28956870.pdf

‘1. OATE - TIME GROUP = 4 ‘ ‘ a oll, p- F = ‘ ‘ - ”v i Ee. }. ‘ . : € / 7 2. LOCATION 7 j 1 * pe M ‘et rr - ———a * - . * 7 )331* = ase. &§ @& TYPE OF OBSERVATION Pak GO RN CC C76 9. PHYSICAL EVIDENCE O Yes JEiNe FORM ae FTD ser 63 0-329 (TOE) previous cditions of this form may bo used.

Nov 18th 1953 Project Sign Wright Patterson Field Dayton Ohioe Gentlemen: I wish to report a sighting of an unidentified flying object. 1.eObject was silver color in the shape of a sphere or disk. 2ee0bjeot appeared the sise of a lead pencil eraser when viewed from the $..First sighting was at 12;45 Central Stendard time Nov. 18th. Position due north...altitude above the northern horizon about twenty five degrees. Object hovering . Observed it for fifteen minutes. 4eceeSecond obsveration 3;15 P.M. object in same position. Sky clear of clouds but some dust and smoxe in atmosphere. SeceeThird ob…

U. S|. AIR FORCE TECHNICAL INFORMATION SHEET This questionnaire has been prepared so that you can give the U. S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you hove observed. Please try to answer as many questions as you possibly can. The information that you give will be used for research purposes, and will be regarded as confidential material. Your name will nor be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that, if it is deemed necessary, we may contac…

EE) Oa Page ? 8. IF you saw the ovject at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): a. None a. Bright moonlight b. A few b. Dull moonlight c. Many c. No moonlight — pitch dark d. Don't remomber d. Don't remember 9. Was the object brighter than the background of the sky? (Circle One): —@. Yes b. No c. Don’t remember 10, iF it was BRIGHTER THAN the sky bockground, was the brightness like that of an automobile heodlight?: ( Circle One) o. A mile or more away (a distant cor)? b. Several blocks away? c. Ablock away? d…

| ( | = 4 ————S eee a ee 20. Draw a picture thot will show the motion that the, object or objects mode. Ploce an “A® at the beginning of the path, a “B’ at the end of the path, and show any changes in direction during the course. “4m petotceet See ogg wore A v Vie we at Bt Mf yr the c rn at 9 yl Wh ttt GB . of nae 21. IF POSSIBLE, try to guess or estimate what the real size of the object was in its longest dimension. <6 i ee ee ce ee = A SE a EE ee ee ee ee ee ees ee ee 22. How large did the object or objects appear as compared with one of the following objects held in the hand and at about or…

Page 6 ft a a a RM a te —— 32. In the following sketch, imagine that you ore at the point shown. Place an °A” on the curved line to show how high the object was above the horizon (skyline) when you first saw it. Place a “B” on the same curved line to show how high the object was above the horizon (skyline) when you last saw it. f ~ ] : y y, . Lj Py = i 33. In the following larger sketch place an “A” at the position the object wos when you first sow it, and c "B” at its position when you last saw it. Refer to smaller sketch as an example of how to complete the larger sketch,

Page 7 34. What were the weather conditions at the time you saw the object? 34,1 CLOUDS (Circle One) 34.2 WIND (Circle One) a.) Clear sky | a. No wind . Hazy Cb.) Slight breeze Co Scattered clouds d. Thick or heavy clouds e. Don't remember d. Don’t remember 34,3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One) ® Dry Cold « Fog, mist, or light rain 3) Cool ce. Moderate or heavy rain d. Snow Warm Hot Don’t remember - 35. When did you report to some officiel thet you had seen the object? i * ae a ea 36. Was onyone else with you at the time you saw the object? ame Be OP ese 8 ses (Circle One) Ye…

Page 8 39. Do yow think you can estimate the speed of the object? (Circle One) Yes No IF you answered YES, then what speed would you estimate? a lf 40. Do you think you can estimate how far away from you the object was? (Circle One) Yes (Ne) IF you answered YES, then how far away would you say it wos? a =| 41, Please the following information about yourself: What is your present job? Age Ja Please indicate any special educational training that you have had. a. Grode school _.. ss ———sés wn. -TT echnical school High school Se CIID tai antniarnimiemmenees d. Post graduate | i" 4 a \ ~~ = 7 j i. …