datamatters24/research-document-archive huggingface dataset:
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280032-5
DATE:
GRILL FLAME SECURITY AGREEMENT
i, /Wms
/?• LlMsIL
, understand that the highly sensitive
and classified information
I have,
or
about to receive
as part of the
GRILL FLAME Program belongs to the United States Government,
I understand
that disclosure of this information is ptmishable under Title 18, Section
798,
U.S.C.
"Disclosure of Classified Information," June 19^8
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 197^
(5 U.S.C.
552a)
1.
Authority:
National Records Act, U U.S.C.
3102;
E.O.
9397 > Numbering
System for Federal Accounts Relating to
Individual!. Persons, November 22,
19^3
2.
Principal Purpose:
To maintain
a record of those individuals who have
or have had access to GRILL FLAME information through the use of their name
and/or Social Security timber,
3*
Routine Uses:
The Social Security Humber is to be used to identify the
individiial,
and the information is to be retained strictly within the Program.
h.
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 pai-ticipation in the Program,
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280032-5
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280032-5
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
date
2 9
WITNESS
:
Mufta/vw
/3
, kin?
NAME, RANK/GRADE
I
A
UNIT/ORGANIZATION
ptfirfrE
P&aJ&cJ- dfPlcClZ^
POSITION
“
“
'
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280032-5
AA ee ANTE AE  A ECOCTEOC rr—— Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280036-1 paws: (6 SAntadeg AP? % GRILL FLAME SECURITY AGREEMENT I, TZ SAd sh. Po weEL. wz , understand that the highly sensitive and classified “information I have, or ap} about to receive as part of the GRILL FLAME Program belongs to the United States Government. TI understand that. disclosure of this information is punishable under Title 18, Seetion 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. f tT 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 wpon me even after the termination of my services with the United States Government. / i take this obligation of my own free with, without any mental reservation or purpose of evasion. / DATA REQUIRED BY TH PRIVACY ACT OF 1974 (5 U.S4C. 552a) 1. Authority: National Records/Act, 44 U.S.C. 3102; E.0. 9397, Numbering System for Federal Accounts ReVating to Individual Persons, November 22, 1943 2. Prinal or have ha and/or Soctis Purpose: To Maintain a record of those individuals who have cess to GRIPL-FLAME information through the use of their name Security Nember. I al ac ei 3. Routine Uses: Thg Social Security Number is to be used to identify the individual, and the dnformation is to be retained strictly within the Program. k, Mandatory or Voluntary Disclosure: Information is disclosed on a voluntary basis, but withholding information will render it impossible to grant an individusl access to or participation in the Program. at " ry Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280036-1
cs Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280036-1 GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE DATE LC TA wert. LPZE. NAME, RANK GRADE Ht) LS SP 10P S C6 07 WAME, RANK/GRADE AdesoPs Mum? Ye Tvslon UNIT/ORGANIZATION UNIT/ORGANIZATION Ta Scom POSTTION OSLTION Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280036-1
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280036-1
DATE:
GRILL FLAME SECURITY AGREEMENT
I s
_/Q,
, understand that the highly sensitive
and’cl'ilss i fied informat ion
I have,
or aft about to receive
as part of the
GRILL FLAME Program belongs to the United States Government.
I understand
that disclosure of this information is punishable under Title
18, Section
798,
tj.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 ease 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
.
y
I take this obligation of my own free
wip/L, without
any mental reservation
or purpose of evasion.
/
DATA REQUIRED BY
T1JE PRIVACY ACT OF 197^
(5 U.S<C.
552a)
1.
Authority:
National Records/Act,
kh U.S.C.
3102;
E.O.
9397 5 Numbering
System for Federal Accounts Relating to Individual Persons, November 22,
19^3
2.
Principal Purpose:
To jffaintain a record of those individuals who have
or have had
success to
C-RILL FLAME information through the use of their name
and/or Social Security l&tober.
3.
