PROJECT BLUE BOOK

LENGTH OF OBSERVATION
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‘TYPE OF OBSERVATION

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COURSE

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9. PHYSICAL EVIDENCE

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FORM

FTD sep 63 0-329 (TDE) Previous editions of this form may be used.

39. Do you think you can estimate the speed of the object?
(Circle One) Yes ) No i een
IF you enowered YES, then whet speed would you ostimete? Oe Ae

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 far away would you say it wos? Ge Ee ae

”

41, Please give the following Information about yourself:

TELEPHONE NUMBER SS ——

ES

Age jo» 7 id, Sex 7 ih 4 ”

Please indicate any special educational training that you hove had.

a. Grade school técnica school
b. High school al ———————
f, Other speciel training _

Form A

—_— ee

U. & AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire hos been prepared so that you can give the U. S. Air Force as much
information os possible concerning the unidentified aerial phenomenon that you hove observed.
Please try to answer as many questions as you possibly con. The information that you give will
be used for research purposes, and will be regarded as confidential moterial. 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 contact you for

further details. |
27h w .
1}. When did you see the object? 2. Time of dey: __ ¢ Ss
m3 > dea f - Hour Minutes
: ie At et ff od 7 i 5
~~ Dey Month - . Yeor (Circle One): A.M or “P.M. |
= = ea sisiiblienieimaeieiennaliiacinga
3. Time zone: epistles a
(Circle One):.@. Eastern (Circle One): a. Daylight Saving /
b. Central b. Stenderd
¢. Mountain
d. Pacific
e. Other ”
4, Where were you when you saw the object?
we ’ a . ~—— oe
fe Pa KP / * iF Lae ,
City or Town f Stote or Country
ee
5. Estimate how | AOORNE ee hed Lj. te! Ane
r : —— — Hours Minutes Seconds ime M4

* ems! 48 3 ‘

5.1 Circle one of the iellowing te indicate how certain you are of your answer to Question 5.

0. Certain c. Not very sure
. by Fairly certain, d. Just o guess

——

6. What was the condition of the shy?

(Circle One): «. Bright daylight d. Just a trace of daylight
b. Dull daylight e..No trace of daylight >
c. Bright twilight f. Don't remember

7. IF you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located os you looked ot

the object? Lf
(Circle One): a. In front of you d. To your left ot i 7,
b. In back of you e. Overhead it oF
c. To your right f. Don’t remember .

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A IR AED: Re Ta TR

Page ?

8. IF you saw the object ot 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
¢. Many ) c. No moonlight — pitch dark >
d. Don't remember d. Don't remember

= —_— —_—_- -—_---— _—_—- ——— =

—_—_—_ ——- -_——_—--— — ~~

9. Was the object brighter than the background of the sky?
(Circle One): a. Yes } b. No

10, IF it was BRIGHTER THAN the sky background, was the brightness like that of an automobile headlight?:

(Circle One) a. Amile or more away (a distant car)?
b. Several blocks away?

Ce. Ablock away?
d. Several yards away?
e. Other © ccm oo .

c. Don't remember

-_— —_—-

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11, Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't Know
b. Suddenly speed up and rush away at any time? Yes. No Don’t Know
c. Break up into parts or explode? Yes “Nov Don’t Know
d. Give off smoke? Yes c No> Don’t Know
e. Change brightness? Yes No > Don't Know
f. Change shape? Yos No >» Don’t Know
g- Flicker, throb, or pulsate? Yes No ) Don’t Know
12. Did the object move behind something at anytime, particularly o cloud?
(Circle One): Yes No Don’t Know. IF you answered YES, then tell what
it moved behind: ;

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

(Circle One): Yes No) Don't Know. IF you answered YES, than tell what
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14, Did the object appeor: (Circle One): a. Solid? , b. Transparent? c. Don't Know.

15. Did you observe the object through any of the following?

a. Eyeglasses , Yes No e. Binoculars
b. Sun glasses Yes No f. Telescope
c. Windshield Yes No g- Theodolite
d. Window gloss - Yes No h. Other

2. 4 »” as ra . 5 a

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

@. Sound — 2) 4

17. Draw a picture that will show the shape of the object or objects. Lobel and inatube in your sketch any detoils
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Ploce
on arrow beside the drawing to show the direction the object was moving.

