You are on page 1of 13

CLASSIFIED: AUTHORIZED USE ONLY!

Mechwarrior Service Record


!BLOCK AI PERSONAL DATA (Please Print)
I "(N~A~M~E~-'L~
as
~~~----------------------ff(F~i~7.t~
] ------------------,(-.M~id~dlwe]~---------------

IIA. __~---------------------------------------
[Place of Birth)
B---~~~~~~
(Date of Birth-Day/Month/ Year]
111 ______________~~~~--------------------------------------
[Parents or Guardians Name and Relationship]

!BLOCK Bl MILITARY DATA [Please Print)


lA. &. ________________________________________
[Date Enlisted - Day, Mon. Yr.] [Recruiting Station]
11=-~~--~~~--------------------------------------------
(Recruite~ Name and Rank]

Ill Assigned to ------------------:-:::----:-:----:------------=------------- Basic Training Company.


(Base Name]
IV U pan completion wi II proceed to ----------------------:-:--:---:-:------------------------
(School)
V U pan completion wi II proceed to __________;____;__________:-:--:----:-----------------------
(Academy]
VI U pan completion wi II proceed to ------------------=----:---:--~-:--------------------­
(Duty Assignment]

IBLOCK C I SERVICE DATA [Please Print)

------------:::-:----:-------------- Legion ----------~::-:----:---------- Commanding


(Name] (Name]
11 _____ --,-~~-------Company --------------,------------Commanding
(Name] (Name]
Ill Lance ----------------,...---------- - Commanding
(Name) (Name)
IV Assigned Rank of ___________ __ __ Performing Rank of---------------------
V EIig i ble for Promotion ---:,----....,....,--:----:-:---- Promotion Rank _________ _ _ __
Day Month Year
VI Awards, Ribbons, Decorations---------------------------------------------

!BLOCK Dl EQUIPMENT QUALIFICATION [ Please Print)


I BATTL EM ECHS List each Mech certified to operate, current pilot rating, number hours of training time and combat time.
A. ____ _ _ __ _ _ __ _ _ _ _ _ _ _ _ __ _ _ _ _ _ __ __ _ _
&. ________________________________ _
c. _____________________________________________________________
D.____________________________________________________________
. II WEAPONS QUALIFICATIONS List each weapon. current qualification level, and gunnery rating.
A. ______ _ _ __ _ _ __ ___ D. _________________
&. ________________ E.____ _ __________ _
c.________________ F. ________________
Ill WEAPONS MAINTENANCE/ REPAIR List each weapon certified to maintenance/ repair.
A. ____ __ _ _ _ _ _ _ _ _ ___ D. ______________________________
&._________________ E. _ _ __________ _____
c. _______________ F. __________________
·.
!BLOCK El FURTHER REMARKS [Please Print)
!

Form MSR· BS-1 Rev. 3015 (All previous forms can be used.)
The
Lyran
Commonwealth

MechWarrior:

My compliments on your induction into the MechWarriors of the


Lyran Commonwealth. You are ushering in a new phase in your life that
will be with you forever. You have only to apply yourself to the tasks
ahead and all will be possible.

I believe we are at the beginning of a new age. One in which our


economic might shall at last be combined with a new military prowess
that will lead to our final mastery.

At this point you are an individual - a single identity. You must


replace this singularity with a new commonality. Become as one entity
with your comrades. Together we can forge a new, stronger weapon ....
a fist of steel.

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

Form PM-KS-5 Rev. 3017


that reposing special Trust and Confidence in the Patriotism, Valor, Fidelity, and Abilities of

I present to this person an

®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.

Given under my Hand at _ _ _


this day of in the year 30 _ .
The
Lyran
Commonwealth

that having successfully completed and fulfilled all of the


requirements for such in a satisfactory manner we present

this certificate of competency as a

!Orcflwarrior
Pilot
authorized to operate the following B attlemech(s)

