CIA-RDP96-00789R002600220028-0

0
NAMF.
( lasApproved For Release 2000/08/08 : CIA-RDP96-00789R002600220028-0
Telephone Number
1
GRADE.
SSN :
JOR TITLE
I CERTIFY THAT THE ABOVE-NAMED INDIVIDUAL MEETS THE REQUIREMENTS FOR ACCESS
TO CLASSIFIED DEFENSE INFORMATION INDICATED BELOW.
ACCESS AUTHORIZATION TO CLASSIFIED INFORMATION
PROJECT AUTHORIZED:
SUN STREAK
DATE:
Authorized by
·
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) or
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 writing in each and
. every case by a duly authorized representative of the United States
Government. I take this obligation freely, without any mental reservation
or purpose of evasion and in absence of duress.
3. I acknowledge that information ] receive is provided only to persons
specially approved for the project and that, the information 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 reassigned from my present
position, I will notify the office granting access to the project indicated
for briefing on actions deemed necessary at the time.
' SIGNATURE OF BRIEFING OFFICER
SIGNATURE OF INDIVIDUAL BRIEFED
DATE
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Approved For Release 2000/08/08 : CIA-RDP96-00789R002600220028-0