JOINT TSK FORCE SEVEN
SECURITY TER THLTION STATEMENT
TYPE "BM
©
Ty
» make the following statcment —
to the oinander, Joint Task Foree SEVEN with the understanding and intent
that ty statement will be used by the proper authority in Carrying out its
duty to protect the security of restricted data,
I have read and°a ~
familiar with thé penal provisions of the htotmic Energy Act of 1946 and of
the Espionage dict (50 U.S. Cate, Séc, 31 and32), I understard that the
provisions of the Atomic Energy fet of 1946 prescribe: penalties for the
disclosure ef’restricted data to unauthorized persons, and the provisions
ofUsS, Codec, Title 18, "Crimes and Criminal Procecures", approved June 25,
1948, andof Internal Scourity of 1950" prescribe pénalties for the ~
disclosure to unauthorized persons of information respécting the national
defense, and for loss, destruction or compromise of such information
through gross negligence,
1. I certify that I am currently authorized and required in 6rder to
accomplish mycontinuing dutics with the AEC or DOD Atomic Prosrans fo retain in’my possession or custody, or control cerftin documents and other
things containing or incorporating restricted data and other material
classified’ CONFIDENTIAL or higher, pertaining to Joint Task Force SEVEN
activities, to which I obtaincd access during wy assignment with Joint Task
Foree SEVEN,
-
"2,
%I shall not hereaftcr in any manner reveal or divulge to any
=
person any restricted data, pertaining to Joint Task Foree SEVEN activitics
of which I have gained knowledge during my assignment with Joint Task Force
SEVEN, oxcept as is neccessary md authorized in the conduct of my work for
the AEC or DOD Atomic Programs,
Each of the above statements is truc to the best of ny knowledge
and belicf,
WIETUESS _
NAME
TITLE or RAK:
AFSH:
TITLE or RANK:
ACHHCY or PROJECT
AGENCY Sr PROJECT
DATE OF WITNESSING_
DATE OF DEPARTURE
ee
AFSN:
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