23857158-009-017

| FILE-NO: ) Retesveeees tre Vet c hoar. toe Xv ¢ I. [a ie hs i. | FEB 50 © FORM * REPLACES NME FORM 96,1 OCT.

Declassification Authority NND 923007 16—34801-3 3X us. S. GOVERNMENT PRINTING OFFICE: 1955 0-353961 Sime 3 ns Fe FORM PLAC E FORM 96 . 48, WHICH ; iD 1's 50 G_ seFLACES nue FomM 96, 1 ocT. 48, wilcHt MAY BE USED

_Declassification Authority NND 923007 _ DD its 96"

Declassification Authority NND 923007 4. pee U.S: AIR FORCE TECHNICAL INFORMATION SHEET Was aa “de> This questionnaire hos been prepared so that you can give the U. S. Air Force as much infor mation a3: ‘possible concerning the unidentified aerial phenomenon that you have observed. Please try to answeres 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 not be used-in connection with any statements, conclusions, or publications without your permission. We request this personal inf…

Declassification Authority NND 923007 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 faw b. Dull moonlight ED Many . CE} Ne moonlight — pitch dark d. Don't remember d. Don't remember . Was the object brighter thon the background of the sky? °o (Circle One): Yes b. No c. Don’t remember IF it was BRIGHTER THAN the sky beckground, was the brightness like that of an automobile headlight?: (Circle One)(ay A mile or more away (a distant car)? b. Several blo…

Declassification Authority NND 923007 ' Page 3 we ] , " “17, Drow a picture that will show the shape of the object or objects. Label and include in your sketch any datails of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place, an atrow beside the drawing to show the direction the object was moving. NN oC @ 18. The edges of the ae were: (Circle One)x" . Fuzzy or blurred e. Other _ Like a bright star ‘c. .” Sharply outlined d. Don’t-remember 19. IF there was MORE THAN ONE object, then how many were there? FF Draw a picture of how they w…

Declassification Authority NND 923007 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. a’ ™ “x @_ AN 2) sr VW) = 21. IF POSSIBLE, try to guess or estimate what ya real size of the object was in its longest dimension. CH. A 2 ? ~f—~ feet. Gad tot LL A : ce LU Gt ye Lt, aes ALAe; 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 …

Declassification Authority NND 923007 o . : Page 5. 26. Ware you (Circle One) . Where were you located when you saw the object? (Circle One): . f. In the business section of a city? b.3 In the residential section of a city? c. In open countryside? d. Flying near an airfield? d. In an airplane o. Flying over a city? a. Atsea Dp gp iy) f. Flying over open country? f. Other af) C le ez eon Dope g- Other a. Inside a building b. ln a cor &) Outdoors . What were you doing at the time you saw the object, and how did you happen to notice it? L . IF you were MOVING IN AN AUTOMOBILE or other vehicle at …