ae:
JOINT TASK FORCE SEVEN
SECURITY TERMINATION ~TATEMENT
TYPE "A"
I,
:
2
» make the following statcment”
to the Commander, Joint Task Force SSVEN, with the understandingand intent
that my statement will be used bythe proper authority in carrying out its
duty to protect the security of restricted data, I have read“ad am fanil~_
iar with the penal provisions of’ thé Atomic Energy Act of I946 aid of the
Espionage Act (50°U.S, Code, Sec, 31 and32), “Iunderstand that™the provisions of the Atomic Energy Act of 1946 prescribe pérmlties for thé dis»
closure of résricted data to unauthorizedpersons, and‘ the provisions of’
U.S,“Code, Title 18, "Crimes and Criminal Preecdures", approved June 25,
1948, and of "Internat Security Act of 1950" prescribe penalties for the
disclosure to unauthorized persons of information respecting the natitnal
defense, and for’loss, destruction or compromise of such information through
gross negligence,
1. I do not now have in my possession or custody or contrcl any
document or other thing containing or incorporating restricted ¢1ate, Sena
other matter classified CONFIDENTIAL or higher, pértairg to Joins Tavs...
Force SEVEN activities, to which I obtained access during my assignment ..LD with Joint Task Force SEVEN,
2.
I am not retaining or taking away with me from my place of
employment any doctment c- thing conts.ning or incovpors+ Lag restrict:d
Cita, ov ot}. smartcls ssific? CONF. SIT or }isaer, certai.cng to
Jxvint Tusk a-sce fo Nac Avities, to ‘hich I obtained access curing my
assigrmmt vich Jowut Tes«x Force SEVEN,
a
30 L shall not hereafter in any manner revecl or divulge to any ~
perso: any rastrict+*d data, per’ .inince to Joint Task Force SEVE!! ectivities, o” whic: Ihave gai:ed Im.ivIedg: turing my ascagnment witi Joint
Task Fycce & VEN, e.cept us may be he.c-: ter author‘ zed ty offit.als of
tue Ur sed Etutes Avomic nergy Commision cmpowercd to gzcnt such
authori.
~
Each of the above statements is true to the best of my knowledge
and belief,
WIS
NAME
.
AGEN "Y or PROJECT
AGEN G2? or PROJECT
.
TITLE or RANK
TITLE or RANK
_aTS OF WITNESSING
DATE OF DEPARTURE
AFWLO
ae
K/GV