Approved For Release 2000/08/07':*C IA-RDP96-00788 ROO 1200280012-7
          DA TE___
          GRILL FLAME SECURITY AGREEMENT
          I, __DAV(J> 157- e"'REW understand that the highly
          sensIt-1-ve and classified information 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 Informat'ion," Tune 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 aqency'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 Program..
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      GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE'
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