PROJECT BLUE BOOK

1, DATE - TIME GROUP

1/0102

3. SOURCE

. oy
al . "i

NUMBER OF OBJECTS

: oe
TYPE OF OBSERVATION

7, COURSE

8. PHOTOS

oO You

x Ne
9. PHYSICAL EVIDENCE

OC Yes
Ne

FORM
FYTD sep 43 0-329 (TOE)

LENGTH OF OBSERVATION

2. _CiaTioOn

19, CONCLUSION

-

11. R18 SUMMARY AND ANALYSIS

,*

, L ary whl ie ing.

Previeuve +4itiene of this Jerm aay be used,

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} Se | L a Pl af . > ‘ . eit

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——<—=- = _— ——s — = -

Page 6

_—_ — — eee - es — - —

a ee ee we - ee ow eee oe — oo

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32. In the following sketch, imegine thet vou ore at the point shown. Place an “A” on the curved line to show how

high the object was above the hori: on s«.. me) when you first saw it. Place a “B” on the same curved line to
show how high the object was above the cor: ron (skyline) when you /ast saw it.

-— ——e--

——s -_ = —_ -_ - — ° -e ~ —

33. In the following larger sketch » oa 4" at the position the object was wnen you first saw it, and a “B” at its
position when you Jast saw ii. ..cie: to smaller sketch as an example of how to complete the larger sketch.

- = ;

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: {roy
| U.$. AIR FORCE TECHNICAL INFORMATION SHEET

"

This questionnaire hos See) orepared so that you can give the U. $. Air Force as much
information as possible concerning ne unidentified aerial phenomenon that you have observed.
Please try to answer as mony 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 ony statements, conclusions, or publications without your permission,
We request this Sersona! intormat on so that, if it is deemed necessary, we may contact you for
further derails.

— ——————— ee | we ee wwe we oe — -- = eS ——- —= — - = -
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: ’ ° | _ “~ SA
]. When did you see the object? | 2. Time of day: as aa ee nde!
ar Hour Minutes
af s, “Or
AO. Shaded, Lh | |
Day Month {| Year | (Circle One): A.M. o CPM)

—-— = ———-- = + — —— _—- ee — - a ee ae ee - — —+4

reie One): a. Sasts (Circle One}: a. Daylight Saving
6) Cartra! (b, Standard
Ne raging
ad D |
” "ee
J

— —_ - _-_—-

4, Where were you when you saw «

4
oh Lagos or Town 7 State of Country

t——-

Additional remarks: =
— Se —— - --—-——+
5. Estimate how long you saw "+ ec, L arts eer
Hours Minutes Seconds

5.1 Circle one of the following *o indicate how certain you are of your answer to Question 5.

€) Certain c. Not very sure
b. Fairly certain d. Justa guess

_

6. What was the condition of the sky?

a

(Circle One): a. Bright daylignt ad Just a trace of daylight ;
b. Dull daylight @) No trace of daylight
Ce Bright twilight F Don’) -emember

7. IF you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where was tha SUN located cs you looked of

the obiect:

. - —_ ' r
(Circle One}: a. In Front of you d. To your left
b. In back of YOu 2, vVerhead
- ‘ er
c. i9 yourric ; on ft ferem ber

--—- --- uo ee a ee te — —— — " - —

39. Do you think you can estimate the sceec of the object?

(Circle One) Tes

7

F you answered YES, then wher spees iid you estimate?

10. Do you think you can estimate how far away from you the object was?

PY,
(Tes) NO

——

a | “ '
(Circle One)

lF you answered YES then how ror lway would you say it was? ' 7 —-

en - - ---< - — _-—— . . ™ o=

11. Please give the following intormarion about yoursalf:

NAME

“~

TELEPHOM! i.

What is w present job?

oS) eS Sex ee,

Please indicate any specio! educar anal training that you have had.