Routine Uses:
Th/t 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-RDP96-00788R001 200280036-1
grill' flame security agreement continuation page
DATE
WITNESS
:
r
/
¥
GRADE %
tSH.crt*
UNIT/ORGANIZATION
irvi'-LoM
-
C-ill/1 P/rtfrE PILoicd'
POSITION
~~
UNIT/ ORGANIZATION
POSITION
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280036-1
Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280039-8 uw. GRILL FLAME SECURITY AGREEMENT I, CABLES € (CO revdv eb , understand that the highly sensitive 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," 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 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 2000/08/07 : CIA-RDP96-00788R001200280039-8
Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280039-8 GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE pate “4. vey FPF WITNESS: SIGNED: — & OPN Wy a NAME, /GRADE Aoesogiq Murs oT | | thee Tn etor /? 5/4 Ab SCOP S— [Ie [50 ity UNTT/ORGANIZATION. SS UNI T/ORGANI ZATION Project Man apee— ‘ : a NS CE, Gh LE Fame XL POSITION POSITION Approved For Release 2000/08/07 : @IA-RDP96-00788R001200280039-8
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280039-8
GRILL FLAME SECURITY AGREEMENT
I,
/V/?/
7//??
/w
>
understand that the highly
sensitive 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,"
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 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 2000/08/07
: CIA-RDP96-00788R001 200280039-8
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280039-8
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
/£_ Dvt-j /? J
WITNESS:
NAME ,
RANK/GRADE
*
PrCXLSotfJ-"
/j-vn-i a)*T
l\ << L3Tj^
UNIT/ORGANIZATION
TV oj ec-r
s
^Stc
POSITION
“
SIGNED:
(
{' (S ts' (S' V' (
NAME,
RANK/GRADE
—
c/7~
c- $
T> 7V TM7
\
'
F?/?
FAfeapf- //v
UNIT/ORGANI zation
POSITION
-r
Approved For Release 2000/08/07
: QIA-RDP96-00788R001 200280039-8
Approved For Release cobpyisikz,:[0tezriP96-00788R001200330001-3 SWISHER INSCOM Date: 22 May 84 R. HQ Level: 2 Function: Mr. DDCSRM RUTKOWSKI INSCOM Date: 27 Apr 84 Phyllis HQ Level: Function: GS6 ADCSOPS -H Secretary KOWAL INSCOM Date: 19 Jan 84 Dennis HQ Level: 4 Function: MAJ Cmd Psych Cmd Psychologist SCANLON INSCOM Date: 3 Jan 84 Charles HQ Level: 4 Function: Ban 6G DCG Dpty Cmd General-S ELAN INSCOM Dat pBett— NA _ ae Nee neti LTC DCS COVERLEY INSCOM Date: 24 Jun 83 Charles HQ Level: 1 Function: MAJ DCSLOG ADCSLOG BATES INSCOM Date: 18 Apr 83 John HQ Level: 1 Function: CPT DCSOPS Budget Off, HUMINT CORR INSCOM Date: 14 Sep 83 Brian HQ Level: 2 Function: CPT DCSOPS Proj CANDLETOP Ofc FOSS INSCOM Date: 24 Nov 82 Donald HQ Level: 3 Function: Mr. DCSOPS Ch, CMD, HUMINT GARRETT INSCOM Date: 8 Jun 83 Jimmie HQ Level: 3 Function: GS-15 DCSOPS Deputy DCSOPS HYMAN INSCOM Date: 3 Oct 83 Stanley HQ Level: 4 Function: COL DCSOPS DCSOPS Mc CARRON INSCOM Date: 4 May 83 William HQ Level: 1 Function: LTC DCSOPS C, PPD, HUMINT McGUIRE INSCOM Date: 11 May 83 Edward HQ Level: 1 Function: Ccw4 DCSOPS PPD, HUMINT Budget Off TOLLIVER INSCOM Date: 11 May 83 Ronald HQ Level: 3 Function: LTC DCSOPS XO, HUMINT WATERMAN HQ Date: MS Jan 83 Arleigh Level: Function: sebuccde ADM SPT spf SPT SPT SPT OBO CO Approved For leas ong AS o07B8R001200330004 -3 debut
