Approved For Release 2001/03/07
: CIA-RDP96-00789R0021 001 50052-6
DATE :
ft
.
7.9
GRILL FLAME SECURITY AGREEMENT
t
/i'l
C A , (/Jjj
, understand that the highly sensitive
and" "classified infonnati^n
I havTTor art about to receive
as part of
the_^
GRILL FLAME Program belongs to the United States G°vernmen
that disclosure of this information
is punishable under Title 18, ^ecti
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 wor
,
conduct,
or by any other means such classified information or knowledge,
except
in the performance of my official duties,
and as
sPe° 1^
c ®
y
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
my obligation under this agreement and that the provisions of this agreement
tfLll 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)
Authority:
National Records Act,
kb U.S.C.
3102;
E.0.
9397, Numbering
System for Federal Accounts Relating to Individual Persons, November 22,
3.
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 ^entify the
individual,
and the information
is to be retained strictly within the Progr
.
4.
Mandatory or Voluntary Disclosure:
Information
is disclosed on a
voluntary basis, but withholding information will ^nder it impossible
grant
an individual access to or participation m the Program.
Approved For Release 2001/03/07
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Approved For Release 2001/03/07
: CIA-RDP96-00789R0021 001 50052-6
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
%
WITNESS
:
CtPm7 RANK/GRADE
mr.
6*.
UNIT/ORGANIZATION
POSITION
HrAgg e,ry 1 nVrpreie r
POSITION G
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CffDCT
Approved For Release 2001 /OWe*7^cfc-RDP96-00789R0021 001 50052-6
ORCON/NOFORN
INFORMATION ABOUT REMOTE VIEWING FOR PARTICIPANTS
1.
(S-ORCON)
Remote Viewing
(RV)
is
the intellectual
process by which
a person perceives characteristics of
a
location remote from that person;
it does not
involve any
electronic sensing devices
at or focused at the target
site;
nor does
it
involve classical photo interpretation
of photographs obtained from overhead or oblique means.
2.
(S-ORCON)
RV has been performed by certain individuals
successfully and we
are confident other individuals
can
do
it
too.
3.
(S-ORCON)
The general outline of RV procedures
is
at
paragraphs six and seven of the AMSAA RV Protocol.
4.
(S-ORCON)
You as
a remote viewer may perform one or
more types of
RV.
5.
(S-ORCON)
The maximum frequency you may be asked to
perform RV is two sessions per
day,
but no more than
three,,
sessions per week.
6.
(S-ORCON)
You may choose not
to perform RV at
a
particular time without prejudice to further participation
in this
task,
or you may discontinue participation permanently
at
any time without any prejudice.
7.
(S-ORCON)
The purpose of this project
is:
a.
To establish
a program using psychoenergics
for
intelligence applications.
b.
Specifically,
utilizing that
field of psychoenergics
referred to as Remote Viewing.
8.
(S-ORCON)
There
is no evidence of any adverse physical,
psychological and/or social effects on the remote viewer
from participation
in this
activity.
CLASSIFIED BY:
MSG HQDA (DAMI-ISH)
WASH DC dtd 7Jul78
REVIEW ON:
7 Jul
Approved For Release 2001/03/07
: C|A,-gpP96-00789R0021 001 50052-6
I
Approved For Release
: CIA-RDP96-00789R0021 001 50052-6
r.
” s,:rB "
protocol-
Date
I »as present during^the^explanation ^referred
rereby^witness "tbfpa/ticipanfs signature.
above
,
and
7f
Signature
Dave
Approved For Release 2001/03/07
: CIA-R0P96.OO789ROO21 001 50052-6
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