. aeons ee
: > >
: 3
_— occa ae La re
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a
% Thesdwdinehoee: fh aed
(Circle One): a. Fuzzy or blurred SRE EE Se ea hae en |
b. Like a bright stor
d. Don't remember scrneetmenmaneieanemeenn ee
19. IF there was MORE THAN ONE object, then how many were there? pt at oi

Draw a picture of how they were arranged, and put an arrow to show the direction that they were “travel ing.

iV

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20. Draw a picture thot will show the motion that the object or objects made. Place on “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 to guess or estimate what the real ots of the object was in its longest dimension.
ee Es a ee owt oa JA 2 «tate >? go > aes “) ie?

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 dollor
A be Peo” h. Baseball |
t. Dime > i. Grapefruit
L+ 4, Nickel j. Basketball
@. Quarter k. Other
f. Half doller
22.1 (Circle One of the following to indicate how certain you ore of your answer to Question 22.
o. Certain c. Not very sure
b. Fairly certain” d, Uncertain

ot i ee ae = ) a ‘
24. In order thet you can give as clear o picture as possible of whet you sew, we would like for you te imegine thet you could
construct the object thet you sew. Of whot type moterial would you moke it? How lorge would it be, ond whet shape

would It heve? Describe in your own words a Lommon object or objects which when placed up in the sky would give the
same oppeorence as the object which you sew.

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25. Where were you locoted when you sow the cbject? 26. Were you (Circie One) |

(Circle One):
a. In the business section of a city?
a. Inside a building b. In the residential section of a city?
b. Ina cor c. In open countryside? -
¢. Outdoors - d. Flying near an airfield?
d. In an cirplone e. Flying over o city?
e. At sea ; f. Flying over open country?
f. Other — g- Other

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

a -

28. IF you were MOVING IN AN AUTOMOBILE 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 o- West
b. Northeast d. Southeest f. Southwest h. Northwest

28.2 How fast were you moving? — >» > EEE smiles per hour.

28,3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No

29. Whet direction were you looking when you first saw the object? (Circle One)

a. North c. East e. South % West /
b. Northeast d. Southeost f. Southwest h. Northwest

30. What direction were you looking when you last saw the object? (Circle One)

oe. North ce. Eost e. South Ss West+—
b. Northeost d. Southeast f. Southwest Ch 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 was upward from the horizon (elevation).

31.1 When it first appeared:

a. From true North _________._ degrees.
b. From horizon

31.2 When it disappeared:

a. From true North _______.____ degrees.
b. From horizon

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Page 6

32. In the following sketch, imagine that you are at the point shown. Place an “A” on the curved line to show how )
high the object was ubove 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 /ast sow it. |

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Mrs en L “tie ened

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tk Pt AOA A ry 4: i.

——— ———_——

33. In the following larger sketch place an “A” at the position the object was when you first saw it, and a “B” ot its
position when you last saw it. Refer to smaller sketch us an example of how to complete the larger sketch.

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34. What were the weather conditions ot the time you saw the object?
34,1 CLOUDS (Circle One) 34.2 WIND (Circle One)
a. Clear sky a. No wind
b. Hozy 6. “Slight breeze :
¢. Scattered clouds ¢. Strong wind
d. Thick or heavy clouds d. Don’t remember
e. Don't remember
34,3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One) |
eo, Dry . a, Cold
b. Fog, mist, or light rain cb Cool >
c. Moderate or heavy rain c. Warm
d. Snow d. Hot
e. Don't remember e. Don't rementtor
35. When did you report to some official iat you had seeg the abjoutt
—*& i f, A4. Lady? |} } / a 7) a 2
Month vow
36. is deat die ih ont th Bk tes ee we a et
(Circle One) Yes ) No
36,1 IF you answered YES, did they see the object too?
(Circle One) Yes / No
36.2 Please list their names and addresses: .
Fat ss ji , f we }
Seiieemeiamaine a CE ates Bn - i? Pe gy Dina 1si)
37. Was this the first time that you had seen an object or objects like this?
(Circle One) Yes) No
37.1 IF you answered NO, then when, where, and under what circ umstonces did you see other ones?
38. In your opinion what do you think the object was and what might have caused it?
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