ORNISS-NESECRET

ANEXA

Nr.

CERTIFICAT DE SECURITATE (A)

1. Se certifică, prin prezenta, că:

Numele complet:

...........................................................................................................................

Data şi locul naşterii:

...........................................................................................................................

are certificat de securitate a personalului, eliberat de Oficiul Registrului

Naţional al Informaţiilor Secrete de Stat în concordanţa cu reglementările

curente ale NATO, inclusiv cu Anexa de securitate la C-M(64)39 în cazul infor-

maţiilor clasificate ATOMAL, şi este, din acest motiv, declarat apt pentru a-i

fi încredinţate informaţii clasificate, inclusiv de nivelul ................................................

................................................................................

2. Validitatea acestui certificat se menţine până nu mai târziu de ..................................

.............................................................................................................................

Data:

Directorul general al ORNISS,

..................................................

ORNISS-UNCLASSIFIED

Nr.

CERTIFICATE OF SECURITY CLEARANCE (B)

Issued by ............................................................................................................

Date and Place of Issue

..........................................................................................................................

............................. Valid until ..............................................................................

This is to certify that:

Full Name ............................................................................................................

Date of Birth ........................................................................................................

Place of Birth ........................................................................................................

Nationality ...........................................................................................................

Where employed .................................................................................................

Purpose and Duration of Visit ................................................................................

Holder of Passport/Identity Card No. .......................................................................

Issued at ............................... Dated ...................................................................

Military Rank and Number (where applicable) ...........................................................

...........................................................................................................................

has been granted access to NATO information classified up to and including ................

........................................ in accordance with current NATO security

regulations, including the Security Annex to C-M(64)39 in the case of ATOMAL

information, and has been briefed according by .......................................................

Signed:

Date:

NOTE: This certificate must be handled in accordance with the provisions of

NATO Security Policy and supporting directives.