. Grade school e.e. Technical school

q
b. High school (Type) :

c. College _.. — f, Other special training

d. Post graduate __.__

_— ee eee Ce -

12, Date you completed this questionnaire:

o
P)

Page &

—ee—eee <a ee ee

U.S. AIR FORCE TECHNICAL INFORMATION SHEET

it they are needed.

et

(SUMMARY DATA)

In order that your intermation may be filed and coded as accurately as possible, please use
the following space to wr te out 2 short description of the event that you observed. You may re-
peut information that you hove already given in the questionnaire, and 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

—_— - -_—— —

—

(Do Not Write in This Space)

(Pleose Print)

———_—

TS gh Soe a ere

2} |

—— -—--

poo mee ae ee ee —s

a

CODE:

ae eS

—— = —

Page 2

—— — _ —_—— —

8,
8.1 STARS (Circle One):

. Don't remember

——_— ee —— = — oe - oe — oo oe >

(Circle One): >

— ~~ —_——-——---s OS™

10,

— ———— — — =

ae

Did the object:

a. Appear to stand still o
b. Suddenly speed up ana
c, Break up into parts or »
d. Give off smoke?

e. Change brightness?

f, Change shape?

9: Fideesecsidh Stabe or puis vie

11,

a |

— eo ee ees st

= —

12. Did the object move behind -

( Circle One): Yes
it moved behind:

= ——s

-

—s

(Circle One):
it moved in front of: —_

iF you saw the osject at NIGHT,

9. Was the object brighter than the background of the sky?

a: Yes

oe cee ae - oe

IF it was BRIGHTER THAN the sky background, was the brightness like that of cn automobile bavoilfighe?:

(Circle One) a. A mile or more away (a distant car)?

ne
voy at any time? Yes ND Don’t Know
mee? Yes No Don’t Know
Yes ND Don’t Know
Yes Noy Don’t Know
Yes Nod Don't Know
Yep No Don't Know

-

13. Did the object move in front of «omething at anytime, particularly a cloud?

al

4 (GT, or DAWN, what did you notice concerning the STARS and MOON?
8.2 MOON (Circle One):

a. Bright moonlight

b. Dull moonlight

€) No moonlight — pitch dark
d. Don't remember

es — eee ee le — ——

b,

No

c. Don’t remember

~_-

—

b. Several blocks away?

© A block away?
d. Several yards away?
e. Other

eo eee ee ee =- ee

ee -_-—-——- a

(Circle One for each question)
No

;

Don't Know

Yeo

—— ———— _ — —— > —

_ —_— |

og at anytime, particularly a cloud?

em

’
\

Don’t Know. IF you answered YES, then tell what

—

==

el ——

_

14. Did ine o> ect acoear:

(Circle One):

Yes &e) Don't Know. IF you answered YES, than tell what
age Cp RR eT eee
b. Transperent? es Dan’? Know.

a. Solid?

-_-

oor = | ~~

— ~—~ ——-

1S. Did you observe the object through any of the following?

a. cyegiasses Yes
b. Sun glasses tes
2. Windshield Yes
ji, Window glass Yes

WQ e. Binoculars 25 2

(No) f. Telescope Yes No
N35) g. Theodolite Yes Ne
1g h. Other

Page 3

.
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16. Tell in a few words the following things about the object.

i a ial
a. Sound A aA Ler td 5 an ae
/

'f ’ ‘ i) J
b. Color ule aad Agee oe Ad ALOR KE ph own | i
fi

fy
— C2 ——e- = +e — —_— -

—_—

17. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object thet you saw such as wings, orotrusions, ete., and especially exhaust trails or vapor trails. Place
an orrow beside the drawing to show the direction the object was moving.

= —— _>

es ames eee

18. The edges of the object were.
(Circle One): a. Fuzzy or burred e. Other _ a
b. Like ao iv oh? star

Sharply = +) ned
" Don't seven Ser

—_-_--- eo ——

19, IF there was WORE THAN ONF © ac’, then how many were there? Enable Sis be
Draw a picture of how they were wronged, and put an arrow to show the direction that they were travel ing.

