Approved For Release 2000/08/07 : C IA-RDP96-00788 ROO 1200280030-7
   DATE 25 N0411
   GRILL FLAME SECURITY AGREEMENT
    understand that the highly
   sensitive and classified intormation 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 Lhis information is punishable under Title 18, Section
    L
   798,-U.S.C., "Disclosure of Classified Information," June 1948,
   as amended.
   I do solemnly swear that I will never -divulge, publisb,-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 agreementand
   that the -provislorls 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, 194-3.
   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 2000/08/07 : CIA-RDP96-00788ROO1200280030-7

   
    Approved For Release 2000/08/07 : CIA-RDP96-00788ROO1200280030-7
    GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
    DATE 2%
    WITNESS:
    AME, RANX/GRADE
      SIGNED:
    t- 1-00.0
    NAtB'%^" R,3~RADE -
                             2
    Approved For Release 2000/08/07 CIA-RDP96-00788ROO1200280030-7
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