28956818.pdf

1. DATE - TIME GROUP’ 2. LOCATION | | | 8. PHOTOS GC Yes ; EiwWNe 9. PHYSICAL EVIDENCE : O Yes : litNe FORM po, FTD sep 63 0-329 (TDE)  provious editions of this form may be used.

* ‘ ERS TP aia Tat HR TT ert pe Me TR | 4 | uw 78 y 0 Form A | . 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 have observed. Please try to answer as many questions as you possibly can. The information thot you give will be used for research purposes, and will be regarded os confidential moterial. Your name will nor be used in connection with any statements, conclusions, or publications without your permission. We request this person…

Page 2 8. IF you saw the object 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 (,) No moonlight — pitch dark d. Don't remember d. Don’t remember hae) ee a oe oe ee 9. Was the object brighter than the background of the sky? (Circle One): KO, b. No c. Don’t remember 10, IF it was BRIGHTER THAN the sky background, was the brightness like that of an automobile headlight?: (Circle One) a. A mile or more away (a distant car)? b. Several blocks away? | c. A…

Poge 3 — ee pes ee 16. Tell in o few words the following things about the object. Ge Sound \ 4 YY / | i) ? b. Color (‘F1i. z , a « 17. Draw a picture that will show the shape of the object or objects. Lobel and include in your sketch any details Of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the object was moving. 18. The edges of the object were: (Circle One): a. Fuzzy or blurred e. Other __ b. Like a bright star c. Sharply outlined d. Don’t remember 19. IF there wos MORE THAN …

Page 4 20. Draw a picture that will show the motion that the object or objects made. Place 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. 21. IF POSSIBLE, try te guess or estimate what the real size of the object was in its longest dimension. 22. How large did the object or objects appear as compared with one of the following objects held in the hand and at about arm's length? (Circle One): a. Head of a pin g. Silver dollar c. Dime i. Grapefruit e. Quarter k. Other §. Half dollar 22.1 (Circle One of the following to indic…

Page 5 Where were you located when you saw the object? 26. Were you (Circle One) (Circle One): a. In the business section of a city? a. Inside a building b. In the residential section of a city? | c. In open countryside? | d. Flying neor an airfield? e. Flying over a city? f, Flying over open country? : 27. What were you doing at the time you sow the object, and how did you happen to notice it? / a 4 ° ~ 2 o f) ~ fi; a Ai ‘ Ke * 4. ._-_.4~> «? 4 B.!. g . A “ ; A « NA f 28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 28.1 What directi…

Poge 8 39. Do you think you can estimate the speed of the object? (Circle One) Yes No IF you answered YES, then whet speed would you estimate? TSM YT 40. Do you think you can estimate how far away from you the object was? (Circle One) Yes No IF you answered YES, then how for away would you say it wos? dinitiaianaiinitinen 41. Please give the following information about yourself: NAME Middle Neme ADDRESS eee eee Zone State TELEPHONE NUMBER re A ) th tL 7 a a= (C4 SOW4 ae What Is your present job? BEA Na op Db Pum, , 4. Ut. ID ceieiiiciinirniternsisietsinn Sex : ? a ‘abe Please indicate any spec…

ae ee oe eR ee © i pele oe um oe eee U. S. AIR FORCE TECHNICAL INFORMATION SHEET (SUMMARY DATA) In order that your information may be filed and coded as accurately as possible, please use the following space to write out a short description of the event thot you observed. You may re- peat information thet you have already given in the questionnaire, ond add any further comments, statements, or sketches that you believe are important. Try to present the details of the observa- | | tion in the order in which they occurred. Additional pages of the same size paper may be attached if they are neede…