Approved For Release 2000/Q8/@/: Cft-RDP96-00788R001200280042-4 i” ome “OGL? RO ee meee’ GRILL FLAME SECURITY AGREEMENT tac tn re sensitive 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 oo, 798,'U.S.C., "Disclosure of Classified Information," June 1946, as amended. oS , _ I, Osos F Searle w _.* Understand that the highly 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. So. J: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) l. Authority: National Records Act, 44 U.S.C. 3102; E.O. : 9397, Numbering System for Federal Accounts Relating to Individual Personsl, November 22, 1943. ¢. 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-RDP96-00788R001200280042-4 gam er i Notes s
wf Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280042-4 GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE DATE 7 Ocf- vO WITNESS ¢ . won Dhak Sa Wheoreg a.wel Lc AD Qea wlon tle Cok, WANES RANK/GRADE . NAME, RANK eae renee .. .Decops cLaleaes ONTY7ORGANTERTTON ~— ; ~ GNTS7ORGANTEATTON Geile fetan€e a | ~ | Lite Mownel TUS Ay Deve ir aos POSITION - POSITION a i” Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280042-4 eee crc ER UNE AR CORBET OO CCIM ArT CETUME TE Te DTP CTT PY
Approved For Release 2OQ|0AQ8/0fc cfA-RDP96-OO788ROO1 200280042-4
DATE
°i CD
(§~Q
GRILL FLAME SECURITY AGREEMENT
a
SoaaJo>
V H
K tv-il
,
I
.
^
*
understand that the highly
sensitive and classified xn formation
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 wy awn 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.G.
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 2000/08/07 ; ClA-RDP96-00788R001 200280042-4
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280042-4
GR! LL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
? O
WITNESS:
*
A
Uc*
NAME, "SANK7GRADE
I4r^~
^KSTyrr^
umrTo^GPm zXtion
*
u~
p^L/rri &
POSITION
”
SIGNED
(?4^ n MU
wCA /oU/j
{
NAME,
RANK/GRADE
. .(P ccopx
-LticotJ
UN IT/ORGAN I ZATI ON
~
POSITION
ON
V r
Approved For Release 2000/08/07
: CIA-Rfop96-00788R001 200280042-4
Approved For Release 20oSe£(jcR-^I^6-00788R001 200330001 -3
GOEBELER
INSC0M
Date:
18 Nov
John
90 2D MIGP
Level:
Function:
SPT
flAT
SSD
OPSEC Analyst
BUZBY
INSCOM
Date:
Jun
Brian
90 2d MIGP
Level:
Function:
0B0
LTC
SSPD
Project Manager
PENDLETON
INSCOM
Date:
11 May
James
Mr
.
ASD
Level:
Function:
Recruitment/Mgr
GS Div
SPT
SMAY
INSCOM
Date:
May
Donald
Mr.
ASD
Level:
Function:
C,
GS Div
SPT
ADAMKEWICZ
INSCOM
Date:
Dec
Edward
COL
HQ
Level:
Function:
Staff
JA
SPT
BOYER
INSCOM
Date:
Apr
Mark
CpI
HQ
Level:
Function:
CG Aide-de-Camp
CADORETTE
INSCOM
Date:
Jan
/
Raymond
HQ
Level:
Function:
0^0
LTC
HPTF Mbr
!
:
DEL TORO
INSCOM
Date:
3 Jun
Ubaldo
Mr
.
HQ
Level:
Function:
ADCSOPS-HUMINT
MGA
FORMAN
INSCOM
Date:
16 May
Level:
j37
Function:
Cmd
Secretary
Gemma
GS-6
HQ
ADM
HARTZELL
INSCOM
Date:
9 May
1983
Richard
LTC
HQ
Level:
Function:
Command Psychologist
SPT
HUNT
INSCOM
Date:
Jun
James
BG
HQ
Level:
Function:
Deputy Commander
MGT
KIRK
INSCOM
Date:
Oct
L.