having acquired at least hours of solo operation time in


each of the aforementioned Battlemech(s).

Given under our Hand at _ _ __ _


this day of in the year 3 0 _ .

~ 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!

flor Jllrt $8.95 LOOK AT ALL YOU m ;T ...

A fuii-<Olor lluttlcTtch Poster!


An Ofllcl•l \l«bt'OI'«' I. D. Card!
A Hoose patch to . . nn }OUr jacket or shirt!
Kta rq:i\.tc-red \fechWarriorand b:ht ynurwlfratedagainu othtr pla)·trs!
Four bla: ls<Juo of the .\techForce ntv.sJeUrr. lo:ultd with t \dt:ing insKit JnfDrm:.~tk'n about the
flo~ feackn., froot•line reports rrQm tbtlr nlilital') units. pre'fite$\oS o( upc-ominR produces.
and mort!

J OIN THE M ECHFORCE AND BECOME


AN OFFICIAL MI<:<'HWARRIOR NOW!

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

*** Personnel File Special ***


NAME
ADDR~
Es~-s~-------------------------------
CITY ST.-\TE ZIP
HOl'SE AFFILIATION (<'heck One) ------
0 Da•ion OKurita 0Steintr 0 "'arikO Liao

Offer not valid without this card. Limit one to a customer.

JOIN TODAY!
Send me _ _ setsof BATILETECH DOG TAGS@ S4.9S pet
set, to be stamped as indicated. Ohio residents add S1/2% sales tax.

For additional sets use a blank piece of paper to indicate info to be


stamped. Remember that these blocks show the maximum number of
characterS available for allleuers, spaces and punctuation, etc. You
may have to abbreviate some words.

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

LEGION COMPANY kANCE


DATE OF BIRTH DO YOU HAVE ANY CURRENT If Yes. please fill out
[Date/Month/Year] PHYSICAL DISABILITIES D NO DYES Forms DS-1-2. Ml-22

NEXT OF KIN DATA


NAME [Last. First. Middle)
AND RELATIONSHIP PLACE OF RESIDENCY
NAME (Last. First, Middle)
AND RELATIONSHIP PLACE OF RESIDENCY
NAME [Last, First, Middle]
AND RELATIONSHIP PLACE OF RESIDENCY

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.

BENEFICIARIES NAME [Last, First. Middle)


AND RELATIONSHIP I PLACE OF RESIDENCY

I hereby acknowledge that the above information is correct and true.


Signature and Date

NKC
PERSONNEL OFFICE USE ONLY IPOC ILVL Ol Oil 0 Ill 0 HLI

POL IMRC IAOT


Authorized Signature
Form NK/1-P0-5 Rev. 3010
AFTER-ACTION REPORT
DATE OF
PERSONAL DATA FiliNG

NAME RANK

LEGION COM PANY lANCE

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

COMBAT FORCES DATA


FRIENDLV UNIT'S NAME

TYPE OF BAffiEMECH HITS!OAMAGE TYPE OF BATTLEMECH HITS/DAM AGE

2
'
8

3 9

4 10

5 ,
6 12

EN EM Y UNIT$ NAME

TYPE OF BATTLEMECH HITS/DAMAGE TYPE OF BATTLEMECH HIT$/OAMAGE

2
'
B

3 9

• 10

5 11

6 12

PERSONNEL CASUALITIES DATA


Deado

W ounded:

M issmg:

Form AAR·AH·98 Rev. 3005


AFTER-ACTION REPORT
DATE OF
PERSONAL DATA FiliNG

NAME RANK

LEGION COM PANY lANCE

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

COMBAT FORCES DATA


FRIENDLV UNIT'S NAME

TYPE OF BAffiEMECH HITS!OAMAGE TYPE OF BATTLEMECH HITS/DAM AGE

2
'
8

3 9

4 10

5 ,
6 12

EN EM Y UNIT$ NAME

TYPE OF BATTLEMECH HITS/DAMAGE TYPE OF BATTLEMECH HIT$/OAMAGE

2
'
B

3 9

• 10

5 11

6 12

PERSONNEL CASUALITIES DATA


Deado

W ounded:

M issmg:

Form AAR·AH·98 Rev. 3005


''Keep Your Records Straight!'' 8802

The MechyYarrior Perso~nel File provides you with Battletech military


data documents and serves as a storage fotderfor all your Battle Tech papers.
There are five different Files - one for each of the five Houses. Each File is
printed in the appropriate House colors and contains components unique to
that, House. Plus your File can be personalized by you to fit your (or your
character's) individual background.

Here's what you get:

• Colorful Storage Folder • MechWarrior Service Record


• Officer's Commission • After-action Reports
• House Recruiting Poster • Kill Stickers
• 'Mech Pilot Certificate • Next of kin/Insurance Form
• Letter from your House leader • Radiation Detection Badge

~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.

You might also like