RECORD FIRE SCORECARD - Army.com

RECORD FIRE SCORECARD

For use of this form see, FM 3-22.9; proponent agency is TRADOC

DATA REQUIRED BY PRIVACY ACT OF 1974

AUTHORITY:

PRINCIPAL PURPOSE(S):

ROUTINE USE(S):

DISCLOSURE:

1. NAME (LAST, FIRST, MIDDLE INITIAL)

6.

10 USC 3012(g)/Executive Order 9397.

Facilitates individual's transition to distant target and provides feedback.

Evaluate individual proficiency: SSN is used for positive identification purpose only.

Voluntary. Individuals not providing information cannot be rated/scored on mass basis.

2. SSN

3. GRADE

4. UNIT

7.

TABLE 1 - SUPPORTED FIGHTING POSITION

RD

RANGE

(M)

TIME

(SEC)

1

2

3

4

5

6

7

8

9

10

50

200

100

150

300

250

50

200

150

250

3

6

4

5

8

7

3

6

5

7

HIT

MISS

NO

FIRE

RD

RANGE

(M)

TIME

(SEC)

11

12

100

200

13

14

150

300

15

16

17

100

250

200

18

19

20

150

50

100

TOTAL

8.

NO

FIRE

TABLE 2 - PRONE UNSUPPORTED POSITION

RD

RANGE

(M)

TIME

(SEC)

8

1

2

100

250

10

3

4

150

50

5

6

7

200

150

200

8

9

10

50

150

100

HIT

MISS

9

6

5

6

TOTAL

HIT

NO

FIRE

RD

RANGE

(M)

TIME

(SEC)

5

8

11

12

150

300

9

6

13

14

100

200

15

16

17

150

250

100

18

19

20

150

200

100

HIT

MISS

8

12

8

8

TOTAL

HIT

MISS

NO

FIRE

8

10

12

8

9

TOTAL

9. QUALIFICATION SCORES/RATINGS (Check One)

SCORE

TABLE

5. ROSTER NO.

MISS

1

2

NO FIRE

36-40

EXPERT

30-35

SHARPSHOOTER

23-29

MARKSMAN

22-BELOW

UNQUALIFIED

10. FIRER'S QUALIFICATION SCORE

TOTAL

11. REMARKS

12. NIGHT FIRE EXERCISE

DATE

HIT

MISS

13. NBC FIRE EXERCISE

DATE

HIT

MISS

14. CHECK WHICH AIMING DEVICE WAS USED

GO

GO

NO GO

NO GO

15. DATE SIGNED (YYYYMMDD)

16. SCORER'S SIGNATURE

17. DATE SIGNED (YYYYMMDD)

18. OFFICER'S SIGNATURE

DA FORM 3595-R, NOV 2002

DA FORM 3595-R, JUN 89, IS OBSOLETE.

IRON SIGHT

AN/PAS-13 (DAY)

BACK UP IRON SIGHT

AN/PAS-13 (NIGHT)

MGS

USAPA V1.00ES

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