EIB TEST SCORE SHEET

Station C - First Aid - Point C-1

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

Candidate's Name______________Rank________Unit_________________

TASK 1: PERFORM MOUTH-TO-MOUTH RESUSCITATION.


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

EIB TEST SCORE SHEET

Station M - Security and Intelligence - Point M-1

For use of this form, see USAIC Pam 350.6, the prop9nen~s_USAIS,_DOTD.

TASK 1: REPORT INFORMATION OF POTENTIAL INTELLIGENCE VALUE (SALUTE).

PERFORM~NCE MEASURES PASS FAIL

1. Submitted SALUTE Report which accurately described the observed enemy situation within 5 minutes.

a. S.Size

b. A Activity

c. L. Location

d. U Unit/Uniform

e. T.Time

f. E. Equipment.

CHECK: PASS______ FAIL______

REASON(S) FOR FAILURE

__________________________________________________

__________________________________________________

__________________________________________________

SCORER'S SIGNATURE________________DATE________________

Is this a retest? YES______NO______


FB FORM 20-5-R, 17 JAN 97

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