PARANEXUS MAIN HOME PAGE
CONTACT US
Version: 2.2

Submit Haunting Report Abduction Report

Your Privacy is Assured
Report Submitted By...

No contact details in this section are made available to the public.
First Name:
Last Name:
I Wish to Remain Anonymous:
Checking this box will prevent your name from appearing in the public report.
Email Address:
Telephone:

 
Abductee Information
No witness contact details in this section including names are made available to the public.
Abductee First Name:
Abductee Last Name:
Street Address:
Apartment:
City:
State/Province:
Country:
Zip Code:
Telephone:

Email Address:
Gender:
Male Female
Age:
(Estimate if not known)
Number of Witnesses to the Abduction:
Additional Witness Names:
Did Abductee have Missing Time?
(Enter number of Minutes if applicable)
Does Abductee have a History of Sleep Walking?
Yes No Unknown
Is Abductee Psychically Sensitive?
Yes No Unknown
Was Hypnosis Used to Recall Info in this Report?
Yes No

Event Logistical Information

Please Note: Each Abduction should be treated as a single event
Abduction Date:
    Date is approximate
Abduction Time:
  Time is approximate
Abduction Time Zone:

Abduction Event Information

Abduction Duration (if known):
Enter number of Minutes Event duration is approximate

Associated Phenomena:

Before or after the abduction event, or at anytime

(Check all that apply)

 

None

Amorphous Shapes (Headless; no limbs)

Appliances/Lights Turn On/Off by Themselves

Ghosts/Apparitions

Hearing Non-Vocal Sounds

Hearing Voices

High-Pitched Tone/Ringing (not associated with abduction)

Items Found Elsewhere

Objects Move by Themselves

Other

 

Abduction Onset Conditions:

(Check all that apply)

 

Alone Others Present

At Home At Work Driving Public Area

Daytime Nighttime

Awake Sleeping

Atmospheric Change

Waking Paralysis

Room Glow

High-Pitched Tone or Ringing (prior to abduction)

 

Entity Description:

(If known. Check all that apply)

 

Body Type

Unseen/Unknown

Apparition

Energy Being

Grey

Human-Like/Humanoid

Insectoid

Mantis-Type

Nordic Blonde

Reptilian

Robot/Automaton

Other

Eye Shape

Round

Oval/Almond

Snake Eyes

Other (please describe in description box)

 

Eye Color

Black/Dark

Blue

Brown

Other (please describe in description box)

Number of Entities:
 

Entity Height:

(If known. Check all that apply)

 

Unknown

1 Foot

2 Feet

3 Feet

4 Feet

5 Feet

6 Feet

7 Feet

8 Feet

9 Feet

10 + Feet

Entity Clothing Type:

Entity Clothing Primary Color:

Entity Clothing Features:

(If known. Check all that apply)

 

Unknown

Back/Chest Device

Belt

Boots/Shoes

Device Held

Gloves

Headset

Helmet

Insignia

Mask

Necklace

Suit/Uniform

Other

 

Physical After-Effects:

(Check all that apply)

 

None

Blistering

Bruising

Cuts/Scratches/Abrasions

Dry-Heaves

Ear Irritation

Eye Irritation

Head Pain

Joint/Muscle Pain

Light Sensitivity

Location Displacement

 

Loss of Appetite

Missing Clothing

Nasal Bleeding

Nausea

Needle Marks

Rearranged Clothing

Scoop Marks

Skin Rash/Redness

Vomiting

Wrong Clothing

Other

Mental/Emotional After-Effects:

(Check all that apply)

 

None

Angry

Anti-Social

Anticipating Next Visit

Confusion

Detachment

Disconnected

Dizziness

Elated/Happy

Hyper-Awareness

Lethargic

 

Memory Lapse

Need to Escape

Paranoia

Passivity

Sleepy

Surrealism

Terrified

Thinking Impaired

Uncertainty

Violated

Other

 

Trace Evidence:

(If applicable. Check all that apply)

 

None

Animal Effects

Angel Hair

Fiber

Fingerprints/Handprints

Ground Impression(s)

Footprints

Inorganic Material

Organic Material

Plant / Tree Damage

Radiation

Residue - Electromagnetic

Residue - Fluid / Liquid

Residue - Powder/Solid

Structure Damage

Unidentified Fragments

Vehicle Damage

Other (please describe in description box)

 

Detailed Description of Abduction:

Please describe the abduction with as much detail as possible or available. Include as many facts and features as you can. Please elaborate on any questions above in which you answered "Other." The more complete your description, the better. Investigators making this report should include whether hypnosis was used and the outcome, any ghost-like phenomena, and other documented data.

Do not put any personal information in the description that you do not want viewed by the public. You may use first names only for privacy (if applicable). No personal contact details above will appear in the public report.
 
Investigation Data
Was an Investigation Preformed?
Yes No
Researcher or Group Name:
Researcher or Group Website:
# of Investigators Present:
Upload Files

Please upload only relevant files for your report.

Max Upload Size: 100 MB

Acceptable File Types:

gif, jpg, png, bmp, mpg, mp3, wmv, avi, wav, wma, pdf, zip,

If you need to upload more than 5 files, please zip your files and upload them as one.
Submission Release

By submitting this report, I attest that it is factual and complete to the best of my knowledge and authorize ParaNexus to add it along with any uploaded media files to the database. I also agree to assume full responsibility for this report and the authorization to upload. I understand that personally identifiable contact information in this report will not be made available to the public without written permission from the witness(es). I understand that on occasion, a ParaNexus staff member or authorized Field Investigator may contact witnesses for further details should the need arise.


Click the Image to Refresh the Code

Enter Verification Code Here:

 
MENU
 

Thank you for your interest in submitting an event / sighting report!

No personally identifiable information is made available to the public on this form with the exception of the submitter's name. However, you may choose to keep your name anonymous by checking the appropriate box. Witness names and contact details are never released to the public.

Once the form is completed and submitted, you will receive a confirmation via email and your report will be added to the database.

In some cases, a ParaNexus Staff member or authorized Field Investigator may contact you for further details, especially if the case seems to warrant further investigation.

Thank you for adding to the ParaNexus Registry of anomalous events!
 

Registry Home | Request Investigation | Report a Sighting/Event | Become a CPFI | ParaNexus Home | Contact Us | About the Registry

 

Privacy Statement | Copyright & Terms of Use

 

This Database is Provided as a Free Resource by the ParaNexus Anomalous Research Association

The ParaNexus Registry of Anomalous Events Version 2.2 • Copyright © 2009 - 2010 ParaNexus.org. All rights reserved.