Figure Example of completed Da Form R Mk night practice and qualification with hull targets and NVDs

MK 19, 40-mm GRENADE MACHINE GUN, MOD 3 FIRING TABLE IV NIGHT PRACTICE AND QUALIFICATION WITH POP-UP TARGETS SCORECARD

For use of this form, see FM 3-22.27; the proponent agency is TRADOC.

PRIVACY ACT STATEMENT AUTHORITY: 10 USC 3012(g)/Executlve order 9397 PRINCIPAL PURPOSE: To aid individual training on targets at various ranges. ROUTINE USES: To evaluate individual proficiency.

DISCLOSURE: Voluntary. However, mass rating and recording require some tracking method.

NOTE: Use this table if you do not have a MK 19/sight combination that applies to Table II, and you are using hull targets OR if targets are pop-up/E type silhouettes.

1a. LAST NAME

ÔUtiklISit,

RößERT T S6T

3. UNIT

\]Z(A Ibl

TABLE IV (A). DISMOUNTED AND MOUNTED NIGHT PRACTICE

4. RANGE

SEAT-

0 Se

Pö3

TASK

RANGE (Meters)

(Minutes)

ENGAGEMENT STANDARDS

GO

NO GO

ZERO

400

4

NA

2 ROUNDS HIT

2

600 ( + /- 100)

6

2

2 ROUNDS HIT

V

3

800 ( + /- 100)

6

2

2 ROUNDS HIT

4

400

4

1.5

2 ROUNDS HIT

MULTIPLE TARGETS

5

800 ( + /- 100) 400

10

3.5

1 ROUND HIT 1 ROUND HIT

6

7

600 ( + /- 100)

14

2.5

1 ROUND HIT 1 ROUND HIT

8

TOTALS

ft

8. COMMENTS

Bl/r 1>R4ET5

9. NUMBER OF ENGAGEMENT MET (Choose One1 | | 8 - EXPERT [¿f6 " MARKSMAN

| 7 - SHARPSHOOTER Q 5 AND BELOW - UNQUALIFIED

10. GUNNER'S SIGNATURE

"77

11. GRADER'S SIGNATURE

QdviMslUw:

1 TABLE IV (fe). DISMOUNTED AND MC&NTED NIGHT QUALIFICATION

12. RANGE

&JTZ-

13. LANE

âôPJJ&t

15. DATE

e> $EPO3

TASK

RANGE (Meters)

AMMO

TIME (Minutes)

ENGAGEMENT STANDARDS

GO

NO GO

ZERO

400

4

NA

2 ROUNDS HIT

2

600 ( + /- 100)

6

1.5

2 ROUNDS HIT

3

800 ( + /- 100)

6

1.5

2 ROUNDS HIT

4

400

4

1

2 ROUNDS HIT

MULTIPLE TARGETS

5

800 ( + /- 100) 400

10

3

1 ROUND HIT 1 ROUND HIT

6

7

400 600 ( + /- 100)

14

2

1 ROUND HIT 1 ROUND HIT

8

TOTALS

<o

16. COMMENTS

17. NUMBER OF ENGAGEMENT MET (Choose One)

| | 7 - SHARPSHOOTER Q 5 AND BELOW - UNQUALIFIED

18. GUNNER'S SIGNATURE

ßM TTâmwhu

19. GRApER'S SIGNATURE

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