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PFT/CFT PERFORMANCE WORKSHEET

FOR OFFICIAL USE ONLY Privacy sensitive when filled in. Any misuse or unauthorized disclosure may result in both civil and criminal 1 of 2 AEM Designer PERFORMANCE WORKSHEET AUTHORITY: 10 5013, Secretary of the Navy; 10 5041, Headquarters, Marine Corps; 10 1074f, Medical Tracking System for Members Deployed Overseas; 32 CFR , Management and Mobilization; DoDI , Reserve Component (RC) Member Participation Policy; DoDI , Personnel Accountability in Conjunction with Natural and Manmade Disasters; CJCSM , Joint Reporting Structure Personnel Manual.

PFT/CFT Performance Worksheet. Unit Date Monitor Individual Data PFT Performance Data CFT Performance Data Rank First Name MI Last Name EDIPI Age* Gender Height Weight Pull Ups Score Score 3 Mile Run Score PFT Total MTC Time AL Reps MANUF Time Pass/Fail. NAVMC 11622 (Rev. 01-20) (EF) *Note: Risk Factor Worksheet required for Marines age 46 …

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