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104-10120-10646 JFK Assassination Records Archives 1 (03/23/1976)

handle is hein.jfk/jfkarch72697 and id is 1 raw text is: 104-10120-10646 2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992 - The Privacy Act, Public Law 93-579, requires that Federal agencies inform individuals when they are K -1 '/O r7 -j~ asked to provide their Social Security Account Nu- Sr _ r ,_ber (SSN) whether the disclosure is mandatory or iJ, f'v( - Y tr ?.; . voluntary, by what authority such number is solic- = ited and what uses will be made of the SSN. Dis- Fou i-~' .' O closure by you of your SN is voluntary. The au- y ti M °3c~ ° (tythority for this solicitafio is Executive Order 9397. DO I104 Hi .. The SSN is used as an Id ntifier in removing your TERMNATON SCREY AGEEMNT uthorized access to' the esignated Special Proj. TERMINATION SECRECY AGREEMENT ctaeto provide yor-SSN may delay the processing required n access authority removal. 1. I acknowledge that by virtue of my duties I have been exposed to or the recipient of classified information, which, in itself, or by the implications drawn from it, is highly sen- sitive and its unauthorized disclosure or negligent handling could adversely affect the interests of the United States. I am aware that the unauthorized disclosure of classified information is prohibited by the Espionage Laws (18 U.S.C., Sections 793, 794 and 798) and that a vi- olation 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 such 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 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 such information and that the termina- tion from this relationship with my employer and/or the United States Government does not relieve me of my obligations under this oath or any other previously executed Secrecy Agree- ments. 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. 1 understand that this oath may be retained by the U. S. Government for its future use in any manner within the scope of this oath. 6. I take this obligation freely, without any mental reservation or purpose of evasion and in the absence of duress. . ORM 2442 (13) NAME OF WITNESS (Type or Print) NAME (Type or Print) Theodore M. Anderson Clare Booth Luce SIGNATURE OF WITNESS SIGNATURE Admin Debrief REMARKS NAME & ADDRESS OF AFFILIATION WH/PFIAB Z OD , P I , TO , ACR , MAT , BOSOCIAL SECURITY NUMBER: 064-18-3062 DATE 23 March 76

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