PROJECT BLUE BOOK

HEADQUARTERS Sox
FOREIGN TECHNOLOGY DIVISION ( <% %
AIR FORCE SYSTEMS COMMAND | 3

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UNITED STATES AIR FORCE iy ‘ ae ’ ,
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WRIGHT*PATTERSON AIR FORCE BASE, OHIO As ae ta)
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SUSJECT: Views oa Pnting ae,
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POGUSSTIAZ ANLOLrMAtTION On a ULU SIZHtineg, The following

information is provided to aid you in preparing a reply

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she exact date of your signting, your Aascriotion inc

hiv a satellite. The wavering motion

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This questionnaire has been prepared so that you con give the U.5, Ale Forse os much
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information as possible concerning the unidentificd serial phenomenon that you hava ob:

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Pisase try to answer as many questions as you passibly can, The information that you give wil
be used for research purposes. Your name will ao? he used in connection with ony atote nats
conclusions, or publications without your permission, We request this personal infermoron so

that if it is dvemed necessary, we may contact you for further details. ;

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/ ods Pime cone; — —" soins ;
/ (Cirele One); a. Eastern: (Cirrte Gne}): aC Daylichi Saving
b, central hb, Standard y
Cc. Mountain
d, Pacifie
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4. Whore were you when you saw tne object?
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Necrast Postel Address City or Town Stets ef Ge
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5. How long was object in sight? (Total Duration) ALR 52 A remains | spastilemntnonemimmenon: ;
Hours binuteas Saconda ;
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a, Certain c.! Not very sura)
b, Fairly certain d, Justo guess
5.1 How wes time in sight determined? “e te.’ =
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5.2 Was object in sight continuously? i. eS
6, What was the condition of the sky?
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DAY NIGHT)
a, Bright a. Bright
b. Cloudy 0. Cloudy

7. iF you saw the object during DAYLIGHT, where was tre SUN rocated as VOU le shrecl . any obic
(Circia Ona); a. In front of you d. To your eft
b. In back of you e. Overhecda
; e. to your rignt f, Den't remember
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EF

FORM
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D OCT 62 164 This form superasdes FTD 164, ful 61, which is obso!

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_——— toe — CN MAG LL LLL ALLA LLL A ALLEL LN 0 A OE RE 8 1 Oe em

‘—e Beer- + ere cere (or Been Ore a : —~@+0 _ — =e Seem © _* -- —_-—-

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14, Did the object disappear while you wore waiching itr out Ow | | \ ,

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15. Did the object move behind something at any times,

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{Circle C 12); Yes (Ne) Don ! Anow, ; ‘ iO oe 34 : ¥ '
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| 18. -8 wish to Know the anguler S
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Z8. Hold 9 match sticx c? arm $s tenghh in line Sst Ga xnown & Sc: na i :

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much of the object is covered by the head of the match. 1

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sighting, how much of the object would have been covered by the match head? 4 *

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19, Draw a picture that will show the shape of the object or opjects. Label! and include in your sxetch shail
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of the object that you saw-such os wings, protrusions, eic., and especially exhaust trats

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Pace on arrow beside the drawing fo show the direction the object was moying.

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20, Do you think you can estimate the speed of the obj:

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(Circle One) Yet No}

IF you answered YES, then what speed would you estimates? .

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ele Do you think you can estimate now far Oweay fran) vou as fact wea

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(Circle One) ‘ Yes) No

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IF you answered YES, then how far away would you say it was? Leos woly oud ig % ,
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22. Pf isTS wet 4 Vou iocated wrsety you .Oow ik s object? i. «4 sf: 7 ss e ~7e2 ty i;
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2.( insice @ building) D. ji Ne te Niic! sa at gs city?t

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Cc. Qutdoors Go. Near an uireiaia! ;
3 in or a.roi ane (rypa) , reyingy Over a city ?
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94. 1© you wera MOVING IN AN AUTOMOBILE or other vehic!s at ths time, than complete tne following quosrvions: |

24.] What direction were you movin

9? (Circie One) :

a. North c. East @. South » We

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b. Northeast d. Southeast 4. Soutnwest n, fiorthwes ;

24.2 How fast were you moving? _..__ miles per hour.

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24.3 Did you stop at any time while you were looking at tha o

(Circle One) Yes No |

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25. Did you observe the object through any of the following?
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ao, Eyeglasses Yes No e. Binoculars ( Yes) Neo
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b, Sun gittse5 Yes No f, Telescope Yes Ne
c. Windshia's Yes No g. Theodolite fes Mo
d. | Window giass) Yes No h. Other —_ SE ee
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| 25. In order that you can give as clear o picture cs possible of what you saw, deserive in yo e
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object or objects which, when ploced up in the sky, would give tne same appearance as the ooiect weict
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3 2 et LLL LL GEL LS ELL LL CE a A OG LOE LT EC a ie oe ee bee tO a me em — — —

re reece EE TOR ener al EE OT NI EPI NI = LE LE I RE a et = oT 8 eet

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97. In the following skatch, imagine that you ore at tha point shown. Place ay ‘A on the curves line to show how
high the object was above the horizon (skyline) when you first sow it, Ploca 2 @"’ om the somo curved line to
show how high the obiect wos above the horizon (skyline) whan you Ios? caw it. Place en “A,” on Sae compass

whon you firs? saw it, Place a 8" on the compass where you /ast saw the object,

‘ t35”°

yaginning of the

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irecrion GQuring itv course,

‘8”" at the and of the path, ond show any changes in dirse

by

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- _—— ——— —_— --_e_ - — ——-

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29, iF theres was MORE THAN ONE object, then how many were there? ———__._____

Draw a picture of how they were arranged, and put an arrow to show the direction that vhey were traveling.

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30. Have you ever seen mis, ora similor object before. If 66 give dots or dates wad locatin,
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31, Was anyone else with you at the time you saw the object? (Circle Ona) Ys) No

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31.1 IF you Gnswered YES, did they sea the object too? (Circle One} Yes NO

31.2 Please list their names and addressas:

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| 32, Please give the following information sbout yourself
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: Last Name rivst Nome Middle Mame :
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indicate any additional information about yourself, including any spacial experience, which might ba verthiens

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| 33. When and to whom did you report that you had seen the object

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LEGA I Ca EY SET CIR a NB a RR RTI

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34, Date you completed this questionnaire: 5 ee ane APL ee Oi - FC
Dea y Mania Your :

35. Information which you fee! pertinent and which is not adeo sately covered in the specific points of the

questionnaire of a narrative explanation of your sighting.

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