CIA-RDP96-00788R001200290003-6

Approved For Release 2000/08/07 : CIA-RDP96-00788R001200290003-6
FENSE
DEPARTMENT OF THE ARMY
US ARMY INTELLIGENCE AND SECURITY COMMAND
FORT GEORGE G. MEADE, MARYLAND 20755
TERMINATION SECRECY AGREEMENT.
CLASSIFIED SENSITIVE GRIEL FLAME INFORMATION
1. I acknowledge that by virtue of my duties, I have received or been
exposed to classified sensitive Grill Flame information, the unauthorized,
disclosure or negligent handling of which could adversely affect the
interests of the United States Government. . I am aware that the unauthorized
disclosure of classified information is prohibited by the Espionage
Laws (Title 18, U. S. Code, Sections 792-798) and the Internal Security Act
of 1950, Section 19, P. L. 831, (81st Congress) and that a violation of
these laws may subject me to prosecution by the U. S. Government.
2. I hereby reaffirm my pledge that I will never publish or reveal by
any means classified sensitive Grill Flame information. I agree further
that I do not now, nor will I ever, possess any right, interest, title or
claim whatsoever to such information. I recognize the full and vested
property right of the United States in such matters.
3. I certify that I have surrendered and no longer have in my possession
or custody any classified . "Grill Flame information or material acquired
as a result of this association.
4. I further acknowledge and agree that I have a continuing individual
responsibility to the United States Government for the protection of
classified sensitive Grill Flame information and that the termination from
this relationship with my employer and/or the United States Government does
. ..
not relieve me of my obligations under this agreement or any other previously
executed Secrecy Agreements. I understand that I will not be relieved of
these obligations except when specifically advised in writing by the
sponsoring activity of the U. S. Government.
5.
I understand that this document may be retained by the U. S. Government
for its future use in any manner within the scope of this agreement.
6. I take this obligation freely, without any mental reservation or purpose
of evasion and in the absence of duress.
DATE 19 Mar 82
SIGNATURE
PhyllisDe Daggett
WITNESS' SIGNATURE
PRINTED NAME & SSN (See Reverse)
SGFOIA3
Sandra @ Lake
PHYLLIS A.LIGGETT
AppibVedFor Reiduse 2008/08/07 : CIA-RDP96-00
86988R051200290003-6
SANDRA P. LITKE
INSCOM DET NSALOSS

Approved For Release 2000/08/07 : CIA-RDP96-00788R001200290003-6
The Privacy Act, Public Law 93-579, requires that
Federal Agencies inform individuals when they are asked to
provide their Social Security Account Number (SSN) whether
the disclosure is mandatory or voluntary, by what authority
such number is solicited, and what uses will be made of the
SSN. Disclosure by you of your SSN is voluntary.
The
authority for this solicitation is Executive Order 9397.
The SSN is used as an identifier in removing your authorized
access to classified information. Failure to provide this
SSN may delay the processing required in accessing authority
removal.
Approved For Release 2000/08/07 : CIA-RDP96-00788R001200290003-6