U.S. DOD Form dod-dd-1978
CLASSIFICATION
INITIAL INTERROGATION REPORT
REPORT NO. (Numbered sequentially)
SOURCE (Last name only)
CY NO.
DATE/TIME (Z)
INTG UNIT (Attached to interrogator)
CATEGORY - A B C D (See detailed report)
MAPS USED: (List sheet name, number, and scale of all maps used)
LANGUAGE USED
PART I - INTELLIGENCE POTENTIAL OF PRISONERS OF WAR
NAME (Last, first, middle initial)
DATE OF BIRTH (Year, month, day)
RANK
SERVICE NUMBER
BIRTHPLACE (City, county)
NATIONALITY (Of citizenship)
POPULATION GROUP
LANGUAGES (List and include proficiency)
UNIT (Interrogees' parent unit listed completely to highest headquarters)
CAREER (Summarize prisoner's premilitary career)
MILITARY CAREER (Summarize)
ASSESSMENT (Intelligence, experience, cooperation, reliability, etc., of the interrogee, NOT the information)
SPECIALIST KNOWLEDGE (Knowledge of technical subject or equipment)
DOCUMENTS (Carried at time of capture/money/valuables)
EQUIPMENT (Of intelligence interest, personal equipment/weapons)
DD Form 1978, NOV 78
CLASSIFICATION
CLASSIFICATION
PART II - INFORMATION OBTAINED (Summarize)
DD Form 1978 Reverse, NOV 78
CLASSIFICATION