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™ Onagy PMINVESTIGATIONS COMMITTEE ON Bron, i NOrth 7-9434 “Washington 6, 0. C007 eek : REPORT ON UNIDENTIFIED FLYING OBJECT(S) o . 2 This form Includes questions asked by the United States Air Force and by other Armed Forces! investigating agencies, end edditional questions to which answers are needed for full evaluation by NICAP. After all the information has been fully studied, the conclusion of our Evaluation Panel will be published by NICAP in Its regularly: Issued magazine or in another publication. Please try to answer os many questions as possible. Should you-need additional room, : please use another sheet of paper. Please print or typewrite. Your assistance Is of great value and Is genuinely ¢; prectated.’ Thank you 4 e 1. Name ’ . Place of Employment 4 “Address _ + Occupation 4 | % Education = . Spoclal Tralning . 2 ; Telephone Military Service ” i 2. Date of Observation , Time AM a 3. Locally of Observation 4, How long did you see the object? Hours Minutes Seconds en §, Please describe weather conditions and the type of sky; f.e., bright daylight, nighttime, dusk, etc. 7 a. 6+ Position of the Sun or Moon in-relation to the object and to you. . se if seen at night, twilight, or dawn, were the stars or moon visible? 2 oe 8, Were thera more than one objeci7 If so, please tell how many, and draw a sketch of what yo ‘saw, Indicatin« nf 7 direction of movement, If any. Cy ER ip a 9, Please describe the object(s) in detall. For Instance, did It (they) appear solid, or only as a source of light; was It evolvint ; etc? Please use additional sheets of paper, if necessary. - ne be . 1 10. Was the object(s) brighter than the background of the sky? 1. If s0, compare the brightness with the Sun, Moon, headlights, ete. 12. Did the object(s) — a aa eS Se RNC (Please eleborate, If you ean gtve details > a, Appear to stand still at any time? b. Suddenly speed up and rush away ot any time? c. . Break up into parts or explode? ‘ d. Give off smoke? e, Leave any visible trail? oe" Drop anything? re g- Change brightness? ; _ ‘. h. Change shape? i. Change color? 13, Didthe object(s) atany time pass infront of, or behind of, anything? If so, please elaborate giving distance, si $4. Was there any wind? If so, please give direction and speed. 5. Did ‘you observe the obfect(s) through an optical instrument or other aid, windshield, ete? What? 16. Did the object(s) have any sound? What kind? ‘ os 7 a . 17. Please tell if the object(s) wes (were) ~~ _ . “ - $2—-10356/-(0ORX: ee a, Fuzzy or blurred, . , b. Like a bright star. , ; aaLL-as cal ai Ge Sharply outlined.