datamatters24/research-document-archive huggingface dataset:
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0039-7
DATE 4
/ 78z)
GRILL FLAME SECURITY AGREEMENT
i. r
t. Ho Lyt
,
understand that the highly
sensitive and c las sffled
frTforination
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 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
.
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 x>wn 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.
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0039-7
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0039-7
GRILL FLARE SECURITY AGREEMENT CONTINUATION PAGE
DATE
^
,
/ 7
WITNESS?
ITC.
nMe7~rank/grade
^DcStriyr-
/JT
UNIT/ORGANISATION
“
% LiTVn,
G^-i CL
F'tty+fii
POSITION
SIGNED:
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unit/organi ZATION
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oso.
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0039-7
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010043-2 pane_/2 Stetir (AA : GRILL (FLAME, SECURITY, AGREEMENT. », Wes S. (lee (Ze ___. understand that the highly sens sitive 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.§.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. 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; B.0. ; $397, 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 ox participation in the Program. SR ea mmm i aen  N cemam t  Ra g Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010043-2
Ce ot te Ak a od Ben pre. ytd psa AMERY TO AT congress « ~~ e & ~ Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010043-2 GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE pare_LP MAT [PEA WITNESS: | SIGNED: Revedt ©: Count, CPT (2 4) A Aly NAME, RANK/GRADE ; K/GRADE | Fay aaa TON i ON NET7ORGANTZATION eget _ _ Conte. an eee eoconiratngeatnpasmncat unmet POSITION - POSITION ¢ * 2 { Ape ae nats enmsanenPvausainaminni 308 eee ee Re Co ce een vcr tne a =o ea OTS hk i Bal ia eR i ES al, Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010043-2
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0046-%^—
DATE
GRILL FLAME SECURITY AGREEMENT
'A:
\
<2
v
(Jr'
> -
V
\ g\V^r
,
understand that the highly
sensitive and clas¥ffled 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 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.
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 jown 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
or participation in the Program.
an individual access to
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0046-9
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0046-9
GRILL FLAME
IZS
DATE
SECURITY AGREEMENT CONTINUATION PAGE
WITNESS s
uA
uc
name, Mnk/grade
’
—
tki.
—
UNi¥/ORGANI ZATION
“
“
"j+H
Otv. t_L- FOr^^
POSITION
UNIT/ORGAN I ZATI ON
~
stscr
(
POSITION
i.. stEWvi^*.-*^^..,
• - tHMtJW
* 4
- »*>*«• r
f-f. ''r^.^^nyfjnTrrr
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0046-9
Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010048-7 DATE _ 7: Te ly TA ma eR aes ee GRILL FLAME SECURITY AGREEMENT t, [terey ws KE egef,__.1 understand that the highly . sensitive and classifiéd 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 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. I:understand that no change in my assignment or employment will relieve.ma 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 3 (5 U.S.C... 552a) 1. Authority: National Records Act, 44 U.S.C. 3102; B.0. , 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. Ste ne cree meee magni ten 2 Sgr eaeaeanenat oom so am Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010048-7
ASE) TT eT ef Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010048-7 GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE DATE 7 [Fh te WITNESS ¢ | SIGNED: | WAME, RANK/GRADE NAME, GRADE 7 | ONTT7S WGRNTZATION — : a ae ReTON " POSITION - ne, POSITION SA lable ENAMORED ocho athe: a Teter ing CRY A OR Camm atg Soe ccna SNE Ta Tibet” PE ROME, cette stn aa Hen ematan lN iy mka  Mome pate a Ha ne va ert ot Perec 3 Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010048-7
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0048-7
DATE
% (Z
GRILL FLAME SECURITY AGREEMENT
I
,
/-
^
a)
e y
,
understand that the highly
sensTtlve 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 Information, M 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.
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.O.
