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ENLISTMENT DOCUMENT

VIEWS: 27 PAGES: 2

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                                               ENLISTMENT DOCUMENT
                        ARMED FORCES OF THE UNITED AMERICAS ALLIED COMMAND
PURPOSE: This form is to record the subject’s enlistment into the United States Colonial Marine Corps (USCMC). This
information will become part of the subject’s military personnel records which are used to document promotion,
assignment, training, medical support, and discharge.
                                               A. IDENTIFICATION DATA
1. Printed Name (last, first, middle)                            2. Place of birth (planet, country, state, city)


3. Date of birth (D/M/Y)     4.Date of Enlistment (D/M/Y)        5. Previous military service (check)
                                                                       US Army
                                                                       US Aerospace Force
                                                                       US Navy
                                                                       Terran Orbit Guard

                                                                 Years of service_____
                                                                 Honorable discharge? (check)              Y         N
                                                B. MEDICAL HISTORY

6. Height_____cm           7. Weight_____kg      8.Sex (check)             9. Strength______             10. Dexterity_____
                                                     M       F
11. Have you or your family history suffered from any of the following (check all that apply):

    Schizophrenia            Hemophilia               Acrophobia (Fear of Heights)         Claustrophobia (Confined Spaces)

    Pyromania                Motion sickness          Astrophobia (Outer Space)            Ballistophobia (Bullets/ Missiles)

     Kleptomania              Vertigo                   Space Madness                        Xenophobia (Aliens)
12. MEDICAL DECLARATION:
I,________________________, understand that I may be required to travel in space for indeterminate periods of time;
that I will be subjected to the effects of faster than light travel, and to the effects of hypersleep. I further understand that
during my term of service, I may be placed in situations that could be hazardous to my health, up to and including (but
not limited to): explosive materials, hostile combat enviroments, hypersleep coma, nuclear/biological/chemical
weapons, radiation exposure, the vacuum of space, unbreathable atmospheres, zero gravity environments.

SIGNATURE:______________________                                              DATE:__________________

                                     C. CERTIFICATION AND ACCEPTANCE
13a. I certify that the above information is truthful and accurate, and that I have provided it of my own free will. I
understand that any false/inaccurate statements could deny my enlistment approval and be punishable by as many as
20 years imprisonment under the United Americas Code of Justice. I further certify that I have carefully read this
document and understand that the agreements herein are all made by the Government of the United States. Anything
else anyone has promised me is not valid and will not be honored.
b. SIGNATURE OF ENLISTEE                                         c. DATE SIGNED (D/M/Y)


14. SERVICE REPRESENTATION CERTIFICATION
a. On behalf of the United States Colonial Marine Corps I accept this applicant for enlistment. I have witnessed the
signature in item 13 b. to this document. I certify that I have explained that only those agreements in Annex A of this
form will be honored, and any other promises made by any persons are not effective and will not be honored.
b. RANK/ NAME (last, first, middle)                             c. UNIT/COMMAND NAME


d. SIGNATURE                                                     e. DATE SIGNED (D/M/Y)


UAAC FORM 426, JAN 2101                   PREVIOUS EDITION IS OBSOLETE
                                      D. CONFIRMATION OF ENLISTMENT

 15a. I, ________________________, do solemnly swear (or affirm) to defend the countries of the United
 Americas against all enemies, foreign, domestic, or interplanetary; that I will serve a term of service of no less than ten
 years, and as long as is required of me by the United States Colonial Marine Corps; and that I will obey the orders of
 the President of the United States and the orders of the officers appointed over me, according to the Uniform Code of
 Justice. So help me God.
 b. SIGNATURE OF ENLISTEE                                       c. DATE SIGNED (D/M/Y)


 16. ENLISTMENT OFFICER CERTIFICATION
 a. The above oath was administered, subscribed, and duly sworn to (or affirmed) before me this date.
 b. RANK/NAME                                               c. UNIT/COMMAND NAME


 d. SIGNATURE                                                   e. DATE SIGNED (D/M/Y)


                                   E. EXAMINATION AND ENTRANCE DATA
                (FOR OFFICE USE ONLY- DO NOT WRITE IN THIS SECTION- GO TO ANNEX A)
 17. APTITUDE TEST RESULTS      GS-    AR-    WK-     PC-    MK-     EI-   AS-   MC-                                 AO-

 18. ACCESSION DATA             a. ENLISTMENT DATE (D/M/Y)                  b. ACTIVE SERVICE DATE (D/M/Y)

 19. SERVICE REQUIRED CODES                       1         2          3          4         5          6         7             8

       9         10        11         12        13         14         15        16         17        18         19         20

      21         22        23         24        25         26         27        28         29        30         31         32

                                                          ANNEX A


                       Congratulations! You have been accepted into the United Americas premier fighting force. The
                       United States Colonial Marine Corps has over 422 years of history which you are now a part of.
                       For details on uniform procurement, weapons training, and general information please visit the
                                                            following websites:


 http://thealienslegacy.org : A forum to discuss the personal reproduction of props and wardrobe from the Alien series of
                                                          movies.

  www.spatcave.com : Spat is a costume, prop and special f/x artist who works on independent, and fan-made films. He
                also makes the best set of affordable Colonial Marine armor this side of the universe.

   The Harry Harris Aliens Collection and Archive at: www.harryharris.com :Harry's site has some of the best reference
                 pictures of the props and costumes from the movie "Aliens". Harry owns most of them!

 www.alienscollection.com : Willie Goldman’s website is dedicated to those who created the Alien universe, and its fans.
           With up to date information on collectables, merchandise, props, and toys from the Alien series.

    http://www.planetavp.com/amr/ The Alien Movies Resource page. Vast information on the Alien series, Alien vs.
                                          Predator, and rumors on Alien 5.

  The Sci-Firearms website at http://www.trooperpx.com/pulse/ : Extensive information on our favorite USCM weapon:
                                                the M41-A Pulse Rifle.

UAAC FORM 426, JAN 2101               PREVIOUS EDITION IS OBSOLETE

								
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