COL
HQ
Level:
Function:
Chief
of Staff -B-e-s-irgnee^
MGT
PARTRIDGE
INSCOM
Date:
Feb
Charles
COL
HQ
Level:
Function:
Special Assistant
to
CG
MGT
SILVANO
INSCOM
Date:
6 Dec
Alfred
Mr
.
HQ
Level:
Function:
Ch,
Hq
Spt
Div.
SPT
dm'&
m
tvs&4
kdobnp
nna r oY Approved For Release 2000/08/07 +: CIA-RDP96-00788R0012 re pane: Mt December 1978 e GRILL FLAME SECURITY AGREEMENT aX ; n I, Mar heed E. Meaffer , understand that the highly sensitive and classified information I have, or af about to receive as part of the GRILL FLAME Program belongs to the United States Government. I understend that disclosure of this information is punishable under Title 18, Section 798, U.S.C. "Disclosure of Classified Information," June 1948 as amended. | T do solemnly swear that T 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. T understand that no change in my assignment or employment will velieve 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. t 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 Tederal Accounts Relating to tndividual Persons, November 22, 1943. 2, Principal Purpose: To maintain a record of those individuals 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. h, 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. ft ppt pete Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280044-2
ise a ESSE TE TCT EN TACT CET ETO CIO Tc . Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280044-2 - GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE pare | | DecemMbee seman enn 6 WES Wart Moe RB. Mar NAME, RANK/GRADE csops hom ivl ENS Cawy UNIT /ORGANIZATION Gell PlArE CINScom) po pect CECE POSTTION SIGNED: To, WA SHEAFFE. WAME, RANK/GRADE LIF, OE DEGCC EK | BS COSC SS oir chef, {SC OO UNTT/ORGANT ZATION CA, LLPiA Die, AD CbOPS- C1 ¢ ta tee 7 POSTTION Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280044-2
Approved For Release 2000/08/07 •: CIA-RDP96-00788R0012iltJ280044-2
DATE:
It
.
I ^33
GRILL FLAME SECURITY AGREEMENT
t
UA~r
, S/Ze/Vp-fe*.
, understand that the highly sensitive
^ ab°f ^
receiv®
aS
Tenderstand
GRILL FLAME Program belongs to the ^^J^able ^de^Title 18, Section
that disclosure of this informa ion
^ormation
" Jure 19^8
as amended.
798, U.S.C.
"Disclosure of Classified Information,
cure ±y
x
t
i t
mp
,
v‘0 !F divulpj© » publish* or rovosl
"by word
;,
conduofT^ylnrother means such classified information or knowledge,
conctucu
,
OI
j
j
n-Pfioial duties,
and as specifically
authorized^in JSttaT
«ch «*> W «* appropriate agency of the United
States Government.
I understand that no change m my
as^
g™^t
t^g provisions of this agreement
Si«S^
rt^iSon of my services with
the United States Government.
,
,
.
..
„
_.P
own
free vill, without
any mental reservation
I take this obligation of my own xree wu
,
or purpose of evasion.
DATA REQUIRED BY THE PRIVACY ACT
OI
(5 U.S.C.
552a)
1.
Authority:
National He0 °r
^
B *°t
^Lsil^oimlS^Si 19>l3.
System for Federal Accounts Eclating to Individual persons,
o
Principal Purpose:
To maintain a record of those individuals uho have
hi access to GRILL FLAME information through the use of their name
and/or Social Security Number.
„
„
..
The social Security Number is to be used to identify the
?;ai“ aiihelioiaSon is toie retained strictly uithin the Program.
4.
Mandatory or Voluntary Disclosure:
Information is disciosed on a
voluntary hasis, hut vithholding information hill render itjmpos-
grant an individual access to or participation in
the Progr
.
ML
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280044-2
„ Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280044-2
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
il DeeeMk*
lcn0.
u3
vhu
B
.
Halt
NAME, RANK/ GRADE
SIGNED
:
NAME , RANK/ GRAI||
C
• y
fs^cs oys
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i
UNIT? ORGANI ZATION
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POSITION
K A <T &P?~
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,
UNIT/ORGANIZATION
r£
£££jA
c$aps-M«i* j# 7
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Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280044-2