Make your own free website on Tripod.com

Political Application Form


------------------------------------------------------------

  Application Form To Be Filled For Contesting Indian

  Elections

  ------------------------------------------------------------



  1. Name of Candidate :  _______________________



  2. Present Address

   (i) Name of Jail :  _______________________

   (ii)Cell Number  :  _______________________ (If not in Jail, attach

         proof of residence)



  3. Political Party   :  _______________________

  (List ONLY the Last Five parties in the  Cronological Order)



  4. Sex: [ ]

  A - Male

  B - Female

  C - Mayawathi

  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 Recogonised

  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 - 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)



  14.     Do you have any developmental plans for the country  in mind  ?



  A - No

  B - No

  C - No

  D - No



  15.     Describe in space provided about the various weapons you can

handle(include the calibre of the weapon too)



                             _________________



  Thumb Impresssion of candidate

  (Not that of the person who

  filled the form)



[an error occurred while processing this directive]