datamatters24/research-document-archive huggingface dataset:
Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280007-3 a pate /4 Aocust 19749 ' GRILL FLAME SECURITY AGREEMENT . I, CHAD 6, 6, UH, te , Col , 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.8.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-RDP96-00788R001200280007-3
Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280007-3 GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE pare /4 August 197) 9 WITNESS: | SIGNED: ~ NAME: RANK/GRADE NAME, RANK/GRADE’ Spee Aedronr __ Ades oes homo T pbesops-Hu er | GREER SOR gp USA estorL 7 UNIT/ORGANI ZATION | UNIT/ORGANIZATION gy)” : Penect MavreGer® an US A Shue th a oY score GOLL Flame Heo gran “ - a OOS HTT POSITION POSITION : 2 Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280007-3
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280007-3
DATE_ /V 4 OGrysj
GRILL FLAME SECURITY AGREEMENT
i, CMfih
U/jrf£
, £?/
,
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 200280007-3
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 200280007-3
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE_
Aus^osi
1123.
WITNESS:
VjJaTv
,
NAME,
RANK/GRADE
-VWcniOX
OS’AtV K»5CoM.
UNIT/ORGANIZATION
SIGNED:
B, UUi+e .Col
NAME,
RANK/GRADE
/
UNfT/ORGANIZATION
J
;”
r”jr’ET
ft,
,
^ Jkt*
POSITION
POSITION
Approved For Release 2000/08/07 : ClA^RDP96-00788R00 1200280007-3
SG1I » Approved For Release 2003/0709 : CIA-RDP96-00788R001200280011-8 a | pare_fZ per. 77 4 GRILL FLAME SECURITY AGREEMENT T understand that the highly sensitive an ion I have, or are about to receive as part of the GRILL FLAME Program: belongs to the United States Government. T understand that the disclosure of this information is punishable under Title 18, Section a 798, U.S.C., "Disclosure of Classified Information," June 1948 as amended. I do solemnly swear that Tt 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 emp Loyment 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. os 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 od (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- 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 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 2003/09/09 : CIA-RDP96-00788R00120028001 1-8
SGI
I
Approved For Release S003/oSfo9
: CIA-RDP96-00788R001 20028001 1-8
DATE ft JWh
Z2—
grill flame security agreement
ij
understand that the highly
.ion
I have,
or are about to
sensitive
arid eiasauieu
/
-
receive
as part of the GRILL FLAME Program belongs to the
United States Government.
I understand t a
section
- fhis information
is punishable under Title
18,
Section
"DisSosure of Classified Information,"
June 1948,
as amended.
I
do solemnly swear that
I will never divulge,
publish, _or_
Lvla? £y word,
conduct,
or by any other means such classified
Government.
I understand that no change
in my assignment or employment
will relieve
, me
, of my obligation under giB agreemen^^
*£
Stmi^on^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)
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 ^^"ion
14"
uals who have or have had access
to
’
•
security Number,
through the use of their name and/or Social security
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.
will render
it impossible
to grant an individual access
t
or participation in the Program.
Approved For Release 2003/09/09
: CIA-RDP96-00788R001 20028001 1-8
Approved For Release 2003/09/09
: CIA-RDP96-00788R001 20028001 1-8
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
/9 JhfC 7 9
i
WITNESS:
SIGNED:
Zxc
NAME, ~RAM</GRADE
]\X>CS°pr-
Aka.
ZZft
UNIT/ORGANTZATION
(?(U>
POSITION
TTHFIETT—KHWiVy bKilUii
/L
&JTA60AJ
fj/Pr*
UNIT/ORGAN I ZATI ON
QfZO/GL
d&£AJT
POSITION
sii
Approved For Release 2003/09/09
: CIA-RDP96-00788R001 20028001 1-8
r
Approved For Release 2000/08/07 sCIA-RDP96-00788R001200280012-7 pare__/7 May 80 - GRILL FLAME SECURITY AGREEMENT I, Davo E. Crent , 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 a 798, °U.S.C., "Disclosure of Classified Information," June 1948, as amended. I do solemnly | swear that I will never - divulge, publish, OL 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 Persons1, 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-RDP96-00788R001200280012-7
ce Approved For Release 2000/08/07 : CIA-RDP96-00788R001 20028001 2-7 GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE DATE 1d Mere L§ & WITNESS 3. >  PSROG - JSC Oo”, UNIT ORGANIZATION - Zasesm GRriUL Plane pe mot -  Peayect - Man nse ps as: | | POSITION : Sa POSITION : | yet: 2 | Approved For Release 2000/08/07: * CIA-RDP96-00788R001200280012-7 nanan eaten at RN IRR, SOHN AIE SOR DR Ie eee eet x teva Pret 34
Approved For Release 2000/08/07 :*CIA-RDP96-00788R001 20028001 2-7
A ,
L i/
DATE
/Wa
'f SkJ
GRILL FLAME SECURITY AGREEMENT
I
,
~IWu>
___,
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 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.
