CIA-RDP96-00789R002100150046-3

Approved For Release 200/03/07 CIA-RDP96-00789R002100150046-3
SURVEILLANCE CONSENT AUTHORIZATION
WARNING NOTICE:
INTELLIGENCE SOURCES AND METHODS INVOLVED
SG1J
SGFOIA3
I
, born on
do voluntarily consent to perform duties as a BEACON (U) for Project SUN STREAK (U)
training and operational missions. I understand that as a BEACON, I will serve as
the focus for Remote Viewers. In consenting to this statement I acknowledge that
this authorization:
a.
Will only pertain to training and actual SUN STREAK (U) missions and only
with my prior consent and knowledge.
b. Can be entirely or selectively withdrawn without question or penalty. To
do so, I need only to orally inform my immediate supervisor, the unit operations
officer or the project manager that I wish to withdraw my consent without further
explanation.
c. Will suppose the possibility of inadvertent surveillance of my most intimate
and personal thoughts and that such inadvertent surveillance will not be reported
nor become a matter of any official records and that the nature of this inadvertently
collected information will be held in strictest confidence.
d. Will at no time be construed as authorization, implied or stated, to conduct
any type of physical, technical or yet to be defined form of surveillance without my
prior knowledge and consent.
This statement of authorization is executed in the presence of the witness whose
signature appears on this
3d
day of SEPTEMBER, 19 86, without
reservation, amendment or restriction and without coercion or implied and/or stated
inducements.//END//
SG1J
(
3 Ap 86
DATE)
3 by 86
(
DATE)
WARNING NOTICE: SENSITIVE
Approved For Release 2001/03107 CIA-RDP96-00789R002100150046GBNCE SOURCES AND
METHODS INVOLVED