| OFFICIAL DOCUMENT | File No............. |
UFO REPORT FORM
This form has been designed to assist in the interpretation of the phenomena observed by yourself. Your assistance in completing and returning it would be appreciated.
Australian International UFO Flying Saucer Research Inc.
GPO Box 2004, Adelaide, South Australia, 5001 Telephone 61 8 8272 3131
SIGHTING INFORMATION
Sightee surname........................ ................Christian Name or Initial.... ...............................
Sightee address............................................................................................. ...Postcode..............
Sightee age...................Occupation......................................................................................................
SIGHTING DETAILS
DATE of sighting..........day of..................................19........
LOCATION of sighting.........................................................................................................................
TIME of sighting (hrs/mins AM/PM)...................................Duration (hrs/mins)...............................
NUMBER of lights or objects or both....................COLOUR(S)..........................................................
SHAPE...................................................................................................................................................
SIZE (Please Tick) eg Star..........Golf Ball...........Basket Ball...........Bath Tub..........Small Car..........
Truck...........Semi-Trailer.........or bigger...............................................................................................
NOISE (Yes/No).............Describe Type of Noise.................................................................................
HEIGHT in degrees from sightee...........................................................................................................
DIRECTION WHEN FIRST SEEN.............................WHEN IT DISAPPEARED.............................
DISTANCE (Estimate)...........................................................................................................................
DID OBJECT LAND...............WHAT WAS NOTED..........................................................................
WEATHER (Please Tick) Cloud..........Clear..........Rain..........Hot...........Cold..........Wind..................
MOVEMENT Stationary..........Slow..........Medium..........Fast...........Very Fast...........Zig Zag...........
Other........................................................................................................................................................
INTERFERENCE Vehicles.........People.........Animals.........Other........................................................
PHOTOGRAPHS Yes/No VIDEO Yes/No NUMBER OF WITNESSES.................................
HOW DID OBJECT DISAPPEAR.........................................................................................................
WHAT ATTRACTED YOUR ATTENTION.........................................................................................
HOW DID YOU FEEL............................................................................................................................
ADDITIONAL INFORMATION Including Attitude and Effects of the Sighting
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SKETCHES of object(s)
Sketch variation of movement (if applicable) On the diagrams below, please mark with an "A" the first position of the object(s) and with a "B" the last position. On diag 2 its apparent path seen by you.
One Two
Thank you for answering the questions.
Do you give authorisation to publish this report using your name yes............no............
Signature....................................................................................................................
http://www.citynet.com.au/ufo/UFO2_ReportForm.htm