Philippine Center for Aerial Phenomenon Studies

PRELIMINARY DATA REQUIREMENT FORM
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PHILIPPINE CENTER FOR AERIAL PHENOMENON STUDIES

PRELIMINARY  DATA  REQUIREMENT
DATE OF REPORT
 
 
 
TIME
NO. OF WITNESSES
 
1
 
.DESIGNATED CASE NUMBER  
 
 
IN PERSON
BY PHONE
BY MAIL

NAME OF PRIMARY WITNESS
 
 
AGE
SEX
 
 
PHONE NO.
HOME / POSTAL ADDRESS
 
 
POSTAL CODE
,
WITNESS REFERRED BY:
 
 

NAME OF OTHER  WITNESS mXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
HOME / POSTAL ADDRESS xxxxxxxxxxxxxxxxxxxxxxxx
NAME OF OTHER WITNESS
 
HOME / POSTAL ADDRESS

DATE OF EVENT / INCIDENT
 
 
TIME OF EVENT
 
 
DAYTIME (     ) TWILIGHT  X )  NIGHT-TIME  (    )
 
 
ENVIRONMENTAL CONDITION
 
RURAL / FARM AREA
NAME OF NEAREST TOWN / CITY
 
NEGROS OCC.
LOCATION OF SIGHTING INCIDENT

HOW WITNESS FIRST NOTICED THE OBJECT
 
SUDDEN APPEARANCE OF BRIGHT "LIGHTS" CAUGHT HIS ATTENTION
BRIEF NARRATIVE STATEMENT / WHAT WAS WITNESS DOING IMMEDIATELY BEFORE THE SIGHTING EXPERIENCE?
 
WITNESS WAS PREPARING TO BEGIN THE DAY'S WORK/BUSINESS

HOW DID WITNESS LOSE SIGHT OF OBJECT?
 
 

ANGLE OF ELEVATION OF OBJECT ABOVE HORIZON
 
WHEN FIRST SEEN :
 
 
WHEN LAST SEEN :

COMPASS DIRECTION WHEN OBJECT WAS
 
FIRST SEEN :
 
 
LAST SEEN :

SPECIFIC / PECULIAR / UNUSUAL FEATURES OBSERVED

OTHER EFFECTS NOTED
 
 
 

NO. OF OBJECTS:
DURATION OF SIGHTING
DID WITNESS HEAR ANY SOUND ?
YES  (    )
NO    (    )
 
DID OBJECT EXHIBITED ANY UNUSUAL FLIGHT BEHAVIOR / CHARACTERISTICS?
YES  (     )
NO    (     )
 
IF YES, PLEASE DESCRIBE IN DETAIL
 
SHAPE OF OBJECT
 
( XLIKE BRIGHT STAR
(    ) OVAL- SHAPED
(    ) SPHERICAL
(    ) DISC-SAUCER SHAPED
XOTHER :   REFER TO SYNOPSIS

APPARENT SIZE OF OBJECT COMPARED TO
 
FULL MOON    :    LARGER (    ) SMALLER (    SAME (    )
 
BRIGHT STAR  :    LARGER (    ) SMALLER (    ) SAME (    )
SIGNATURE OF WITNESS
 
 

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