                          [head=3]NT-CC Consortium Services[/head]

               [center][color=#1f75bb][italic][bold]   OFFICIAL CENTCOMM DOCUMENTATION[/bold][/italic][/color][/center]
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 ⠀⠀                           [bold]CYBORG CONVERSION FORM[/bold]
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  Date and Time: [datetime]
 Document Compiler: [signature]

 Being of sound mind, I, [signature], authorize the Science Department to transfer my body and consciousness into a silicon unit and acknowledge the risks of doing so.

 Reason for silicon conversion: [form]

 ⠀Chassis to be used: [form]

 ⠀[check] I fully understand the risks associated with the operation(s) to which I have given my consent.

 ⠀[check] I authorize the Science Department to dispose or use the remaining organic tissue and flesh that is leftover after the silicon conversion.

 ⠀ [italic]This form is not legal unless it has been signed by the patient and stamped by either the station's Chief Medical Officer, the station's Research Director, or one of their superiors. This form is not required in cases where the person has already given consent via their medical records post-mortem instructions.[/italic]

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 ⠀                      [italic]Place for Stamps and/or Signatures[/italic]
