SURVETLL??J~CE CONSENT AUTHORIZATION
 SG1J
 WARNING NOTICE:                                         INTELLIGENCE SOURCES AND METHODS INVOLVED
 SG1J                                 SGFOIA3
 I                                               , born on
 training and operational missions.   I understand that as a BEACON, I will serve as
 the focus for Remote Viewers.   In consenting to this statement I acknowledge that
 this authorization:
 do voluntarily  consent to per-orm  duties as a BEACON (U) for Project
 a.  Will only pertain to training and actual SUN STREAK (U) missions and only
 with my prior consent and knowledge.
 b.  Can be entirely or selectively withdrawn without question or penalty.   To
 do so, I need only to orally inform my immediate supervisor, the unit operations
 officer or the project manager that I wish to withdraw my consent without further
 explanation.
 c.  Will suppose the possibility of inadvertent surveillance of my most intimate
 and personal thoughts and that such inadvertent surveillance will not be reported
 nor become a matter of any official records and that the nature of this inadvertently
 collected information will be held in strictest confidence.
 d.  Will at no time be construed as authorization, implied or stated, to conduct
 any type of physical, technical or yet to be defined form. of surveillance without my
 prior knowledge and consent.
 This statement of authorization is executed in the presence of the witness whose
 signature appears on this     3`1        day of  ~EPt rlaec  , 19  cQ(,    , without
 reservation, amendment or restriction and without coercion or implied and/or stated
 i.nducements.//END//
 Approved For Release 200
 WARN   NUtiCE: SENSITIVO
 -00789RO0210015O 46GSNCE SOURCF,,, Af(a
 10EJHOD9 IN'VOLYEQ