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Application Form for Politicians

Application Form To Be Filled For Contesting Indian Elections
 
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 1. Name of Candidate : _______________________
 2. Present Address
 (i) Name of Jail : _______________________
 (ii) Cell Number : _______________________
 
 3. Political Party : _______________________
 (List ONLY the Last Five parties in the Chronological (Order)
 
 4. Sex: [ ]
 A - Male
 B - Female
 C - Mayawati
 
 5. Nationality: [ ]
 A - Italian
 B - Indian
 
 6. Reasons for leaving last party (circle one or more)
 A - Defected
 B - Expelled
 C - Bought out
 D - None of above
 E - All of above
 
 7. Reasons for contesting elections (circle one or more)
 A - To make money
 B - To escape court trial
 C - To grossly misuse power
 D - To serve the public
 E - I have no clue
 (if you choose "D, attach Certificate of Sanity from a Recognized 
 Government Psychiatrist)
 8. How many years of public service experience do you possess?
 A - 1-2 yrs
 B - 2-6yrs
 C - 6-15yrs
 D - 15+yrs
 
 9. Give details of any criminal cases pending against you (Use as 
 many 
 Additional Sheets as you want)
 10. How many years have you spent in Jail? [ ]
 (Do not confuse with question 8)
 A - 1-2 years
 B - 2-6 years
 C - 6-15 years
 D - 15+years
 
 11. Are you involved in any financial scams? [ ]
 A - Why not
 B - Of Course
 C - Definitely
 D - I deny it all
 E - I see a foreign hand.
 
 12. What is your Annual Corruption Income? [ ]
 A - 100-500 Crores
 B - 500-1000 Crores
 C - Overflow...
 (Convert all your $ earning from Hawala etc to Rupees)
 
 13. Do you have any developmental plans for India in mind? [ ]
 A - No
 B - No
 C - No
 D - No
 
 14. Describe your achievements in space provided: [_________]
 
 
 Thumb Impression of candidate
 (Not that of the person who filled the form)



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