— ee - - - a - we 2 + eee, -

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F Page 5
25. Where were you located when you saw ‘he object? 26. Were you (Circle One)
(Circle One):
a. In the business section of a city?
G) Inside a building b. In the residential section of a city?
b. Ina car (} In open countryside?
c. Outdoors d. Flying near an cirfield?
d. In an airplane e. Flying over a city?
e. At sea f. Flying over open country?
f, Other A ee a am g. Other
a a » _ ase ees

27. What were you doing at the time you saw the object, and how did you happen to notice it?

[ feces —S ‘ aan
|
| 28. IF you were MOVING IN AN AUT POMOSILE or other vehicle at the time, then complete the following questions: = |
28.1 Whot direction were you moving? (Circle One)
a. North c. East e. South g. West
b. Northeast 4d. Southeast f. Southwest h. Northwest
'
238.2 How tast were you ow miles per hour.
28.3 Did you stop at any | «= » you were looking at the object?
(Circle One) Yos No

eee — =
| 29. What direction were you look. «-*0 you first saw the object? (Circle One)

a. North = ast e. South g. West
| (B) Nertheast Southeast f, Southwest h. Northwest

Ree mad te ee eerie scapes tanpthnsnsotionininansnstpesaenseed

: 30. What direction were you looking ~-#n you last saw the object? (Circle One)

|
a. North c. East e. South g. West
(6) Northeast 4. Southeast f. Southwest h. Northwest

|]

31. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object was
from true North and also the number of degrees it wos upward from the horizon (elevation).

31.1 When it first appeared:

=rom true North segrees.
b, From horizon __ degrees.

31.2 When it disappeared:

y
a, From true North _ ._.__.s degrees.
b. From horizon. ss degrees. )

ee ew ° ee ee ee -— - — =~ = —

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‘

Page 4

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—

Draw a picture that will show the nor.on that the object or objects made. Place an “A” at the beginning
of the path, a "B” at the end of the etn, ond show any changes in direction during the course.

20.

eee ee eer ee —— ore ee ee

21.

IF POSSIBLE, try to guess or estimate what the real size of the object was in its longest dimension.
____f = $f feet.

-- a ee ee ee

-_-

— — —— = = - + —-— —

-_

How large did the object or objects appear as compared with one of the following objects he/d in the hand

ter

Silver dollar
Baseball
i. Grapefruit
j. Basketball
k. Other

# a pin

ollor
dicate how certain you are of your answer to Question 22,

c. Not very sure

© Uncertain

nro

et -——- —

-——-—-— —

22.
and at about arm's langth?
(Circle One): a. tlead
b, Psa
d. Nick
e.
fm
22.1 (Circle One of the followin»
a. »
b. F
23. How did the object or objects | s
AG Att treaty Thre
24, In order that you can give as clew »

construct the object that you saw
would it have? Describe in your own
same appeorance as the object wh rs

Af 90 erage Bean ey ol) Chad 2 Lonamtoald

Be wash He

ee A

+ hot type material would you make it? How large would it be, and what shape

.
1,

ta

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per AS nial + Leese

vovear from view? J
= a

on acl oe ete be her egeitaime

ae ee eee ee ee ee

— — — —_ - es — -

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ture as possible of what you saw, we would like for you to imagine that you could

words a Common object or objects which when placed up in the sky would give the

‘ou sow,

Page 7

—— - — _- _ _~

34. Wheat were the weather conditions it ‘he rime you saw the object?

34,1 CLOUDS (Circle One)

a, Clear sky

b. Hey

c. Scattered clouds

d. Thick or heavy clouds
. Don’t remeinber

34.3 WEATHER (Circle One!

Dry

b. Fog, mist, or light rain
Moderate orheavy rain
Srow

Den't camember

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ean

ee ree ee

ee

a

Se ee

35. When did you report to some otfic

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3 Y , / i 4
oo, : LaAe 4
4 a Hulse “4. ee: ot ee

Cc) +)

Day

326. Was anyone else with you at

(Circle One) Yes
356.1 |F you answered YES,
(Circle One) Yes

34.2 WIND (Circle One)
No wind

bo. Slight breeze
(E) Strong wind
d. Don’t remember

34.4 TEMPERATURE (Circle One)

@ Cold
b. Cool
c. Warm
d. Hot

e. Don't remember

ial that you hed seen the object?

Year

> tie you saw the object?

i"

\No
+» see the object too?

No

34.2 Please list their names ono addresses:

— —

37. Was this the first time that you

ee eee ewe | ae ee —

ed seen an object or objects like this?

(Circle One) Wes No
37.1 |F you answered NO, thee «nen, where, and under what circumstances did you see other ones?

— - —_—_—-

32. Im vour soinion what do vou

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x os iy
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a

‘Nin "he s0ject was ard wnat niqnt cave causea *?

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