Send a Report
If you have
experienced a sighting or contact with alien beings, please complete the
Report Form
and forward so that we may be of assistance to you and Ufology.
Copy the following
Report Form into Microsoft Word (or another Word Processor) and then complete
the document.
Email to: pkhoury@ufoesa.com
If you do not have an email facility send by 'snail mail' to:
UFOESA PO Box 191 Regents Park NSW 2142 Australia
UFOESA Experience Report
Date:
Name:
Address:
Telephone #: Home: Business: Mobile:
The following information is related to your sighting or experience.
Date:
Time:
Location:
(1) In your own words please give an
account of the incident:
(2) Please sketch what you saw(or attach a sketch):
(3) Please sketch the surroundings (or attach a sketch):
(4) Did you notice any unusual movements by, or changes in the shape of the objects?
If so, please describe.
5) Did you hear any sounds?
If so, please describe.
(6) Was there any communication between you and the objects?
(7) Were there any other people that witnessed the incident?
If so, how many and please list their relationship to you.
(8) How large did the objects look to you? (eg. pea-sized, tennis ball, dinner plate)
(9) How large do you think the objects actually were? (eg. pushbike, car, light plane, 747 jet)
(10) How high in the sky were the objects? (eg. treetop, 10 storey building, mile/kilometre)
(11) From what direction in the sky, did the objects come?
(12) In which direction, in the sky, did the objects finally disappear to.
(13) If you viewed the objects at night, was the Moon also visible, how high and bright was it?
(14) Were there any stars visible?
(15) What was the weather at the time:(clear, sunny, foggy, cloudy, cold, mild, warm, hot, dry, rainy, snowing, breezy, gales etc.)?
(16) How long did you watch the objects for?
(17) Were the objects viewed through binoculars or a telescope?
(18) Were the objects photographed,
filmed, or videoed?
If so, please elaborate.
(19) Did you experience
any physical effects during your observation?
(20) Was the environment around the objects effected in any way?
(21) Did you experience any emotional or psychological effects during or after the observation? (eg. stress, vagueness etc.)
22) Did anything else unusual, odd or
out of place occur to you around the time of the incident?
(23) Did any of the other witnesses
present experience any of the effects mentioned above?
If so, please elaborate.
(24) Have you ever had unusual experiences
before this one?
Yes ( ) No ( )
Signed:
Dated: