Fillable HANDS-ON EVALUATION DATE For use of this form, (US Army)

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HANDS-ON EVALUATION DATE For use of this form, (US Army)

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The HANDS-ON EVALUATION DATE For use of this form, (US Army) form is 1 page long and contains:

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Country of origin: US
File type: PDF

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DATE
HANDS-ON EVALUATION
For use of this form, see STP 11-25S14-SM-TG; the proponent agency is TRADOC.
TASK TITLE TASK NUMBER
SCORE
(Check One)
ITEM PERFORMANCE STEP TITLE
PASS
c
FAIL
d
a b
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
EVALUATOR'S NAME UNIT
SOLDIER'S NAME STATUS
GO NO GO
APD LC v2.01
EDITION OF DEC 82 IS OBSOLETE
DA FORM 5164-R, SEP 1985
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HANDS-ON EVALUATION DATE For use of this form, (US Army)

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Completed 24 September 2021

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