9397, Numbering System for Federal Accounts Relating to
Individual Persons 1,
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 j.s
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-RDP96-00788R001 20001 0048-7
Approved For Release 2000/08/09
: CIA-RDP96-00789R003700740029-0
/ Vy
(Jxi
ldZo?jL-g£€^
CJ2TV
^TnJ-Oyl
C?-
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1-
pproved For Rele^se 2000/08/09
:xCI^RD^6-g07§5F^0p^0074O029^ /
Approved For Release 2001/04/02 - CIA-RDP96-00788R001200010070-2 / DATE fo. Av C 19 8/ ne nsent ant Be ON REN EM GRILL FLAME SECURITY AGREEMENT > _...» Understand that the highly pene t at ly. ae 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 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, I: understand that no change in my assignment or employment will relieve .ma 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. ‘XI '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 te Individual Personsl, November 22, 1943. 2. Principal Purpose: To maintain a record of those individ- vals 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 ad to identify the individual, and the information is to be os 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. | Si ae ‘ BE cree ne amma ge Am oc anani a pH te nh ache See cms: ota teenie sit ‘dois nisusg cake aiean rea eB ah on HR SUE RON Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010070-2
“ “~ Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010070-2. GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE” pare (OA0G S/_ WITNESS: | | SIGNED: Lf: | Cot. —_ Pace K/GRAD Ha. RS . 7 i ha, tn UNIT/ORGANIZATION | UNTT7ORGANT2 ATION —_ JS Urn, CELL Plame ey are Mewadt “Ade RL Me T POSITION — ; re Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010070-2
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0070-2
DATE /O ^ Q 4-
i $ $ f
GRILL FLAME SECURITY AGREEMENT
i,
h
,
understand that the highly
sens! tive and c 1 as s i f1ed 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 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.
I understand that no change in my assignment or employment
will relieve me of
ray 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
ray x>wn 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 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.
r
Jam
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0070-2
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0070-2
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
/O "A Q (3^ & /
,
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0070-2
DATE __ § [S- Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010071-1 CONSULTANT SECURITY AGREEMENT I, hokene A. / oY R4E , understand that the highly sensitive and classified information I have, or am about to receive as part of an official U.S. Government program belongs to the U.S. Government. I under- stand 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 solemly 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 U.S. 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 agree- ment will remain binding upon me even after the termination of my services with the U.5. 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.0. 9397, Numbering System for Federal Accounts Relating to Individual Personnel, November 22, 1943, 2. Principal Purpose: To maintain a record of those individuals who have or haye had access to classified 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 of 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. WITNESS; SIGNED: “ 4 rey a “NAME SGFOIA3 SGFOIAS Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010071-1
DATE
Approved For Release 2001/04/02
: CIA-RDP96-00788R001200
CONSULTANT SECURITY AGREEMENT
01200010071-1
i.
fa&th Y
f(
.
,
understand that the highly sensitive
and classified information
I have,
or am
about
to receive
as part
of
an
official U.S.
Government program belongs
to the U.S.
Government.
I under-
stand 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 U.S.
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 agree-
ment will remain binding upon me even after
the termination of my services
with the U.S,
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 Personnel,
November
22,
1943.
2.
Principal Purpose;
To maintain a record of
those individuals who have
or have had access
to classified 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 of 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.
WITNESS:
SGFOIA3
SGFOIA3
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0071-1
ae ail s sping 2 align RSIS gc ER SR PR ies _ ewe ee Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010077-5 - GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE 2 |X FEO 1492 , . mee SGFOIA3 WITNESS ¢ | LTC .RoBeer J. SRM Cw Pave 8. “i€ NAME, RANK/GRADE ) NAME, RANK/GRADE  — HO-INSCOM . | MSCOW /atee /ILPD . UN ONTT7ORGANTERTION Te UNIT7ORGANIZATION  —™ epee RC saaene en Oe ae Pan MUR ENR oa a eee bomen POSITION a POSITION — NER Siew A ANE A MEST EIN I CHE ee A PRES, FT Bethe rr SEG ets . ety ie apg neers ttc TERETE | SO kta scnten er: Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010077-5
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0077-5
DM15
FEEROftRV
19S2.
GRILL FLAME SECURITY AGREEMENT
I,
PacJI—
JBj
CM Pr&O
,
understand that the highly
sensitive "and c 1a s si fIed ~infer niation
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 Information," June 1948
as amended.
I do solemnly swear that
1 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 .jown- 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 Purposes
To maintain
a record of those individ-
uals who have or have had access to GRILL FLARE information
through the use of their name and/or Social Security Humber.
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 Disclosures
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-RDP96-00788R001 20001 0077-5
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0077-5
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
JX
W??-
SGFOIA3
WITNESS :
.LTC
• ROBSW
*3
• J&CMM
SIGNED;
SSAM
'
f^j2 8
M
Paul.
fi. ft*#***
NAME,
RANK/GRADE
NAME,
RANK/GRADE
W-lKlSGOW
IVSCW lTT*e/TZfi»
UNIT/ORGANIZATION
UNIT'/ORGAN 1 ZATI ON
aEllZ PLftME.
?KD3EZT MGR.
POSITION
X«*s-e ^jT^P^erm-^TerH
POSITION
et&AJ
iK»
!si»sJSfll'
tj#<gB8:
i 'i*' «»»rw
*«**.'**’
*->>#- w
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0077-5