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AFFIDAVIT OF NON-DISCLOSURE
______________________ _____________________
(Name) (Job Title)
_________________________ _______________________
(Company) (Date Hired)
_____________________________________________________________
(Address)
(v) report any known instances of missing data, data that has been
inappropriately shared, or data taken off from the records or official
files;
(vi) I understand that any data sets or output reports that may
generate using confidential data are to be protected. I will not
distribute to any unauthorized person any data sets or reports that
I have access to or have accessed using confidential data. I
understand that I am responsible for any computer transactions
performed as a result of access authorized by use of log-in
accounts owned by the COMPANY;
I hereby certify that I have carefully read and will cooperate fully with the
above restrictions. I will keep completely confidential all information arising from
my employment with the COMPANY to which I gain access. I will not discuss,
disclose, disseminate, or provide access to data except as authorized by the
management, in addition, I will comply with any additional procedures established
by the COMPANY. I will devote my best efforts to ensure that there is compliance
with the foregoing protocols even by personnel under my supervision. I understand
that violation of this affidavit of non-disclosure is sufficient ground for disciplinary
action, including dismissal and shall render me liable for criminal and civil liabilities
under the applicable laws. The foregoing restrictions shall remain in full force for
two (2) years from date of termination. I also understand that violation of the
privacy rights of individuals through such unauthorized discussion, disclosure,
dissemination or access may make me subject to criminal or civil penalties. I give
my personal pledge that I shall abide by this affidavit of non-disclosure.
______________________________
(Signature over Printed Name of Affiant)
TIN: __________________________
____________________________ ___________________________