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 20028001 2-7
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 20028001 2-7
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
WITNESS:
.
31 K pjd© b-*—'
unit/organization'
“
’ZKtJ't+rx
Crfix tt
POSITION
" —
DSfrOQ*
//¥SCO"\
UNIT/ORGAN I ZATION
^2^
QjSEx.
POSITION
Approved For Release 2000/08/07 f CIA-RDP9B-00788R001 20028001 2-7
--wwwmwi*- g.v,«tnK*.
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'r
"''fT-arr* \
* *r*r*f*z **«*» sr*-w 11 r,w
Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280017-2 we pare JO SUNE SS) GRILL FLAME SECURITY AGREEMENT f “ ” I, Nerer rh. Does QC... wnderstand that the highly sensitive and classi ad 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 1948, as amended. oo 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. Isunderstand 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. . 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. 4,2"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-RDP96-00788R001200280017-2 —
™, GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE . | DATE_ WITNESS : | : SIGNED: NAME, RANK/GRADE | WAME, RANK/GRADE rr e 8 TCA UNTI7ORGHNTERETON—— ~ UNTT7ORGANT ZATION ee , OPS OFLA te. POSITION ~-, POST#ION Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280017-2 Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280017-2 a & TC ob
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 20028001 7-2
DATE
\Q SXiXle-m
GRILL FLAME SECURITY AGREEMENT
f
x » M ercer
yh.
jf)ocs:- a
t
understand that the highly
sensitive and
classiTiferd' 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
ray
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 ay 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.O.
9397, Numbering System for Federal Accounts Relating to
Individual Personal, 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 v-rPMandatory 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 20028001 7-2
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 20028001 7-2
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
WITNESS;
SIGNED!
Approved For Release 2000/08/07
: CIA-RbP96-00788R001 20028001 7-2
Approved For Release 2000/08/07 : cia-ropes.oovasroo1200280064 Lpetti bt GRILL FLAME SECURITY AGREEMENT SG1I 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, ox , 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 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 oo (5 U.S.C... 552a) 1. Authority: National Records Act, 44 U.S.C. 3102; E.0O. 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-RDP96-00788R001200280018-1
— Approved For Release 2000/08/07 : CIA-RDP96-00788R001200280018-1 | | GRILL FLAME SECURLTY AGREEMENT CONTINUATION PAGE DATE Ad Mer 7 3 SG1I WLTNESS: | SIGNED: ples Ure | 7 | . Se RANK/GRADE NAME, RANK/GRADE NAME, bee. TNE a a : ane : UNLT/ORGANT ZATION UNI T/ORGANT ZATION _Dugeor Gell Plant Pawjyett Mav eee gt RN LC POSITION oe POSITION Approved For Release 2000/08/07 : CfA-RDP96-00788R001200280018-1 ee meeps de pects ein, een ee aa
ao Approved For Release 2000/08/08 : CIA-RDP96-00789R001100700001-2 ey FOLDER CONTROL SHEET Project Number or Title on Log Sheet: Gos y Project Number or Title in Spread Sheet (If different): are Location(s) _— Drie 6S Comments: Approved For Release 2000/08/08 : CIA-RDP96-00789R001100700001-2
Approved For Release 2000/08/07
CIA-RDP96-00788R001 200280
DATE X r In
GRILL FLAME SECURITY AGREEMENT
SGI
I
sensitiv^^nd^3^ssxf?edTjnrorniation
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 Personal,
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 20028001 8-1
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 20028001 8-1
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
WITNESS'S
.
SGI
I
SIGNED;
NAME ,
R^NK/GRADE
Lr*~
NAME/ RANK/GRADE
li-u-
1 *:><<
_
UNIT/ORGAN I ZAT 1 ON
•
/'a oj tr<-t'
'
POSITION
UNIt/organi ZATION
POSITION
Approved For Release 2000/08/07
: cfA-RDP96-00788R001 20028001 8-1