ad af ~ * “YEN “TAME (last, Approved Fae Relpase 2003/09/09 : CIAIRDP96-00789RGO2TO0ISODB-7™ ——- NAME (last , Approved Fan Ralpase 700 3(09/09 : CIATRDE98-00789R00: Telephone Number cerame som lion rere ee I CERTIFY THAT THE ABOVE-NAMED INDIVIDUAL MEETS THE REQUIREMENTS FOR ACCESS ; TO CLASSIFIED DEFENSE INFORMATION INDICATED BELOW. Pe ae en ee ACCESS AUTHORIZATION TO CLASSIFIED INFORMATION PROJECT AUTHORIZED: SUN STREAK DATE: Authorized by I ee cnn A ee i A eee te a a = tn eee ye - i ne et oe es ee | BRIEFING ACKNOWLEDGEMENT 1. I acknowledge I have been briefed concerning the project indicated above, Having received highly classified information relating to the United States Government, I am aware the unauthorized disclosure could Seriously damage the national security and the transmission ‘or revelation of such information to unauthorized persons could subject me to prosecu- tion under the Espionage Laws (Title 18, USC, Sections 793, 794 and 798) ,r other applicable laws including the Uniform Code of Military Justice. 2. I do solemnly swear or affirm that I will never divulge, publish, or reveal by word, conduct, or any other means such information or knowledge except when necessary to do so in the performance of my official duties in connection with the Project indicated above and in accordance with the laws of the United States, unless specifically authorized in wricing in each and every case by a duly authorized representative of the United States Government. I take this obligation freelv, without any mental reservation Or purpose of evasion and in absence of duress, 3. I acknowledge that information I receive is provided only to persons specially approved for the project and that the infurmetion) may not be further divulged without specific prior written approval from the Project Headquarters. All access is restricted to "must-know" based upon one's present position of functional use. 4. I understand that in the event I am reassianed from my present position, I will notify the office granting access to the project indicated for briefing on actions deemed necesSary at the time. __ sG1J OP ee cen a — — nr nt SIGNATURE OF B e Approved For Release 2003/09/09 > CIA-RDP96-00789R002100150006-7
Approved For Release 2003/09/09 : CIA-RDP96-00789R002100150006-7 DEBRIEFING AGREEMENT 1. I hereby reaffirm my acknowledgement of being briefed on the DIA SUN STREAK Project, the text of which appears on the reverse of this form. 2. I certify I have surrendered and no longer have in my possession or custody any classified information or material acquired as a result of this association. 3. 1 further acknowledge and agree I have a continuing individual respon- sibility to the United States Government for the protection of such infor- mation and termination of access to information concerning this project goes not relieve me of my obligations under this oath or any other previously executed agreements or those imposed by law. 4 I take this obligation freely, without any mental reservation or purpase of evasion and in absence of duress. SIGNATURE OF DEBRIEFER SIGNATURE OF ACKNOWLEDGER © DATE: f PRIVACY ACT STATEMENT AUTHOPTPyY: 10 U.S.C. 8012; 44 U.S.C. 3101 and EO 9397. ! PRINCIPAL PURPOSE: FOR GRANTING ACCESS TO A CLASSIFIED PROJECT AND TO ‘AOUTHGRTZED ACCESS TO PROJECT DOCUMENTATION. POSITIVE IDENTIFICATION OF THRE INDIVIDUAL AND RECORDS. DISCLOSURE IS VOLUNTARY: FAILURE TO PROVIDE THE INFORMATION AND SSN WILL ROUTINE USE: TO RECORD PROJECT ACCESS, USE OF SSN IS NECESSARY TO MAKE | RESULT IN ACCESS BEING DENIED. - in nl ee nn nn a Approved For Release 2003/09/09 : CIA-RDP96-00789R002100150006-7