Professional Documents
Culture Documents
IIA. __~---------------------------------------
[Place of Birth)
B---~~~~~~
(Date of Birth-Day/Month/ Year]
111 ______________~~~~--------------------------------------
[Parents or Guardians Name and Relationship]
Form MSR· BS-1 Rev. 3015 (All previous forms can be used.)
The
Lyran
Commonwealth
MechWarrior:
By virtue of our actions, not our words, we leave our legacy to history.
Let history note that this time was a time of actions and that our
subsequent reunification of the Inner Sphere was our finest legacy.
~~
Katrina Steiner
®ffictr's C!tommission
with the appointed rank of - - - - - - -
in the Mechwarriors ofThe Lyran Commonwealth to rank as such from the day of _ _,
3 0 _ . As such this person is to observe and follow such Orders and Directions they shall receive from me
or the future Leader of The Lyran Commonwealth or their Superior Officer set over them according to the
Rules and Disciplines of the Mechwarriors.
!Orcflwarrior
Pilot
authorized to operate the following B attlemech(s)
~ t11J6A
Officer Commanding
&c•.e QJI..J
Instructor Pilot .....,
SPECIAL OFFER!
YOU ALRMDY HAVE YOUR \1H'II W.\RRIOR PERSO"'NEL t'II.E- WITH
THIS COt!POl' YOU CAN JOIN TilE !\11,CllFORCE FOR ONLY $8.95!
Fill out thi~ card and mail it with a check or money onlu ror $8.95 to:
\-lc:<:hForce
FASA Corporation
Box 6930
Chl<-:ogo, lL 60680
JOIN TODAY!
Send me _ _ setsof BATILETECH DOG TAGS@ S4.9S pet
set, to be stamped as indicated. Ohio residents add S1/2% sales tax.
IIIIIIII IIIIIIII
Name
IUnitI I I I I I I III IIIII
IRankI I I I I I I III
IMechI (Name III
I I orI Number) II I House (if desired)
Look the pan of a MechWarrior with these official metal dog
tags stamped with your (or your chatacrer's) name, unit, Mailing information:
rank, 'Mcch and House symbol. Comes complete with 24 • Name____ __ _ _ _ __ _ __ _ __
neck chain and clasp for only S4.9S!
Availablt through mail ortkr only.
Me~ - k <>< m<>neJ e<der !lllh( to: Ad~--------------------------
Shield ~lnatlng, lne., PO Box 182:53
Cofumbu•, Ohio 43218 City, State, Zip _ __ _ _ _ _ __ _ _ __
r--
--..... ••
•\
•
DATE ________________________________
HOUSE ______________________________
'MECH-------------------------------
"FIRST KILL"
·- ----- ----------- - - - - - - -
0
NAME• - - - - - -- - -
RAN " -- -- -
UNIT _ __ __ __ __
1D. NUMBER_ _ _ _ _ __
RAHK,----- - - --
UNIT- -- - - -- - -
IA NUMBEA_ __ _ _ __
0
NEXT OF KIN/INSURANCE FORM
PERSONAL DATA
NAME [Last. First, Middle] I RANK
INSURANCE DATA [See Personnel Office for current premiums and levels of coverage.)
Level of Insurance desired: (I understand that these premiums will be auto-deducted from my pay.)
For higher levels please
Levell D 10,000 C-Bills Level II D 25,000 C-Bills Level Ill D 50,000 C-Bills fill out form HLI-OB-29.
NKC
PERSONNEL OFFICE USE ONLY IPOC ILVL Ol Oil 0 Ill 0 HLI
NAME RANK
BATTLE DATA
PLANET NAME
AN D lOCATION
LOCATION OF
BATTLE ON PLAN ET
DATE OF
BAffiE
TIME OF
BATTLE From: To:
I(OTAL
BAiTLE TIME
BAffiE
OBJECTIVE
FINAL OUTCOME
OF BATILE
2
'
8
3 9
4 10
5 ,
6 12
EN EM Y UNIT$ NAME
2
'
B
3 9
• 10
5 11
6 12
W ounded:
M issmg:
NAME RANK
BATTLE DATA
PLANET NAME
AN D lOCATION
LOCATION OF
BATTLE ON PLAN ET
DATE OF
BAffiE
TIME OF
BATTLE From: To:
I(OTAL
BAiTLE TIME
BAffiE
OBJECTIVE
FINAL OUTCOME
OF BATILE
2
'
8
3 9
4 10
5 ,
6 12
EN EM Y UNIT$ NAME
2
'
B
3 9
• 10
5 11
6 12
W ounded:
M issmg:
~sbfeln
~ larnfnatinG
P.O. Box 1 8253, Columbus, Ohio 4 32 1 B
Battletech is a registered trademark of FASA Corp. and is used under exc lusive license by Shield Laminating, Inc.
Copyright c 1 988 FASA Corpora tion. All Rights Reserved.