Personal Data
1. LAST NAME, FIRST NAME (AND ALIAS OR CODENAME IF APPLICABLE)
2. PROFESSION (RANK IF APPLICABLE)
3. EMPLOYER
4. NATIONALITY
5. SEX
6. AGE AND D.O.B.
7. EDUCATION AND OCCUPATIONAL HISTORY
Statistical Data
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8. STATISTICS
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SCORE
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×5
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DISTINGUISHING FEATURES
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Strength (STR)
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Constitution (CON)
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Dexterity (DEX)
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Intelligence (INT)
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Power (POW)
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Charisma (CHA)
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9. DERIVED ATTRIBUTES
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MAXIMUM
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CURRENT
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Hit Points (HP)
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Willpower Points (WP)
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Sanity Points (SAN)
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99 | |
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Breaking Point (BP)
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10. PHYSICAL DESCRIPTION
Psychological Data
| 11. BONDS | SCORE |
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12. MOTIVATIONS AND MENTAL DISORDERS
13. INCIDENTS OF SAN LOSS WITHOUT GOING INSANE
Violence
ADAPTED
Helplessness
ADAPTED
Applicable Skill Sets
Foreign Languages and Other Skills:
8 skill increases remaining
Check a box when you attempt to use a skill and fail. After the session, add 1D4 to each checked skill
and erase all checks.
Injuries
14. WOUNDS AND AILMENTS
Has First Aid been attempted since the last injury?
yes: only Medicine, Surgery, or long-term rest can help further
Equipment
15. ARMOR AND GEAR
Body armor reduces the damage of all attacks except Called Shots and successful Lethality rolls.
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16.
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WEAPONS
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SKILL %
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BASE RANGE
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DAMAGE
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ARMOR PIERCING
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LETHALITY %
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KILL RADIUS
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AMMO
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(a)
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(b)
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(c)
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(d)
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(e)
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(f)
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(g)
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Remarks
17. PERSONAL DETAILS AND NOTES
18. DEVELOPMENTS WHICH AFFECT HOME AND FAMILY
| 19. SPECIAL TRAINING | SKILL OR STAT USED |
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Please indicate why this agent was recruited and why the agent agreed to
be recruited.
