EIB TEST SCORE SHEET

Station G - Individual Techniques - Point G-2

For use of this form, see USAIC Pam 350-6. The proponent is USAIS, DOTD.

Candidate's Name______________Rank________Unit_________________

TASK 1:

PERFORMANCE MEASURES-----Mark by each measure-------------PASS (P)or FAIL (F)

NOTE: This task has been modified for EIB test only.

CHECK: PASS______ FAIL______

REASON(S) FOR FAILURE

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SCORER'S SIGNATURE________________DATE________________

Is this a retest? YES______NO______

FB FORM 20-14-R, 17 JAN 97

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