This is a rough version of what [@Howler] linked to, if anybody needs it. Note: I added a few fields that are common enough to the game in case they prove useful. 

Name: 
Player:
Chronicle:

Nature:
Demeanor:
Clan: 

Generation: 
Haven:
Concept:

Embrace: (Year)
Apparent Age: 
Sire:

_-_-_-_-_-_- Attributes -_-_-_-_-_-_

_~_~ Physical ~_~_

Strength: *
Dexterity: *
Stamina: *

_~_~ Social ~_~_

Charisma: *
Manipulation: *
Appearance: *

_~_~ Mental ~_~_

Perception: *
Intelligence: *
Wits: *

_-_-_-_-_-_- Abilities -_-_-_-_-_-_

_~_~ Talents ~_~_

Alertness:
Athletics:
Brawl:
Dodge:
Empathy:
Expression:
Intimidation:
Larceny:
Leadership:
Subterfuge:

_~_~ Skills ~_~_

Animal Ken: 
Archery: 
Commerce: 
Crafts: 
Etiquette: 
Herbalism: 
Melee: 
Performance: 
Ride: 
Stealth: 
Survival: 

_~_~ Knowledges ~_~_

Academics:
Hearth Wisdom:
Investigation:
Law:
Linguistics:
Medicine:
Occult:
Politics: 
Seneschal:
Theology:

_-_-_-_-_-_- Advantages -_-_-_-_-_-_

_~_~ Disciplines ~_~_


_~_~ Backgrounds ~_~_


_~_~ Virtues ~_~_

Conscience/Conviction: *
Self-Control/Instinct: *
Courage: *

_-_-_-_-_-_-_-_-_-_-_-_-_

_~_~ Via... (Road of...) ~_~_

* 
0

_~_~ Willpower ~_~_

* 
0 

_~_~ Blood Pool ~_~_
  0 0 0 0 0 0 0 0 0 0
  0 0 0 0 0 0 0 0 0 0

_-_-_-_-_-_- Merits & Flaws -_-_-_-_-_-_

_~_~ Merits ~_~_

_~_~ Flaws ~_~_